S.B. 1038 - Telehealth Summary

• Allows reimbursement for telehealth services provided through interactive telecommunications systems, with payment equivalent to in-person care for managed care, commercial, and state health plans.

• Permits two-way, real-time audio-only (telephone) communication for mental health and substance abuse services, reimbursed at 80% of face-to-face rates, with requirement that provider conducted an in-person or telehealth visit within prior 6 months.

• Defines "interactive telecommunications system" and "telehealth" to include four modalities: store and forward technologies, remote monitoring, live consultation, and mobile health, aligning with federal Medicare regulations.

• Clarifies that standard telephone calls, faxes, or emails alone do not constitute telehealth services except as otherwise provided in the statute.

• Sunsets December 31, 2025, with statutory sections reverting to their prior form; effective date is December 31, 2050.