Bill Text: CA AB744 | 2019-2020 | Regular Session | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Health care coverage: telehealth.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Passed) 2019-10-13 - Chaptered by Secretary of State - Chapter 867, Statutes of 2019. [AB744 Detail]
Download: California-2019-AB744-Amended.html
teleophthalmology, teledermatology, and teledentistry health care services provided by store and forward. Services appropriately provided through the store and forward process are subject to billing and reimbursement policies developed by the department.
Bill Title: Health care coverage: telehealth.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Passed) 2019-10-13 - Chaptered by Secretary of State - Chapter 867, Statutes of 2019. [AB744 Detail]
Download: California-2019-AB744-Amended.html
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Amended
IN
Senate
June 25, 2019 |
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Amended
IN
Assembly
May 16, 2019 |
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Amended
IN
Assembly
April 22, 2019 |
CALIFORNIA LEGISLATURE—
2019–2020 REGULAR SESSION
| Assembly Bill | No. 744 |
| Introduced by Assembly Member Aguiar-Curry |
February 19, 2019 |
An act to amend Section 2290.5 of the Business and Professions Code, to amend Section 1374.13 of, and to add Section 1374.14 to, the Health and Safety Code, to amend Section 10123.85 of, and to add Section 10123.855 to, the Insurance Code, and to amend Section 14132.725 of the Welfare and Institutions Code, relating to health care coverage.
LEGISLATIVE COUNSEL'S DIGEST
AB 744, as amended, Aguiar-Curry.
Health care coverage: telehealth.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, face-to-face contact between a health care provider and a patient is not required under the Medi-Cal program for teleophthalmology, teledermatology, and teledentistry by store and forward. Existing law requires a Medi-Cal patient receiving teleophthalmology, teledermatology, or teledentistry by store and forward to be notified of the right to receive interactive communication with a distant specialist physician, optometrist, or dentist, and authorizes a patient to request that interactive communication.
This bill would delete those
interactive communication provisions. provisions, and would instead specify that face-to-face contact between a health care provider and a patient is not required under the Medi-Cal program for any health care services provided by store and forward.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law prohibits a health care service plan or health insurer from requiring that in-person contact occur between a health care provider and a patient, and from limiting the type of setting where services are
provided, before payment is made for covered services provided appropriately through telehealth services.
This bill would require a contract issued, amended, or renewed on or after January 1, 2020, between a health care service plan and a health care provider for the provision of health care services to an enrollee or subscriber, or a contract issued, amended, or renewed on or after January 1, 2020, between a health insurer and a health care provider for an alternative rate of payment to specify that the health care service plan or health insurer reimburse a health care provider for the diagnosis, consultation, or treatment of an enrollee, subscriber, insured, or policyholder appropriately delivered through telehealth services on the same basis and to the same extent that the health care service plan or health insurer is responsible for reimbursement for the
same service through in-person diagnosis, consultation, or treatment. The bill would authorize a health care service plan or health insurer to offer a contract or policy containing a deductible, copayment, copayment or coinsurance requirement for a health care service delivered through telehealth services, subject to specified limitations. The bill would prohibit a health care service plan contract or policy or health insurance issued, amended, or renewed on or after January 1, 2020, from imposing a deductible or an annual or lifetime dollar maximum for telehealth services, and would prohibit those contracts and policies from imposing a deductible, copayment, or coinsurance, or a plan year, calendar year,
lifetime, or other durational benefit limitation or maximum for benefits or services delivered through telehealth that is not equally imposed on the same benefits or services when not delivered through telehealth. Because a willful violation of the bill’s requirements relative to health care service plans would be a crime, the bill would impose a state-mandated local program.
This bill would authorize the Director of the Department of Managed Health Care or the Insurance Commissioner to assess an administrative penalty by order, after appropriate notice and opportunity for hearing, if the director or commissioner determines that a health care service plan or health insurer has failed to comply with those provisions. The bill would require the administrative penalties collected for a health care service plan’s violations of those provisions to be transferred into the Managed Care Administrative Fines and Penalties Fund upon appropriation by the Legislature. The bill would specify that administrative penalties assessed against a health insurer be deposited into the Insurance Fund.
Because a willful violation of the bill’s requirements relative to health care service plans would be a crime, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESBill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 2290.5 of the Business and Professions Code is amended to read:2290.5.
(a) For purposes of this division, the following definitions shall apply:(1) “Asynchronous store and forward” means the transmission of a patient’s medical information from an originating site to the health care provider at a distant site.
(2) “Distant site” means a site where a health care provider who provides health care services is located while providing these services via a telecommunications system.
(3) “Health care provider” means either of the following:
(A) A person who is licensed under this
division.
(B) An associate marriage and family therapist or marriage and family therapist trainee functioning pursuant to Section 4980.43.3.
(4) “Originating site” means a site where a patient is located at the time health care services are provided via a telecommunications system or where the asynchronous store and forward service originates.
(5) “Synchronous interaction” means a real-time interaction between a patient and a health care provider located at a distant site.
(6) “Telehealth” means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education,
care management, and self-management of a patient’s health care. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.
(b) Before the delivery of health care via telehealth, the health care provider initiating the use of telehealth shall inform the patient about the use of telehealth and obtain verbal or written consent from the patient for the use of telehealth as an acceptable mode of delivering health care services and public health. The consent shall be documented.
(c) This section does not preclude a patient from receiving in-person health care delivery services during a specified course of health care and treatment after agreeing to receive services via
telehealth.
(d) The failure of a health care provider to comply with this section shall constitute unprofessional conduct. Section 2314 shall not apply to this section.
(e) This section shall not be construed to alter the scope of practice of a health care provider or authorize the delivery of health care services in a setting, or in a manner, not otherwise authorized by law.
(f) All laws regarding the confidentiality of health care information and a patient’s rights to the patient’s medical information shall apply to telehealth interactions.
(g) This section shall not apply to a patient under the jurisdiction of the Department of
Corrections and Rehabilitation or any other correctional facility.
(h) (1) Notwithstanding any other law and for purposes of this section, the governing body of the hospital whose patients are receiving the telehealth services may grant privileges to, and verify and approve credentials for, providers of telehealth services based on its medical staff recommendations that rely on information provided by the distant-site hospital or telehealth entity, as described in Sections 482.12, 482.22, and 485.616 of Title 42 of the Code of Federal Regulations.
(2) By enacting this subdivision, it is the intent of the Legislature to authorize a hospital to grant privileges to, and verify and approve credentials for, providers of telehealth services as described in paragraph
(1).
(3) For the purposes of this subdivision, “telehealth” shall include “telemedicine” as the term is referenced in Sections 482.12, 482.22, and 485.616 of Title 42 of the Code of Federal Regulations.
SEC. 2.
Section 1374.13 of the Health and Safety Code is amended to read:1374.13.
(a) For the purposes of this section, the definitions in subdivision (a) of Section 2290.5 of the Business and Professions Code apply.(b) It is the intent of the Legislature to recognize the practice of telehealth as a legitimate means by which an individual may receive health care services from a health care provider without in-person contact with the health care provider.
(c) A health care service plan shall not require that in-person contact occur between a health care provider and a patient before payment is made for the covered services appropriately provided through telehealth, subject to the terms and conditions of
the contract entered into between the enrollee or subscriber and the health care service plan, and between the health care service plan and its participating providers or provider groups, and pursuant to Section 1374.14.
(d) A health care service plan shall not limit the type of setting where services are provided for the patient or by the health care provider before payment is made for the covered services appropriately provided through telehealth, subject to the terms and conditions of the contract entered into between the enrollee or subscriber and the health care service plan, and between the health care service plan and its participating providers or provider groups, and pursuant to Section 1374.14.
(e) This section shall also apply to health care service plan
contracts and Medi-Cal managed care plan contracts with the State Department of Health Care Services pursuant to Chapter 7 (commencing with Section 14000) or Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code.
(f) Notwithstanding any other law, this section does not authorize a health care service plan to require the use of telehealth if the health care provider has determined that it is not appropriate.
SEC. 3.
Section 1374.14 is added to the Health and Safety Code, to read:1374.14.
(a) (1) A contract issued, amended, or renewed on or after January 1, 2020, between a health care service plan and a health care provider for the provision of health care services to an enrollee or subscriber shall specify that the health care service plan shall reimburse the treating or consulting health care provider for the diagnosis, consultation, or treatment of an enrollee or subscriber appropriately delivered through telehealth services on the same basis and to the same extent that the health care service plan is responsible for reimbursement for the same service through in-person diagnosis, consultation, or treatment.(2) This section does not limit the ability of a health care service plan and a health care provider to negotiate the rate of reimbursement for a health care service provided pursuant to a contract subject to this section.
(b) (1) A health care service plan contract issued, amended, or renewed on or after January 1, 2020, shall specify that the health care service plan shall provide coverage for the cost of health care services appropriately delivered through telehealth services on the same basis and to the same extent that the health care service plan is responsible for coverage for the same service through in-person diagnosis, consultation, or
treatment. Coverage shall not be limited only to services delivered by select third-party corporate telehealth providers.
(2) A health care service plan contract issued, amended, or renewed on or after January 1, 2020, shall not exclude coverage for a health care service solely because the service is delivered through telehealth services and not through in-person consultation or contact between a physician provider and a patient, if the service is appropriately delivered through telehealth services.
(3) This section does not require a health care service plan to deliver health care services through telehealth
services.
(c) A health care service plan may offer a contract containing a deductible, copayment, copayment or coinsurance requirement for a health care service delivered through telehealth services, provided that the deductible, copayment, copayment or coinsurance does not exceed the deductible, copayment, copayment or
coinsurance applicable if the same services were delivered through in-person diagnosis, consultation, or treatment.
(d) (1) A health care service plan contract issued, amended, or renewed on or after January 1, 2020, shall not impose a deductible or an annual or lifetime dollar maximum for telehealth services, other than a deductible or an annual or lifetime dollar maximum that applies in the aggregate to all items and services covered under the contract.
(2) A health care service plan contract issued, amended, or renewed on or after January 1, 2020, shall not impose a deductible, copayment,
or coinsurance, or a plan year, calendar year, lifetime, or other durational benefit limitation or maximum for benefits or
services delivered through telehealth that is not equally imposed on the same benefits or services when delivered through means other than telehealth.
(e)If the director determines that a health care service plan has failed to meet a requirement of this section, the director may assess, by order, an administrative penalty for each failure. A proceeding for the issuance of an order assessing administrative penalties shall be subject to appropriate notice to, and an opportunity for a hearing with regard to, the person affected, in accordance with subdivision (a) of Section 1397. The administrative penalties shall not be an exclusive remedy for the director. These penalties shall be transferred to the Managed Care Administrative Fines and Penalties Fund,
as described in Section 1341.45, upon appropriation by the Legislature.
(f)
(e) The definitions in subdivision (a) of Section 2290.5 of the Business and Professions Code apply to this section.
SEC. 4.
Section 10123.85 of the Insurance Code is amended to read:10123.85.
(a) For purposes of this section, the definitions in subdivision (a) of Section 2290.5 of the Business and Professions Code apply.(b) It is the intent of the Legislature to recognize the practice of telehealth as a legitimate means by which an individual may receive health care services from a health care provider without in-person contact with the health care provider.
(c) A health insurer shall not require that in-person contact occur between a health care provider and a patient before payment is made for the services appropriately provided through telehealth, subject to the terms and conditions of the contract entered
into between the policyholder or contractholder and the insurer, and between the insurer and its participating providers or provider groups, and pursuant to Section 10123.855.
(d) A health insurer shall not limit the type of setting where services are provided for the patient or by the health care provider before payment is made for the covered services appropriately provided by telehealth, subject to the terms and conditions of the contract between the policyholder or contract holder contractholder and the insurer, and between the insurer and its participating providers or provider groups, and pursuant to Section 10123.855.
(e) Notwithstanding any other law, this section does not authorize a health insurer to require the use of telehealth if the health care provider has determined that it is not appropriate.
SEC. 5.
Section 10123.855 is added to the Insurance Code, to read:10123.855.
(a) (1) A contract issued, amended, or renewed on or after January 1, 2020, between a health insurer and a health care provider for an alternative rate of payment pursuant to Section 10133 shall specify that the health insurer shall reimburse the treating or consulting health care provider for the diagnosis, consultation, or treatment of an insured or policyholder appropriately delivered through telehealth services on the same basis and to the same extent that the health insurer is responsible for reimbursement for the same service through in-person diagnosis, consultation, or treatment.(2) This section does not limit the ability of a health insurer and a health care provider to negotiate the rate of reimbursement for a health care service provided pursuant to a contract subject to this section.
(b) (1) A policy of health insurance issued, amended, or renewed on or after January 1, 2020, that provides benefits through contracts with providers at alternative rates of payment shall specify that the health insurer shall provide coverage for the cost of health care services appropriately delivered through telehealth services on the same basis and to the same extent that the health insurer is responsible for coverage for the same service through in-person diagnosis,
consultation, or treatment. Coverage shall not be limited only to services delivered by select third-party corporate telehealth providers.
(2) A policy of health insurance issued, amended, or renewed on or after January 1, 2020, that provides benefits through contracts with providers at alternative rates of payment shall not exclude coverage for a health care service solely because the service is delivered through telehealth services and not through in-person consultation or contact between a physician provider and a patient, if the service is appropriately delivered through telehealth services.
(3) This section
does not require a health insurer to deliver health care services through telehealth services.
(c) A health insurer may offer a policy containing a deductible, copayment, copayment or coinsurance requirement for a health care service delivered through telehealth services, provided that the deductible, copayment, copayment or coinsurance does not exceed the deductible, copayment,
copayment or coinsurance applicable if the same services were delivered through in-person diagnosis, consultation, or treatment.
(d) (1) A policy of health insurance issued, amended, or renewed on or after January 1, 2020, shall not impose a deductible or an annual or lifetime dollar maximum for telehealth services, other than a deductible or an annual or lifetime dollar maximum that applies in the aggregate to all items and services covered under the policy.
(2) A policy of health insurance issued, amended, or renewed on or after January 1,
2020, shall not impose a deductible, copayment, or coinsurance, or a policy year, calendar year, lifetime, or other durational benefit limitation or maximum for benefits or services delivered through telehealth that is not equally imposed on the same benefits or services when delivered through means other than telehealth.
(e)If the commissioner determines that an insurer has failed to meet a requirement of this section, the commissioner may assess, by order, an administrative penalty for each failure. A proceeding for the issuance of an order assessing administrative penalties shall be subject to appropriate notice to, and an opportunity for a hearing with regard to, the person affected. The administrative penalties shall not be an exclusive remedy for the commissioner. These
penalties shall be paid to the Insurance Fund.
(f)
(e) The definitions in subdivision (a) of Section 2290.5 of the Business and Professions Code apply to this section.
SEC. 6.
Section 14132.725 of the Welfare and Institutions Code is amended to read:14132.725.
(a) To the extent that federal financial participation is available, face-to-face contact between a health care provider and a patient is not required under the Medi-Cal program for(b)For purposes of this section, “teleophthalmology, teledermatology, and teledentistry by store and forward” means an asynchronous transmission of medical or dental information to be reviewed by a physician at a distant site who is trained in ophthalmology or dermatology or, for
teleophthalmology, by an optometrist who is licensed pursuant to Chapter 7 (commencing with Section 3000) of Division 2 of the Business and Professions Code, or a dentist, where the physician, optometrist, or dentist at the distant site reviews the medical or dental information.
(c)
(b) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, and make specific this section by means of all-county letters, provider bulletins, and similar instructions.
