H.B. 444

1

PROMOTION OF HEALTH EFFICIENCIES
2 2007 GENERAL SESSION
3 STATE OF UTAH
4 Chief Sponsor: Bradley G. Last
5 Senate Sponsor: ____________
6
7 LONG TITLE
8 General Description:
9 This bill amends the Medical Assistance Act in the Health Code.
10 Highlighted Provisions:
11 This bill:
12 . requires the state Medicaid program to allow the use of telemedicine for certain
13 services that are otherwise reimbursable under the state Medicaid plan; and
14 . provides guidelines for reimbursing for telemedicine services.
15 Monies Appropriated in this Bill:
16 None
17 Other Special Clauses:
18 None
19 Utah Code Sections Affected:
20 ENACTS:
21 26-18-12, Utah Code Annotated 1953
22
23 Be it enacted by the Legislature of the state of Utah:
24 Section 1. Section 26-18-12 is enacted to read:
25 26-18-12. Telemedicine -- Reimbursement -- Disclosure.
26 (1) (a) On or after July 1, 2007, in person contact between a health care provider and a
27 patient is not required under the state's medical assistance program for health care services:

28 (i) that are eligible for reimbursement under the program; and
29 (ii) that are delivered through telemedicine in accordance with Subsection (3).
30 (b) This Subsection (1) applies to any managed care organization that contracts with
31 the state medical assistance program.
32 (2) The reimbursement rate for telemedicine services:
33 (a) shall be subject to reimbursement policies set by the state plan; and
34 (b) may be based on a monthly reimbursement rate or a daily reimbursement rate.
35 (3) The department shall adopt administrative rules in accordance with Title 63,
36 Chapter 46a, Utah Administrative Rulemaking Act, which establish the telemedicine services
37 that may be reimbursed under the state plan without an in person visit with a health care
38 professional.




Legislative Review Note
as of 2-1-07 12:43 PM

Office of Legislative Research and General Counsel