SB 302 — AN ACT CONCERNING TELEHEALTH SERVICES.

General Assembly   RaisedSubstitute Bill No.

302 February Session, 2018   LCO*_____SB00302PH____032618____* No.AN ACT CONCERNING TELEHEALTH SERVICES.

1491   *01491_______PH_* Referred to Committee on PUBLIC HEALTH   Introduced by:

  (PH)   AN ACT CONCERNING TELEHEALTH SERVICES.

Section 19a-906 of the general statutes is repealed and the following is substituted in lieu thereof (Effective OctoberJuly 1, 2018):

(2) "Health"Facility record"fee" meanshas the recordsame ofmeaning individual,as health-relatedin informationsection that19a-508c. may include, but need not be limited to, continuity of care documents, discharge summaries and other information or data relating to a patient's demographics, medical history, medication, allergies, immunizations, laboratory test results, radiology or other diagnostic images, vital signs and statistics.

[(2)] (3) "Facility"Health fee"record" hasmeans the samerecord meaningof asindividual, inhealth-related sectioninformation 19a-508c.that may include, but need not be limited to, continuity of care documents, discharge summaries and other information or data relating to a patient's demographics, medical history, medication, allergies, immunizations, laboratory test results, radiology or other diagnostic images, vital signs and statistics.

[(3) "Facility fee" has the same meaning as in section 19a-508c.] (4) "Medical history" means information, including, but not limited to, a patient's past illnesses, medications, hospitalizations, family history of illness if known, the name and address of the patient's primary care provider if known and other matters relating to the health condition of the patient at the time of a telehealth interaction.

(5) "Originating"Medication-assisted site"treatment" means athe siteuse atof whichmedications aapproved patientby isthe locatedfederal atFood theand timeDrug healthAdministration, carein servicescombination arewith providedcounseling and behavioral therapies, to theprovide patienta bywhole-patient meansapproach to the treatment of telehealth.substance use disorders.

[(5)] (6) "Peripheral"Originating devices"site" means the instruments a telehealthsite providerat useswhich to perform a patient exam,is including,located butat notthe limitedtime to,health stethoscope,care otoscope,services ophthalmoscope,are sphygmomanometer,provided thermometer,to tonguethe depressorpatient andby reflexmeans hammer.of telehealth.

[(6)] (7) "Remote"Peripheral patientdevices" monitoring" means the personalinstruments health and medical data collection from a patient in one location via electronic communication technologies that is then transmitted to a telehealth provider locateduses atto perform a distantpatient siteexam, forincluding, thebut purposenot oflimited healthto, carestethoscope, monitoringotoscope, toophthalmoscope, assistsphygmomanometer, thethermometer, effectivetongue managementdepressor of the patient's treatment, care and relatedreflex support.hammer.

[(7)] (8) "Store"Remote andpatient forwardmonitoring" transfer" means the asynchronouspersonal transmissionhealth ofand medical data collection from a patient'spatient medicalin informationone fromlocation anvia originatingelectronic sitecommunication technologies that is then transmitted to thea telehealth provider located at a distant site.site for the purpose of health care monitoring to assist the effective management of the patient's treatment, care and related support.

[(8)] (9) "Synchronous""Store and forward transfer" means real-timethe interactiveasynchronous technology.transmission of a patient's medical information from an originating site to the telehealth provider at a distant site.

[(9)] (10) "Telehealth""Synchronous" means thereal-time modeinteractive oftechnology. delivering health care or other health services via information and communication technologies to facilitate the diagnosis, consultation and treatment, education, care management and self-management of a patient's physical and mental health, and includes (A) interaction between the patient at the originating site and the telehealth provider at a distant site, and (B) synchronous interactions, asynchronous store and forward transfers or remote patient monitoring.

[(10)] (11) "Telehealth" means the mode of delivering health care or other health services via information and communication technologies to facilitate the diagnosis, consultation and treatment, education, care management and self-management of a patient's physical and mental health, and includes (A) interaction between the patient at the originating site and the telehealth provider at a distant site, and (B) synchronous interactions, asynchronous store and forward transfers or remote patient monitoring.

(11)[(11)] (12) "Telehealth provider" means any physician licensed under chapter 370, physical therapist licensed under chapter 376, chiropractor licensed under chapter 372, naturopath licensed under chapter 373, podiatrist licensed under chapter 375, occupational therapist licensed under chapter 376a, optometrist licensed under chapter 380, a registered nurse or advanced practice registered nurse licensed under chapter 378, physician assistant licensed under chapter 370, psychologist licensed under chapter 383, marital and family therapist licensed under chapter 383a, clinical social worker or master social worker licensed under chapter 383b, alcohol and drug counselor licensed under chapter 376b, professional counselor licensed under chapter 383c, dietitian-nutritionist certified under chapter 384b, speech and language pathologist licensed under chapter 399, respiratory care practitioner licensed under chapter 381a, [or] audiologist licensed under chapter 397a,397a or pharmacist licensed under chapter 400j, who is providing health care or other health services through the use of telehealth within such person's scope of practice and in accordance with the standard of care applicable to the profession.

(c) Notwithstanding the provisions of this section or title 20, no telehealth provider shall prescribe any schedule I, II or III controlled substances[substances] substance through the use of telehealth.telehealth, except for the treatment of a psychiatric disorder, including, but not limited to, medication-assisted treatment.

Section 1 OctoberJuly 1, 2018 19a-906 StatementPH ofJoint Purpose:Favorable Subst.

To add providers who can administer telehealth services and to modify and clarify patient consent procedures.

[Proposed deletions are enclosed in brackets.

Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]