MCH LEG Coverage of Telemedicine

Updated on: Jun 10, 2024

Latest Event


On May 21, MCH LEG passed bill on coverage for telemedicine services

  • MCH LEG passed bill HB 4131 regarding health insurance coverage for health care services provided through telemedicine, bill would amend MCH INS 500.3476.
  • Bill Provisions
  • Insurer that delivers, issues, or renews health insurance policy shall not require face-to-face contact between health care professional and patient for telemedicine services.
  • Will not require health care professional to provide services for patient through telemedicine, unless services are contractually required per terms of a contract.
  • Telemedicine services must be provided by a health care professional who is licensed, registered, authorized to engage in in the state where the patient is located.
  • Said services are subject to terms and conditions of health insurance policy agreed on between policy holder and insurer, e.g. copayments, coinsurances, deductibles.
  • If a service is provided through telemedicine, insurer must provide at least same coverage for service as if it involved face-to-face contact between professional, patient
  • Telemedicine is use of electronic media to link patients with health care professionals.
  • Legislative History
  • On Feb. 22, 2023, bill introduced to House; on Nov. 9, 2023, bill was passed in House.
  • On Nov. 14, 2023, bill introduced in Senate; on May 15, 2024, bill passed in Senate.
  • On May 21, 2024, Senate substitute concurred in; on May 21, 2024, ordered enrolled.
  • Effectiveness
  • Upon approval, effective 91st day after final adjournment, on Mar. 31, 2025.
  • Jun. 2024 MCH LEG Governor Approval
  • On Jun. 6, 2024, MCH LEG reported governor approved HB 4131; Public Act 52-2024.
Regulators
MCH LEG
Entity Types
Ins
Reference
Act 52-2024, 6/6/2024; Bill HB4131, 5/21/2024; Citation: MCH INS 500.3476;
Functions
Compliance; Financial; Legal; Product Administration; Product Design; Technology
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
May 21, 2024
Effective Date
Mar 31, 2025
Rule ID
213015
Linked to
N/A
Reg. Last Update
Jun 6, 2024
Report Section
US Insurance