Florida Senate - 2015 COMMITTEE AMENDMENT Bill No. SB 478 Ì813832#Î813832 LEGISLATIVE ACTION Senate . House Comm: RCS . 02/17/2015 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Health Policy (Bean) recommended the following: 1 Senate Amendment (with title amendment) 2 3 Delete everything after the enacting clause 4 and insert: 5 Section 1. Section 456.4501, Florida Statutes, is created 6 to read: 7 456.4501 Use of telehealth to provide services.— 8 (1) DEFINITIONS.—As used in this section, the term: 9 (a) “Telehealth” means the use of synchronous or 10 asynchronous telecommunications technology by a telehealth 11 provider to provide health care services, including, but not 12 limited to, patient assessment, diagnosis, consultation, 13 treatment, and monitoring; the transfer of medical data; patient 14 and professional health-related education; public health 15 services; and health care administration. The term does not 16 include audio-only transmissions, e-mail messages, facsimile 17 transmissions, or consultations between a telehealth provider in 18 this state and a provider lawfully licensed in another state 19 when the provider licensed in this state maintains 20 responsibility for the care of a patient in this state. 21 (b) “Telehealth provider” means any person who provides 22 health care and related services using telehealth and who is 23 licensed under chapter 457; chapter 458; chapter 459; chapter 24 460; chapter 461; chapter 463; chapter 464; chapter 465; chapter 25 466; chapter 467; part I, part III, part IV, part V, part X, 26 part XIII, or part XIV of chapter 468; chapter 478; chapter 480; 27 parts III and IV of chapter 483; chapter 484; chapter 486; 28 chapter 490; or chapter 491, or who is certified under part III 29 of chapter 401. 30 (2) PRACTICE STANDARDS.— 31 (a) The standard of care for a telehealth provider 32 providing medical care to a patient is the same as the standard 33 of care generally accepted for a health care professional 34 providing in-person health care services to a patient. If a 35 telehealth provider conducts a patient evaluation sufficient to 36 diagnose and treat the patient, the telehealth provider is not 37 required to research the patient’s medical history or conduct a 38 physical examination of the patient before using telehealth to 39 provide services to the patient. A telehealth provider may use 40 telehealth to perform a patient evaluation. 41 (b) A telehealth provider and a patient may be in separate 42 locations when telehealth is used to provide health care 43 services to the patient. 44 (c) A nonphysician telehealth provider using telehealth and 45 acting within the relevant scope of practice is not deemed to be 46 practicing medicine without a license under any provision of law 47 listed in paragraph (1)(b). 48 (d) A telehealth provider who is otherwise authorized to 49 prescribe a controlled substance named or described in Schedules 50 I through V of s. 893.03 may use telehealth to prescribe the 51 controlled substance, except that telehealth may not be used to 52 prescribe a controlled substance to treat chronic nonmalignant 53 pain as defined in s. 458.3265. This paragraph does not preclude 54 a physician from using telehealth to order a controlled 55 substance for an inpatient admitted to a facility licensed under 56 chapter 395 or a hospice patient under chapter 400. 57 (3) RECORDS.—A telehealth provider shall document in the 58 patient’s medical record the health care services rendered using 59 telehealth according to the same standard used for in-person 60 health care services pursuant to ss. 395.3025(4) and 456.057. 61 Section 2. This act shall take effect July 1, 2015. 62 63 64 ================= T I T L E A M E N D M E N T ================ 65 And the title is amended as follows: 66 Delete everything before the enacting clause 67 and insert: 68 A bill to be entitled 69 An act relating to telehealth; creating s. 456.4501, 70 F.S.; defining the terms “telehealth” and “telehealth 71 provider”; providing for certain practice standards 72 for telehealth providers; authorizing telehealth 73 providers to use telehealth for prescribing controlled 74 substances, with an exception; providing for the 75 maintenance and confidentiality of medical records; 76 providing an effective date.