22 states modified telemedicine legal guidelines through the pandemic

The Commonwealth Fund launched a problem temporary this week reviewing state actions to develop particular person and group medical health insurance protection of telemedicine between March 2020 and March 2021.  

It discovered that 22 states modified legal guidelines or insurance policies throughout that point interval to require extra strong insurance coverage protection of telemedicine.

“If telemedicine proves to be a less expensive technique to ship care, payers and customers could profit from increasing protection of telemedicine after the pandemic,” wrote report authors.  


In March 2020, federal regulators quickly relaxed restrictions for telemedicine visits for Medicare sufferers, elevating funds to the identical stage as in-person visits and lowering cost-sharing, amongst different adjustments.  

Officers inspired states and insurers to offer comparable flexibility underneath personal insurance coverage – and plenty of took that encouragement to coronary heart.  

Of the 22 states that expanded entry to telemedicine through the pandemic, the report discovered that almost all pursued adjustments by way of administrative motion.  

“Use of government authority allowed states to maneuver comparatively shortly through the disaster, although it has meant that the brand new telemedicine protection necessities are non permanent,” wrote the researchers. They famous, for instance, that seven governors included particular telemedicine protection necessities in government orders, which is able to expire after the general public well being emergency.  

Some states used bulletins, notices, or government orders from the division of insurance coverage or an identical company to boost protection.  

New laws, which takes extra time, however is important for everlasting adjustments, handed in eight states.

Utah, Illinois, West Virginia, New Hampshire and Massachusetts – which had not beforehand required protection – modified their insurance policies through the pandemic. At this level, 40 states require protection.

These insurance policies don’t all carry equal affect. Eighteen states required protection of audio-only companies for the primary time through the pandemic, bringing the entire quantity as much as 21. 4 states eradicated cost-sharing for telemedicine companies, and three added a requirement that price sharing not exceed in-person an identical companies. And 10 states newly required insurers to pay suppliers the identical for telemedicine and in-person visits.  

Report authors famous that insurers have been cooperative with these adjustments, however longer-term adoption of insurance policies like reimbursement parity “would possible be contentious.” They identified the states will want information to tell debates on how finest to control telemedicine.  

In 2021, at the least 30 states have weighed laws that might revise telemedicine protection requirements, discovered the Commonwealth Fund.

Regardless of the identified advantages of telemedicine, researchers additionally cautioned that it has not been equally helpful to all sufferers.  

“Analysis exhibits telemedicine use is decrease in communities with increased charges of poverty and amongst sufferers with restricted English proficiency, doubtlessly undermining objectives of increasing entry to underserved communities and exacerbating well being inequities,” learn the report.  


Because the report notes, a number of states have carried out pro-telehealth insurance policies to allow entry throughout and past the COVID-19 public well being emergency. 

However a significant query stays relating to federal laws, which might fill in lots of state-by-state gaps and forestall a so-called “telehealth cliff.”  

“If Congress doesn’t act earlier than the general public well being emergency ends, regulatory flexibilities that now guarantee all Medicare beneficiaries keep entry to telehealth will go away,” stated Kyle Zebley, director of public coverage on the American Telemedicine Affiliation, throughout a convention panel earlier this month.  


“Whether or not telemedicine reduces total healthcare prices relies on how companies are reimbursed and if digital visits cut back different companies or just add to utilization,” stated Commonwealth researchers. “Accessing information will help stakeholders perceive how longer-term enlargement of telemedicine impacts entry, price, and high quality of care.”

Kat Jercich is senior editor of Healthcare IT Information.

Twitter: @kjercich

Electronic mail: kjercich@himss.org

Healthcare IT Information is a HIMSS Media publication.

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