An Act To Increase Access to Health Care through Telemedicine
Maine Legislature, Session 127, LD 0662
Committee Amendment CA_A_H194 (House)

COMMITTEE AMENDMENT "Pt" to H.P. 443, L.D. 662, Bill, "An Act To 
Increase Access to Health Care through Telemedicine" 
Amend the bill in section 1 in subsection 2 in the 2nd line (page 1, line 7 in L.D.) by 
striking out the following: "medical" and inserting the following: 'consultative' 
Amend the bill in section 1 in subsection 2 in the 4th line (page 1, line 9 in L.D.) by 
striking out the following: "medical" and inserting the following: 'consultative' 
Amend the bill in section 1 in §3300-D by striking out all of subsection 3 and 
inserting the following: 
'3. Registration. The board may register a physician to practice medicine in this 
State through interstate telemedicine if the following conditions are met: 
A. The physician is fully licensed without restriction to practice medicine in the state 
from which the physician provides telemedicine services: 
B. The physician has not had a license to practice medicine revoked or restricted in 
any state or jurisdiction: 
C. The physician does not open an office in this State, does not meet with patients in 
this State, does not receive calls in this State from patients and agrees to provide only 
consultative services as requested by a physician, advanced practice registered nurse 
or physician assistant licensed in this State and the physician, advanced practice 
registered nurse or physician assistant licensed in this State retains ultimate authority 
over the diagnosis, care and treatment of the patient: 
D. The physician registers with the board every 2 years, on a form provided by the 
board: and 
E. The physician pays a registration fee not to exceed $500.' 
Amend the bill in section 1 in §3300-D by striking out all of subsection 6. 
Amend the bill in section 1 in §3300-D by renumbering the subsections to read 
consecutively. 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" A" to H.P. 443, L.D. 662 
SUMMARY 
This amendment retains most provisions of the bill and does the following. 
1. It allows the Board of Licensure in Medicine to register a physician not licensed to 
practice in the State to provide consultative services through interstate telemedicine. 
2. As in the bill, it requires that the physician to be registered must be fully licensed 
without restriction to practice medicine in the state from which the physician provides 
telemedicine services. 
3. It specifies that the physician to be registered may provide only consultative 
services and that a physician, advanced practice registered nurse or physician assistant in 
this State must retain ultimate authority over the diagnosis, care and treatment of the 
patient. 
4. It requires that the physician to be registered register with the board every 2 years, 
instead of annually as in the bill, and pay a registration fee not to exceed $500. 
5. 
It removes the provision in the bill exempting certain physicians from the 
registration requirement. 
FlS(AL NOTE REQUIRED 
(See Attached) 
COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
i\pproved: 05/1S/15 
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LD662 
LR 1299(02) 
An Act To Increase Access to Health Care through Telemedicine 
Fiscal Note for Bill as Amended by Committee Amendment '#' ell-/ 9;V 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Current biennium cost increase - Other Special Revenue Funds 
Current biennium revenue increase - Other Special Revenue Funds 
Although the fiscal impact to the Board of Licensure in Medicine due to the new registration pool cannot be 
determined at this time, it is assumed that registration fees established by the board will be sufficient to cover the 
additional expenses of the board. 
LRI299(02) - Fiscal Note - Page 1 of 1