When its 2008 regular session starts on March 31, the Louisiana House of Representatives will have the opportunity to pass a new mental health telemedicine bill that has been prefiled by Representative Labruzzo. House Bill No. 653 would:

amend and reenact R.S. 28:53(B)(1) and (J)(1), relative to mental health admissions by emergency certificate; to allow for the actual examination of a patient conducted by a health care provider, parish coroner, or authorized physician to be conducted by telemedicine utilizing video conferencing technology; and to provide for related matters.

The bill has been provisionally referred to the House Committee on Health & Welfare (on which Rep. Labruzzo sits as Vice-Chair).

Bill Text & Summary

On March 17, a was prefiled in the Louisiana House of Representatives that “Provides for medical malpractice coverage for physicians who offer voluntary telemedicine services for the Department of Health and Hospitals.” The bill, sponsored by Representative Katz, will be considered in the 2008 Regular session that begins on March 31.

According to the bill abstract:

Present law provides for medical malpractice liability coverage for certain state health care providers. Present law provides that notwithstanding any other provision of the law to the contrary, the state shall pay any damages, interest, cost of investigation and defense, and any other costs in connection with any claim lodged against a state health care provider for an alleged act of medical malpractice, resulting in the injury or death of a patient up to the limits set forth in present law.

Present law defines a “state health care provider” as a person acting in a professional capacity in providing health care services, by or on behalf of the state, including but not limited to a physician, psychologist, coroner, and assistant coroner who is a licensed physician when acting solely in accordance with the Mental Health Law as provided in present law.

Present law further provides for medical malpractice liability coverage for a state health care provider who is performing voluntary professional services in a health care facility or institution for or on behalf of the state.

Proposed law retains present law and adds that a physician who is providing voluntary
telemedicine services for DHH shall also be provided medical malpractice liability coverage.

Analysis: The proposed law illuminates something confusing about the present law. “State health care providers” are defined as “physician[s], psychologist[s], coroner[s], assistant coroner[s]” who are “licensed physician[s]” acting under the state’s Mental Health Law. My question is, what is a “physician?” The statutory language is unclear. It would seem to be important, given that the proposed law would add coverage for physicians providing voluntary telemedicine services. Does that mean that psychologists and the other enumerated professions would not be covered? Or are they considered “physicians” too?

The present law goes on to say that the premium costs of malpractice coverage must be paid by the “coroner’s office, dentist, registered nurse, licensed practical nurse, pharmacist, optometrist, podiatrist, physical therapist, laboratory or X-ray technician, social worker, hospital administrator, or licensed professional counselor.” It specifically leaves out psychologists and the possibly more generic “physicians.”

This section of the Louisiana Code needs to be cleaned up to make it clear what professions are truly covered. The bill has been provisionally referred to the Committee on Civil Law and Procedure. Whatever committee eventually scrutinizes this bill should take a look at the broader section of the law to which it applies. Concerned Louisiana mental health providers (or other interested parties) might consider contacting Representative Katz’s office.

Bill Text: House Bill No. 193

The telemedicine bill we’ve been watching in Colorado, which would require parity for mental health services, passed the state House of Representatives without Amendment on February 27. The measure had previously passed the state Senate and will now, presumably, go to the Governor to be signed into law. The Act would take effect on August 6, 2008. [UPDATE: the bill was sent to the governor on 3/10 and signed into law on 3/19].

Check out the bill and follow its progress here.

Previously:
Colorado Senate Passes Telementalhealth Bill (2/21)

From Communications Daily, 2/15/08:

The Colorado Senate passed a bill that would require state Medicaid authorities to allow the use of telemedicine to provide mental health services. SB-68 would direct the Department of Health Care Policy and Financing to adopt policies for telemedicine use in patient consultations with psychologists and other mental health professionals. A 2006 law allowed telemedicine for physician consultations with Medicaid patients on physical problems but not psychological ones.

Check out the text of the bill and the report of the final vote, which took place on Feb. 12. Cast as a cost-containment effort, the bill is sponsored by Senator Brophy and Representatives Lundberg and Stephens, all conservative politicians.

Previously: Colorado Senate Considers Internet-based Telemedicine Bill

UPDATE: The bill passed the House on 2/27.