SP0304
LD 949
Session - 128th Maine Legislature
C "A", Filing Number S-187, Sponsored by
LR 533
Item 2
Bill Tracking, Additional Documents Chamber Status

Amend the bill by striking out all of section 2.

Amend the bill in section 3 in §4316 in subsection 1 in paragraph E in the next to the last line (page 2, line 14 in L.D.) by striking out the following: " remote patient monitoring" and inserting the following: ' telemonitoring'

Amend the bill in section 3 in §4316 in subsection 2 in the 8th line (page 2, line 31 in L.D.) by striking out the following: " as determined by the enrollee's provider"

Amend the bill in section 3 in §4316 in subsection 2 in the 12th line (page 2, line 35 in L.D.) by striking out the following: " an in-person" and inserting the following: ' a comparable service provided through in-person'

Amend the bill in section 3 in §4316 in subsection 3 in paragraph G in the first line (page 3, line 12 in L.D.) by inserting after the following: " persons" the following: ' who are enrolled in the carrier's health plan'

Amend the bill in section 3 in §4316 in subsection 4 in the first line (page 3, line 15 in L.D.) by striking out the following: " Coverage for telemonitoring" and inserting the following: ' Telemonitoring requirements'

Amend the bill in section 3 in §4316 in subsection 4 in paragraph C in the first line (page 3, line 22 in L.D.) by striking out the following: " to ensure" and inserting the following: ' and determined'

Amend the bill in section 3 in §4316 in subsection 4 in paragraph C in the 2nd line (page 3, line 23 in L.D.) by striking out the following: " to ensure" and inserting the following: ' determined'

Amend the bill in section 3 in §4316 by striking out all of subsection 6.

Amend the bill in section 3 in §4316 in subsection 9 in the last line (page 4, line 14 in L.D.) by inserting after the following: " section" the following: ' unless those credentialing requirements or prior approval requirements are the same as those imposed for a provider that does not provide health care services through telehealth'

Amend the bill in section 3 in §4316 by renumbering the subsections to read consecutively.

Amend the bill by adding after section 3 the following:

Sec. 4. Application. The requirements of this Act apply to all policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State on or after January 1, 2019. For purposes of this Act, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.’

Amend the bill by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.

SUMMARY

This amendment is the majority report of the committee and does the following.

1. It removes the provision in the bill requiring insurers to provide professional liability insurance coverage for health care services provided through telehealth services in the same manner as the coverage is provided for face-to-face contact between a health care practitioner and a patient.

2. It clarifies that carriers may only apply prior approval and credentialing requirements for providers for services provided through telehealth services if the requirements are the same as are applied for services provided in person.

3. It removes the provision requiring carriers to notify enrollees and prospective enrollees about coverage for telehealth services because carriers are already required to provide enrollees and prospective enrollees information about benefits and coverage.

4. It makes the bill's provisions apply to health insurance policies issued or renewed on or after January 1, 2019.


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