The bill would amend the Insurance Code relating to telemedicine medical services and telehealth services covered by certain health benefit plans or provided by a pharmacist. The bill would include mental health professionals and individuals credentialed to provide qualified mental health professional community services in the definition of health professional for whom certain health benefit plan issuers must reimburse for covered health services provided via telehealth/telemedicine at the same rate as the health plan would reimburse for the service or procedure in an in-person setting. The bill would require that a health plan issuer may not require additional documentation for the service provided via telehealth/telemedicine service than it requires for the service provided in an in-person setting.
The Health and Human Services Commission indicates that the agency does not have sufficient information to determine the fiscal impacts of the bill resulting from increased accessibility and utilization of services.
No fiscal implication to units of local government is anticipated.