Bill Summary for H 721 (2019-2020)
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View NCGA Bill Details(link is external) | 2019-2020 Session |
AN ACT TO DIRECT THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO MAKE CERTAIN CHANGES TO THE MEDICAID AND NC HEALTH CHOICE POLICIES RELATING TO TELEHEALTH AND TO REQUIRE HEALTH BENEFIT PLAN TELEHEALTH COVERAGE.Intro. by Saine, Lambeth, Dobson, Jones.
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Bill summary
House committee substitute to the 2nd edition makes the following changes.
Eliminates subsections (b) through (i) of proposed GS 58-50-305, which set forth several requirements and limitations of health benefit plans concerning telehealth coverage. Now prohibits a health benefit plan from excluding from coverage a covered health care service or procedure delivered by a preferred or contracted health professional to a covered patient as a telehealth service solely because the service or procedure is not provided through an in-person consultation (was, referred to services generally and more broadly prohibited exclusion from coverage on grounds that the services are not being provided through in-person consultation or in-person delivery of services). Adds that a health benefit plan can require a deductible, a copayment, or coinsurance for a covered health care service or procedure delivered by a preferred or contracted health professional to a covered patient as a telehealth service, but prohibits the amount from exceeding the same required for the covered health care service or procedure provided through an in-person consultation (previously required telehealth coverage and reimbursement to be equivalent to the coverage and reimbursement for the same service provided in person).