New York State Assembly<\/p>\n
Bill Number A2552A<\/p>\n
An act to amend the public health law, the insurance law and the social services law, in relation to the telehealth delivery of services<\/p>\n
A02552 Summary:<\/p>\n
BILL NO A02552A<\/p>\n
SAME AS SAME AS S02405<\/p>\n
SPONSOR Russell<\/p>\n
COSPNSR<\/p>\n
MLTSPNSR<\/p>\n
Rpld S2 sub 1 (o) – (s), add Art 29-G SS2999-cc & 2999-dd, S4406-g, Pub Health
\nL; rpld S3216 subS (i) 30, S3221 subS (k) 19, S4303 subS (oo), add SS3217-h &
\n4306-g, amd S3229, Ins L; amd S367-u, Soc Serv L; amd S7, Chap 550 of 2014<\/p>\n
Relates to telehealth delivery of services.<\/p>\n
A02552 Memo:<\/p>\n
BILL NUMBER:A2552A<\/p>\n
TITLE OF BILL: An act to amend the public health law, the insurance
\nlaw and the social services law, in relation to the telehealth
\ndelivery of services; to amend chapter 550 of the laws of 2014,
\namending the public health law, the insurance law and the social
\nservices law, relating to the telehealth delivery of services, in
\nrelation to the effectiveness thereof; and to repeal certain
\nprovisions of the public health law and the insurance law relating
\nthereto<\/p>\n
PURPOSE:<\/p>\n
To amend provisions in Chapter 550 of 2014.<\/p>\n
SUMMARY OF PROVISIONS:<\/p>\n
This bill provides clarification to telehealth related definitions and
\ninsurance provisions related to requiring insurers and Medicaid to
\nprovide coverage for the provision of telehealth and telemedicine
\nservices. The bill also delays the effective date of Chapter 550 of
\n2014 until January 1, 2016.<\/p>\n
JUSTIFICATION:<\/p>\n
These changes are necessary in order to allow for effective
\nimplementation of Chapter 550 of 2014.<\/p>\n
LEGISLATIVE HISTORY:<\/p>\n
New Bill.<\/p>\n
FISCAL IMPLICATIONS:<\/p>\n
None.<\/p>\n
EFFECTIVE DATE:<\/p>\n
Immediate.<\/p>\n
A02552 Text:<\/p>\n
S T A T E O F N E W Y O R K
\n ________________________________________________________________________<\/p>\n
2552–A<\/p>\n
2015-2016 Regular Sessions<\/p>\n
I N A S S E M B L Y<\/p>\n
January 16, 2015
\n ___________<\/p>\n
Introduced by M. of A. RUSSELL — read once and referred to the Commit-
\n tee on Health — committee discharged, bill amended, ordered reprinted
\n as amended and recommitted to said committee<\/p>\n
AN ACT to amend the public health law, the insurance law and the social
\n services law, in relation to the telehealth delivery of services; to
\n amend chapter 550 of the laws of 2014, amending the public health law,
\n the insurance law and the social services law, relating to the tele-
\n health delivery of services, in relation to the effectiveness thereof;
\n and to repeal certain provisions of the public health law and the
\n insurance law relating thereto<\/p>\n
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
\n BLY, DO ENACT AS FOLLOWS:<\/p>\n
1 Section 1. Paragraphs (o), (p), (q), (r) and (s) of subdivision 1 of
\n 2 section 2 of the public health law are REPEALED.
\n 3 S 2. The public health law is amended by adding a new article 29-G to
\n 4 read as follows:
\n 5 ARTICLE 29-G
\n 6 TELEHEALTH DELIVERY OF SERVICES
\n 7 SECTION 2999-CC. DEFINITIONS.
\n 8 2999-DD. TELEHEALTH DELIVERY OF SERVICES.
\n 9 S 2999-CC. DEFINITIONS. AS USED IN THIS ARTICLE, THE FOLLOWING TERMS
\n 10 SHALL HAVE THE FOLLOWING MEANINGS:
\n 11 1. “DISTANT SITE” MEANS A SITE AT WHICH A TELEHEALTH PROVIDER IS
\n 12 LOCATED WHILE DELIVERING HEALTH CARE SERVICES BY MEANS OF TELEHEALTH.
\n 13 2. “TELEHEALTH PROVIDER” MEANS:
\n 14 (A) A PHYSICIAN LICENSED PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE OF
\n 15 THE EDUCATION LAW;
\n 16 (B) A PHYSICIAN ASSISTANT LICENSED PURSUANT TO ARTICLE ONE HUNDRED
\n 17 THIRTY-ONE-B OF THE EDUCATION LAW;
\n 18 (C) A DENTIST LICENSED PURSUANT TO ARTICLE ONE HUNDRED THIRTY-THREE OF
\n 19 THE EDUCATION LAW;<\/p>\n
EXPLANATION–Matter in ITALICS (underscored) is new; matter in brackets
\n [ ] is old law to be omitted.
\n LBD07659-03-5
\n A. 2552–A 2<\/p>\n
1 (D) A NURSE PRACTITIONER LICENSED PURSUANT TO ARTICLE ONE HUNDRED
\n 2 THIRTY-NINE OF THE EDUCATION LAW;
\n 3 (E) A REGISTERED PROFESSIONAL NURSE LICENSED PURSUANT TO ARTICLE ONE
\n 4 HUNDRED THIRTY-NINE OF THE EDUCATION LAW ONLY WHEN SUCH NURSE IS RECEIV-
\n 5 ING PATIENT-SPECIFIC HEALTH INFORMATION OR MEDICAL DATA AT A DISTANT
\n 6 SITE BY MEANS OF REMOTE PATIENT MONITORING;
\n 7 (F) A PODIATRIST LICENSED PURSUANT TO ARTICLE ONE HUNDRED FORTY-ONE OF
\n 8 THE EDUCATION LAW;
\n 9 (G) AN OPTOMETRIST LICENSED PURSUANT TO ARTICLE ONE HUNDRED
\n 10 FORTY-THREE OF THE EDUCATION LAW;
\n 11 (H) A PSYCHOLOGIST LICENSED PURSUANT TO ARTICLE ONE HUNDRED
\n 12 FIFTY-THREE OF THE EDUCATION LAW;
\n 13 (I) A SOCIAL WORKER LICENSED PURSUANT TO ARTICLE ONE HUNDRED
\n 14 FIFTY-FOUR OF THE EDUCATION LAW;
\n 15 (J) A SPEECH LANGUAGE PATHOLOGIST OR AUDIOLOGIST LICENSED PURSUANT TO
\n 16 ARTICLE ONE HUNDRED FIFTY-NINE OF THE EDUCATION LAW;
\n 17 (K) A MIDWIFE LICENSED PURSUANT TO ARTICLE ONE HUNDRED FORTY OF THE
\n 18 EDUCATION LAW;
\n 19 (L) A PERSON WHO IS CERTIFIED AS A DIABETES EDUCATOR BY THE NATIONAL
\n 20 CERTIFICATION BOARD FOR DIABETES EDUCATORS, OR A SUCCESSOR NATIONAL
\n 21 CERTIFICATION BOARD, OR PROVIDED BY SUCH A PROFESSIONAL WHO IS AFFIL-
\n 22 IATED WITH A PROGRAM CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION, THE
\n 23 AMERICAN ASSOCIATION OF DIABETES EDUCATORS, THE INDIAN HEALTH SERVICES,
\n 24 OR ANY OTHER NATIONAL ACCREDITATION ORGANIZATION APPROVED BY THE FEDERAL
\n 25 CENTERS FOR MEDICARE AND MEDICAID SERVICES;
\n 26 (M) A PERSON WHO IS CERTIFIED AS AN ASTHMA EDUCATOR BY THE NATIONAL
\n 27 ASTHMA EDUCATOR CERTIFICATION BOARD, OR A SUCCESSOR NATIONAL CERTIF-
\n 28 ICATION BOARD;
\n 29 (N) A PERSON WHO IS CERTIFIED AS A GENETIC COUNSELOR BY THE AMERICAN
\n 30 BOARD OF GENETIC COUNSELING, OR A SUCCESSOR NATIONAL CERTIFICATION
\n 31 BOARD;
\n 32 (O) A HOSPITAL AS DEFINED IN ARTICLE TWENTY-EIGHT OF THIS CHAPTER;
\n 33 (P) A HOME CARE SERVICES AGENCY AS DEFINED IN ARTICLE THIRTY-SIX OF
\n 34 THIS CHAPTER;
\n 35 (Q) A HOSPICE AS DEFINED IN ARTICLE FORTY OF THIS CHAPTER; AND
\n 36 (R) ANY OTHER PROVIDER AS DETERMINED BY THE COMMISSIONER PURSUANT TO
\n 37 REGULATION.
\n 38 3. “ORIGINATING SITE” MEANS A SITE AT WHICH A PATIENT IS LOCATED AT
\n 39 THE TIME HEALTH CARE SERVICES ARE DELIVERED TO HIM OR HER BY MEANS OF
\n 40 TELEHEALTH. ORIGINATING SITES SHALL BE LIMITED TO FACILITIES LICENSED
\n 41 UNDER ARTICLES TWENTY-EIGHT AND FORTY OF THIS CHAPTER, FACILITIES AS
\n 42 DEFINED IN SUBDIVISION SIX OF SECTION 1.03 OF THE MENTAL HYGIENE LAW,
\n 43 PRIVATE PHYSICIAN’S OFFICES LOCATED WITHIN THE STATE OF NEW YORK AND,
\n 44 WHEN A PATIENT IS RECEIVING HEALTH CARE SERVICES BY MEANS OF REMOTE
\n 45 PATIENT MONITORING, THE PATIENT’S PLACE OF RESIDENCE LOCATED WITHIN THE
\n 46 STATE OF NEW YORK OR OTHER TEMPORARY LOCATION LOCATED WITHIN OR OUTSIDE
\n 47 THE STATE OF NEW YORK.
\n 48 4. “TELEHEALTH” MEANS THE USE OF ELECTRONIC INFORMATION AND COMMUNI-
\n 49 CATION TECHNOLOGIES BY TELEHEALTH PROVIDERS TO DELIVER HEALTH CARE
\n 50 SERVICES, WHICH SHALL INCLUDE THE ASSESSMENT, DIAGNOSIS, CONSULTATION,
\n 51 TREATMENT, EDUCATION, CARE MANAGEMENT AND\/OR SELF-MANAGEMENT OF A
\n 52 PATIENT. TELEHEALTH SHALL NOT INCLUDE DELIVERY OF HEALTH CARE SERVICES
\n 53 BY MEANS OF AUDIO-ONLY TELEPHONE COMMUNICATION, FACSIMILE MACHINES, OR
\n 54 ELECTRONIC MESSAGING ALONE, THOUGH USE OF THESE TECHNOLOGIES IS NOT
\n 55 PRECLUDED IF USED IN CONJUNCTION WITH TELEMEDICINE, STORE AND FORWARD
\n 56 TECHNOLOGY, OR REMOTE PATIENT MONITORING. FOR PURPOSES OF THIS SECTION,
\n A. 2552–A 3<\/p>\n
1 TELEHEALTH SHALL BE LIMITED TO TELEMEDICINE, STORE AND FORWARD TECHNOLO-
\n 2 GY, AND REMOTE PATIENT MONITORING. THIS SUBDIVISION SHALL NOT PRECLUDE
\n 3 THE DELIVERY OF HEALTH CARE SERVICES BY MEANS OF “HOME TELEHEALTH” AS
\n 4 USED IN SECTION THIRTY-SIX HUNDRED FOURTEEN OF THIS CHAPTER.
\n 5 5. “TELEMEDICINE” MEANS THE USE OF SYNCHRONOUS, TWO-WAY ELECTRONIC
\n 6 AUDIO VISUAL COMMUNICATIONS TO DELIVER CLINICAL HEALTH CARE SERVICES,
\n 7 WHICH SHALL INCLUDE THE ASSESSMENT, DIAGNOSIS, AND TREATMENT OF A
\n 8 PATIENT, WHILE SUCH PATIENT IS AT THE ORIGINATING SITE AND A TELEHEALTH
\n 9 PROVIDER IS AT A DISTANT SITE.
\n 10 6. “STORE AND FORWARD TECHNOLOGY” MEANS THE ASYNCHRONOUS, ELECTRONIC
\n 11 TRANSMISSION OF A PATIENT’S HEALTH INFORMATION IN THE FORM OF
\n 12 PATIENT-SPECIFIC DIGITAL IMAGES AND\/OR PRE-RECORDED VIDEOS FROM A
\n 13 PROVIDER AT AN ORIGINATING SITE TO A TELEHEALTH PROVIDER AT A DISTANT
\n 14 SITE.
\n 15 7. “REMOTE PATIENT MONITORING” MEANS THE USE OF SYNCHRONOUS OR ASYN-
\n 16 CHRONOUS ELECTRONIC INFORMATION AND COMMUNICATION TECHNOLOGIES TO
\n 17 COLLECT PERSONAL HEALTH INFORMATION AND MEDICAL DATA FROM A PATIENT AT
\n 18 AN ORIGINATING SITE THAT IS TRANSMITTED TO A TELEHEALTH PROVIDER AT A
\n 19 DISTANT SITE FOR USE IN THE TREATMENT AND MANAGEMENT OF MEDICAL CONDI-
\n 20 TIONS THAT REQUIRE FREQUENT MONITORING. SUCH CONDITIONS SHALL INCLUDE,
\n 21 BUT NOT BE LIMITED TO, CONGESTIVE HEART FAILURE, DIABETES, CHRONIC
\n 22 OBSTRUCTIVE PULMONARY DISEASE, WOUND CARE, POLYPHARMACY, MENTAL OR
\n 23 BEHAVIORAL PROBLEMS, AND TECHNOLOGY-DEPENDENT CARE SUCH AS CONTINUOUS
\n 24 OXYGEN, VENTILATOR CARE, TOTAL PARENTERAL NUTRITION OR ENTERAL FEEDING.
\n 25 REMOTE PATIENT MONITORING SHALL BE ORDERED BY A PHYSICIAN LICENSED
\n 26 PURSUANT TO ARTICLE ONE HUNDRED THIRTY-ONE OF THE EDUCATION LAW, A NURSE
\n 27 PRACTITIONER LICENSED PURSUANT TO ARTICLE ONE HUNDRED THIRTY-NINE OF THE
\n 28 EDUCATION LAW, OR A MIDWIFE LICENSED PURSUANT TO ARTICLE ONE HUNDRED
\n 29 FORTY OF THE EDUCATION LAW, WITH WHICH THE PATIENT HAS A SUBSTANTIAL AND
\n 30 ONGOING RELATIONSHIP.
\n 31 S 2999-DD. TELEHEALTH DELIVERY OF SERVICES. HEALTH CARE SERVICES
\n 32 DELIVERED BY MEANS OF TELEHEALTH SHALL BE ENTITLED TO REIMBURSEMENT
\n 33 UNDER SECTION THREE HUNDRED SIXTY-SEVEN-U OF THE SOCIAL SERVICES LAW.
\n 34 S 3. Paragraph 30 of subsection (i) of section 3216 of the insurance
\n 35 law, as added by chapter 550 of the laws of 2014, is REPEALED.
\n 36 S 4. The insurance law is amended by adding a new section 3217-h to
\n 37 read as follows:
\n 38 S 3217-H. TELEHEALTH DELIVERY OF SERVICES. (A) AN INSURER SHALL NOT
\n 39 EXCLUDE FROM COVERAGE A SERVICE THAT IS OTHERWISE COVERED UNDER A POLICY
\n 40 THAT PROVIDES COMPREHENSIVE COVERAGE FOR HOSPITAL, MEDICAL OR SURGICAL
\n 41 CARE BECAUSE THE SERVICE IS DELIVERED VIA TELEHEALTH, AS THAT TERM IS
\n 42 DEFINED IN SUBSECTION (B) OF THIS SECTION; PROVIDED, HOWEVER, THAT AN
\n 43 INSURER MAY EXCLUDE FROM COVERAGE A SERVICE BY A HEALTH CARE PROVIDER
\n 44 WHERE THE PROVIDER IS NOT OTHERWISE COVERED UNDER THE POLICY. AN INSURER
\n 45 MAY SUBJECT THE COVERAGE OF A SERVICE DELIVERED VIA TELEHEALTH TO
\n 46 CO-PAYMENTS, COINSURANCE OR DEDUCTIBLES PROVIDED THAT THEY ARE AT LEAST
\n 47 AS FAVORABLE TO THE INSURED AS THOSE ESTABLISHED FOR THE SAME SERVICE
\n 48 WHEN NOT DELIVERED VIA TELEHEALTH. AN INSURER MAY SUBJECT THE COVERAGE
\n 49 OF A SERVICE DELIVERED VIA TELEHEALTH TO REASONABLE UTILIZATION MANAGE-
\n 50 MENT AND QUALITY ASSURANCE REQUIREMENTS THAT ARE CONSISTENT WITH THOSE
\n 51 ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELEHEALTH.
\n 52 (B) FOR PURPOSES OF THIS SECTION, “TELEHEALTH” MEANS THE USE OF ELEC-
\n 53 TRONIC INFORMATION AND COMMUNICATION TECHNOLOGIES BY A HEALTH CARE
\n 54 PROVIDER TO DELIVER HEALTH CARE SERVICES TO AN INSURED INDIVIDUAL WHILE
\n 55 SUCH INDIVIDUAL IS LOCATED AT A SITE THAT IS DIFFERENT FROM THE SITE
\n 56 WHERE THE HEALTH CARE PROVIDER IS LOCATED.
\n A. 2552–A 4<\/p>\n
1 S 5. Paragraph 19 of subsection (k) of section 3221 of the insurance
\n 2 law, as added by chapter 550 of the laws of 2014, is REPEALED.
\n 3 S 6. Paragraph 2 of subsection (a) of section 3229 of the insurance
\n 4 law, as amended by chapter 550 of the laws of 2014, is amended to read
\n 5 as follows:
\n 6 (2) a home care benefit with personal care, nursing care, adult day
\n 7 health care[,] AND respite care services, [telemedicine services, as
\n 8 defined in section two of the public health law, provided that such
\n 9 telemedicine services are pursuant to an agreement between a provider
\n 10 participating in the insurer’s network and the insurer, and meet the
\n 11 requirements of federal law, rules and regulations for Medicare, or
\n 12 telehealth services, as defined by section two of the public health law,
\n 13 provided that such services are consistent with subdivision three-c of
\n 14 section thirty-six hundred fourteen of the public health law. The
\n 15 provider of such services shall meet the terms and conditions (to the
\n 16 extent not inconsistent with this paragraph) of his or her contract with
\n 17 the insurer,] which shall provide total benefits in an amount determined
\n 18 by regulations of the superintendent;
\n 19 S 7. Subsection (oo) of section 4303 of the insurance law is REPEALED.
\n 20 S 8. The insurance law is amended by adding a new section 4306-g to
\n 21 read as follows:
\n 22 S 4306-G. TELEHEALTH DELIVERY OF SERVICES. (A) A CORPORATION SHALL NOT
\n 23 EXCLUDE FROM COVERAGE A SERVICE THAT IS OTHERWISE COVERED UNDER A
\n 24 CONTRACT THAT PROVIDES COMPREHENSIVE COVERAGE FOR HOSPITAL, MEDICAL OR
\n 25 SURGICAL CARE BECAUSE THE SERVICE IS DELIVERED VIA TELEHEALTH, AS THAT
\n 26 TERM IS DEFINED IN SUBSECTION (B) OF THIS SECTION; PROVIDED, HOWEVER,
\n 27 THAT A CORPORATION MAY EXCLUDE FROM COVERAGE A SERVICE BY A HEALTH CARE
\n 28 PROVIDER WHERE THE PROVIDER IS NOT OTHERWISE COVERED UNDER THE CONTRACT.
\n 29 A CORPORATION MAY SUBJECT THE COVERAGE OF A SERVICE DELIVERED VIA TELE-
\n 30 HEALTH TO CO-PAYMENTS, COINSURANCE OR DEDUCTIBLES PROVIDED THAT THEY ARE
\n 31 AT LEAST AS FAVORABLE TO THE INSURED AS THOSE ESTABLISHED FOR THE SAME
\n 32 SERVICE WHEN NOT DELIVERED VIA TELEHEALTH. A CORPORATION MAY SUBJECT THE
\n 33 COVERAGE OF A SERVICE DELIVERED VIA TELEHEALTH TO REASONABLE UTILIZATION
\n 34 MANAGEMENT AND QUALITY ASSURANCE REQUIREMENTS THAT ARE CONSISTENT WITH
\n 35 THOSE ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELE-
\n 36 HEALTH.
\n 37 (B) FOR PURPOSES OF THIS SECTION, “TELEHEALTH” MEANS THE USE OF ELEC-
\n 38 TRONIC INFORMATION AND COMMUNICATION TECHNOLOGIES BY A HEALTH CARE
\n 39 PROVIDER TO DELIVER HEALTH CARE SERVICES TO AN INSURED INDIVIDUAL WHILE
\n 40 SUCH INDIVIDUAL IS LOCATED AT A SITE THAT IS DIFFERENT FROM THE SITE
\n 41 WHERE THE HEALTH CARE PROVIDER IS LOCATED.
\n 42 S 9. The public health law is amended by adding a new section 4406-g
\n 43 to read as follows:
\n 44 S 4406-G. TELEHEALTH DELIVERY OF SERVICES. 1. A HEALTH MAINTENANCE
\n 45 ORGANIZATION SHALL NOT EXCLUDE FROM COVERAGE A SERVICE THAT IS OTHERWISE
\n 46 COVERED UNDER AN ENROLLEE CONTRACT OF A HEALTH MAINTENANCE ORGANIZATION
\n 47 BECAUSE THE SERVICE IS DELIVERED VIA TELEHEALTH, AS THAT TERM IS DEFINED
\n 48 IN SUBDIVISION TWO OF THIS SECTION; PROVIDED, HOWEVER, THAT A HEALTH
\n 49 MAINTENANCE ORGANIZATION MAY EXCLUDE FROM COVERAGE A SERVICE BY A HEALTH
\n 50 CARE PROVIDER WHERE THE PROVIDER IS NOT OTHERWISE COVERED UNDER THE
\n 51 ENROLLEE CONTRACT. A HEALTH MAINTENANCE ORGANIZATION MAY SUBJECT THE
\n 52 COVERAGE OF A SERVICE DELIVERED VIA TELEHEALTH TO CO-PAYMENTS, COINSU-
\n 53 RANCE OR DEDUCTIBLES PROVIDED THAT THEY ARE AT LEAST AS FAVORABLE TO THE
\n 54 ENROLLEE AS THOSE ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED
\n 55 VIA TELEHEALTH. A HEALTH MAINTENANCE ORGANIZATION MAY SUBJECT THE COVER-
\n 56 AGE OF A SERVICE DELIVERED VIA TELEHEALTH TO REASONABLE UTILIZATION
\n A. 2552–A 5<\/p>\n
1 MANAGEMENT AND QUALITY ASSURANCE REQUIREMENTS THAT ARE CONSISTENT WITH
\n 2 THOSE ESTABLISHED FOR THE SAME SERVICE WHEN NOT DELIVERED VIA TELE-
\n 3 HEALTH.
\n 4 2. FOR PURPOSES OF THIS SECTION, “TELEHEALTH” MEANS THE USE OF ELEC-
\n 5 TRONIC INFORMATION AND COMMUNICATION TECHNOLOGIES BY A HEALTH CARE
\n 6 PROVIDER TO DELIVER HEALTH CARE SERVICES TO AN ENROLLEE WHILE SUCH
\n 7 ENROLLEE IS LOCATED AT A SITE THAT IS DIFFERENT FROM THE SITE WHERE THE
\n 8 HEALTH CARE PROVIDER IS LOCATED.
\n 9 S 10. Subdivision 2 of section 367-u of the social services law, as
\n 10 added by chapter 550 of the laws of 2014, is amended to read as follows:
\n 11 2. Subject to FEDERAL FINANCIAL PARTICIPATION AND the approval of the
\n 12 director of the budget, the commissioner shall not exclude from the
\n 13 payment of medical assistance funds the [provision] DELIVERY of [medical
\n 14 care] HEALTH CARE SERVICES through [telemedicine services] TELEHEALTH,
\n 15 as defined in [section two] SUBDIVISION FOUR OF SECTION TWO THOUSAND
\n 16 NINE HUNDRED NINETY-NINE-CC of the public health law[, provided that
\n 17 such]. SUCH services SHALL meet the requirements of federal law, rules
\n 18 and regulations for the provision of medical assistance pursuant to this
\n 19 title[, and for telehealth services, as defined by section two of the
\n 20 public health law, that are, at a minimum, those required to be provided
\n 21 pursuant to subdivision three-c of section thirty-six hundred fourteen
\n 22 of the public health law].
\n 23 S 11. Section 7 of chapter 550 of the laws of 2014, amending the
\n 24 public health law, the insurance law and the social services law, relat-
\n 25 ing to the telehealth delivery of services, is amended to read as
\n 26 follows:
\n 27 S 7. This act shall take effect January 1, [2015 and shall apply to
\n 28 all policies and contracts issued, renewed, modified, altered or amended
\n 29 on or after such date] 2016.
\n 30 S 12. This act shall take effect immediately, provided that sections
\n 31 one through ten of this act shall take effect on the same date and in
\n 32 the same manner as chapter 550 of the laws of 2014, takes effect,
\n 33 provided, however, that sections four, eight and nine of this act shall
\n 34 apply to all policies and contracts issued, renewed, modified, altered
\n 35 or amended on or after January 1, 2016, and provided further that,
\n 36 effective immediately, the commissioner of health is authorized to
\n 37 issue, amend or repeal any regulations as necessary to implement this
\n 38 act on or before such effective date.<\/p>\n","protected":false},"excerpt":{"rendered":"
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