Legislation

Search OpenLegislation Statutes
This entry was published on 2016-01-08
The selection dates indicate all change milestones for the entire volume, not just the location being viewed. Specifying a milestone date will retrieve the most recent version of the location before that date.
SECTION 3217-H
Telehealth delivery of services
Insurance (ISC) CHAPTER 28, ARTICLE 32
§ 3217-h. Telehealth delivery of services. (a) An insurer shall not
exclude from coverage a service that is otherwise covered under a policy
that provides comprehensive coverage for hospital, medical or surgical
care because the service is delivered via telehealth, as that term is
defined in subsection (b) of this section; provided, however, that an
insurer may exclude from coverage a service by a health care provider
where the provider is not otherwise covered under the policy. An insurer
may subject the coverage of a service delivered via telehealth to
co-payments, coinsurance or deductibles provided that they are at least
as favorable to the insured as those established for the same service
when not delivered via telehealth. An insurer may subject the coverage
of a service delivered via telehealth to reasonable utilization
management and quality assurance requirements that are consistent with
those established for the same service when not delivered via
telehealth.

(b) For purposes of this section, "telehealth" means the use of
electronic information and communication technologies by a health care
provider to deliver health care services to an insured individual while
such individual is located at a site that is different from the site
where the health care provider is located.