IL SB3319

Creates the Telehealth Act establishing definitions and requirements for delivering health care services via interactive audio and video technology between distant site providers and patients at originating sites including clinics, hospitals, schools, and rural health facilities.

Requires telehealth services to use HIPAA-compliant interactive telecommunications systems with audio and video capability; excludes audio-only phone calls, emails, and faxes from the definition of telehealth services.

Mandates health insurance policies, HMOs, and managed care plans provide coverage for telehealth services including primary care, counseling, psychiatry, emergency care, and specialty care, with benefits limited to rural area residents except for behavioral health services for individuals under age 18.

Prohibits insurance plans from excluding services solely based on telehealth delivery method, requiring in-person contact before payment, or requiring documentation of barriers to in-person visits; requires reimbursement to providers and facility fees to originating sites.

Amends the Illinois Insurance Code and related statutes governing state employee health benefits, county and municipal health plans, school district insurance, health maintenance organizations, and voluntary health services plans to incorporate telehealth coverage requirements.