MN Legislature can pass telehealth bills to make permanent telehealth expansion experienced during the pandemic

Albert Lea Tribune reports on regulatory changes that supported successful expansion of telehealth during the pandemic and permanent changes required to make sure access and expansion continue…

A swift though lesser-remarked-on transformation happened as well in medical care. As lockdowns loomed, state and federal regulators eased restrictions on “telehealth.” That led to more virtual visits in Minnesota and elsewhere, with doctors and patients communicating via video or a phone call in lieu of a clinic appointment. A year later, there’s a timely debate at the Minnesota Capitol over whether to maintain telehealth expansion measures, which are set to expire 60 days after the end of the peacetime COVID emergency. The answer should be yes, let’s keep going. A dispute between two key health care stakeholders — providers and insurers — over payment levels for telehealth care shouldn’t derail the legislation to do so.

Telehealth changes during the pandemic have provided convenient new options for patients. Previously, Minnesota patients may have had to drive to a clinic or hospital to use their telemedicine facilities. Now, they can connect from home using a personal device. Including mental health practitioners also is an advance.

Legislation to extend telehealth changes is enthusiastically backed by respected medical providers and organizations, including the Minnesota Medical Association (MMA) and the Minnesota Hospital Association (MHA). If this yearlong experiment wasn’t going well, these organizations would be the first to sound the alarm.

Some details about the bills…

Rep. Kelly Morrison, DFL-Deephaven, and Sen. Julie Rosen, R-Fairmont are commendably leading the efforts to pass the telehealth bills (HF 1412 and SF 1160) this session. Morrison is a physician, and Rosen has an admirable record of forging compromise and muscling legislation through.

That latter experience will be crucial. The telehealth legislation faces some headwinds. A key challenge is resolving differences between large health care lobbies over payment. The dispute involves “payment parity,” meaning providers are paid the same for a telehealth visit as they are for one in a traditional clinic. Before the pandemic, Minnesota was one of six states requiring comprehensive telehealth parity, said Lucas Nesse, president and CEO of the Minnesota Council of Health Plans. Since the pandemic, 14 more states have established parity during the pandemic, with requirements often in effect only for the COVID emergency, he added, citing a National Conference of State Legislatures report.

And a compromise…

A February telemedicine report points out one potential compromise: “setting payment parity as the baseline while expressly allowing providers and plans to voluntarily negotiate alternate payment rates and depart from the baseline.” This solution, or other innovative approaches, are needed to ensure that Minnesota moves forward on telehealth, not backward.

This entry was posted in Healthcare, MN, Policy and tagged by Ann Treacy. Bookmark the permalink.

About Ann Treacy

Librarian who follows rural broadband in MN and good uses of new technology (blandinonbroadband.org), hosts a radio show on MN music (mostlyminnesota.com), supports people experiencing homelessness in Minnesota (elimstrongtowershelters.org) and helps with social justice issues through Women’s March MN.

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