An Act Regarding Telehealth
Maine Legislature, Session 128, LD 0949
Committee Amendment CA_A_S187 (Senate)

COMMITTEE AMENDMENT" if\,, to S.P. 304, L.D. 949, Bill, "An Act Regarding 
Telehealth" 
Amend the bill by striking out all of section 2. 
Amend the bill in section 3 in §4316 in subsection 1 in paragraph E in the next to the 
last line (page 2, line 14 in L.D.) by striking out the following: "remote patient 
monitoring" and inserting the following: 'telemonitoring' 
Amend the bill in section 3 in §4316 in subsection 2 in the 8th line (page 2, line 31 in 
L.D.) by striking out the following: "as determined by the enrollee's provider" 
Amend the bill in section 3 in §4316 in subsection 2 in the 12th line (page 2, line 3 5 
in L.D.) by striking out the following: "an in-person" and inserting the following: 'g 
comparable service provided through in.::person' 
Amend the bill in section 3 in §4316 in subs!3ction 3 in paragraph G in the first line 
(page 3, line 12 in L.D.) by inserting after the following: "persons" the following: 'who 
are enrolled in the carrier's health plan' 
Amend the bill in section 3 in §4316 in subsection 4 in the first line (page 3, line 15 
in L.D.) by striking out the following: "Coverage for telemonitoring" and inserting the 
following: 'Telemonitoring requirements' 
Amend the bill in section 3 in §4316 in subsection 4 in paragraph C in the first line 
(page 3, line 22 in L.D.) by striking out the following: "to ensure" and inserting the 
following: 'and determined' 
Amend the bill in section 3 in §4316 in subsection 4 in paragraph C in the 2nd line 
(page 3, line 23 in L.D.) by striking out the following: "to ensure" and inserting the 
following: 'determined' 
Amend the bill in section 3 in §4316 by striking out all of subsection 6. 
Amend the bill in section 3 in §4316 in subsection 9 in the last line (page 4, line 14 in 
L.D.) by inserting after the following: "section" the following: 'unless those credentialing 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "A" to S.P. 304, L.D. 949 
requirements or prior approval requirements are the same as those imposed for a provider 
that does not provide health care services through telehealth' 
Amend the bill in section 3 in §4316 by renumbering the subsections to read 
consecutively. 
Amend the bill by adding after section 3 the following: 
'Sec. 4. Application. The requirements of this Act apply to all policies, contracts 
and certificates executed, delivered, issued for delivery, continued or renewed in this 
State on or after January 1, 2019. For purposes of this Act, all contracts are deemed to be 
renewed no later than the next yearly anniversary of the contract date.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment is the majority report of the committee and does the following. 
1. It removes the provision in the bill requiring insurers to provide professional 
liability insurance coverage for health care services provided through telehealth services 
in the same manner as the coverage is provided for face-to-face contact between a health 
care practitioner and a patient. 
2. 
It clarifies that carriers may only apply prior approval and credentialing 
requirements for providers for services provided through telehealth services if the 
requirements are the same as are applied for services provided in person. 
3. It removes the provision requiring carriers to notify enrollees and prospective 
enrollees about coverage for telehealth services because carriers are already required to 
provide enrollees and prospective enrollees information about benefits and coverage. 
4. It makes the bill's provisions apply to health insurance policies issued or renewed 
on or after January 1, 2019. 
FISCAL NOTE REQUIRED 
(See attached) 
·. ,, 
COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
Approved: 05/28/17 feac.. 
LD949 
LR 533(02) 
An Act Regarding Telehealth 
Fiscal Note for Bill as Amended by Committee Amendment "p';,' 
Committee: Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
Potential future biennium cost increase - All Funds 
The bill has an effective date of January 1, 2019, so only contracts executed after January 1, 2019 will be required to 
meet the coverage in this bill. Currently, within the State Employee Health Plan (SEHP), telehealth services are 
consistent with coverage for in-person services and with providers acting in his/her scope of practice. Begilllling with 
the SEHP contract for fiscal year 2019-20, the telehealth service requirements will be expanded and there is a 
potential for an increase in costs to the SEHP. It is expected that some number of services will be shifted to telehealth 
from an in-office visit and will have no cost impact to the SEHP. However, there may also be additional services 
covered via telehealth that would never have been provided in an office. It is not know how many additional services 
will be provided through this expanded telehealth offering and no estimate of cost is made at this time. 
LR0533(02) - Fiscal Note - Page 1 of 1