S0857B1170A03486 MSP:CMD 10/27/19 #90 A03486
AMENDMENTS TO SENATE BILL NO. 857
Sponsor: SENATOR VOGEL
Printer's No. 1170
Amend Bill, page 2, by inserting between lines 14 and 15
(4) A general, mental, chronic disease or other type of
hospital licensed in this Commonwealth.
Amend Bill, page 2, line 15, by striking out "(4)" and
inserting
(5)
Amend Bill, page 2, line 18, by striking out "(5)" and
inserting
(6)
Amend Bill, page 2, line 21, by striking out "(6)" and
inserting
(7)
Amend Bill, page 2, line 25, by striking out "(7)" and
inserting
(8)
Amend Bill, page 2, line 27, by striking out "(8)" and
inserting
(9)
Amend Bill, page 2, line 30, by striking out "(9)" and
inserting
(10)
Amend Bill, page 3, line 5, by striking out "(10)" and
inserting
(11)
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Amend Bill, page 3, by inserting between lines 7 and 8
(12) A genetic counselor who holds a valid license under
the act of December 20, 1985 (P.L.457, No.112), known as the
Medical Practice Act of 1985, or the act of October 5, 1978
(P.L.1109, No.261), known as the Osteopathic Medical Practice
Act.
Amend Bill, page 3, line 8, by striking out "(11)" and
inserting
(13)
Amend Bill, page 5, lines 19 through 30; page 6, lines 1
through 17; by striking out "Any of the following" in line 19,
all of lines 20 through 30 on page 5 and all of lines 1 through
17 on page 6 and inserting
A health care provider that has a network participation
agreement with an insurer.
Amend Bill, page 6, line 18, by striking out "informal"
Amend Bill, page 6, line 25, by inserting after "location."
The term does not include the storage, transmission or use
of electronic medical records without the concurrent
transmission of additional clinical information not already
present in the electronic medical records.
Amend Bill, page 7, line 27, by inserting after "promulgate"
final
Amend Bill, page 7, line 30, by inserting after "board."
The regulations shall not establish a separate standard of
care for telemedicine. The standard of care applicable to an in-
person encounter shall apply to a telemedicine encounter.
Amend Bill, page 8, line 1, by inserting after "policies"
and clinical guidelines
Amend Bill, page 10, by inserting between lines 29 and 30
(8) The standard of care applicable to an in-person
encounter shall apply to a telemedicine encounter. If the use
of telemedicine would be inconsistent with the standard of
care, the health care provider shall direct the patient to
seek in-person care.
Amend Bill, page 11, line 15, by inserting after "for"
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medically necessary
Amend Bill, page 11, line 21, by striking out "A" and
inserting
Subject to paragraph (1), a
Amend Bill, page 11, lines 25 through 27, by striking out
"The standard of care and rules of practice" in line 25 and all
of lines 26 and 27 and inserting
Reimbursement shall not be conditioned upon the use of
an exclusive or proprietary telemedicine technology or
vendor.
Amend Bill, page 11, line 29, by inserting after "any"
participating
Amend Bill, page 11, line 29, by striking out "established"
and inserting
negotiated
Amend Bill, page 12, line 7, by striking out "or video or
written input from" and inserting
and video with, or store-and-forward imaging provided
by,
Amend Bill, page 12, line 12, by inserting after "after"
180 days after
Amend Bill, page 13, lines 10 through 13, by striking out all
of said lines and inserting
(1) Section 6 shall take effect upon publication in the
Pennsylvania Bulletin of the temporary regulations required
in section 3(c).
(2) Section 7 shall take effect in 90 days.
Amend Bill, page 13, line 14, by striking out "(2)" and
inserting
(3)
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