SB-1058, As Passed Senate, December 13, 2024
SENATE BILL NO. 1058
October 30, 2024, Introduced by Senators ANTHONY, GEISS and SANTANA and referred to
the Committee on Housing and Human Services.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding sections 109q and 109r.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
1 Sec. 109q. The department shall provide coverage under the
2 medical assistance program for ultrasound procedures and fetal
3 nonstress tests performed remotely in a residence or other off-site
4 location through telemedicine.
5 Sec. 109r. (1) The department shall amend its rules for fee-
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1 for-service and medical assistance managed care plans regarding
2 reimbursement to allow reimbursement for remote ultrasound
3 procedures and remote fetal nonstress tests utilizing established
4 CPT codes for these procedures when the patient is in a residence
5 or other off-site location from the patient's provider and the same
6 standard of care is met.
7 (2) Remote ultrasounds are reimbursable only when the provider
8 uses digital technology as follows:
9 (a) To collect medical and other forms of health data from a
10 patient and electronically transmit that data securely to a health
11 care provider in a different location for interpretation and
12 recommendation.
13 (b) That meets both of the following conditions:
14 (i) Is compliant with the health insurance portability and
15 accountability act of 1996, Public Law 104-191.
16 (ii) Is approved by the United States Food and Drug
17 Administration.
18 (3) Remote fetal nonstress tests are reimbursable only when
19 all of the following conditions are met:
20 (a) The requirements of subsection (2)(a) and (b) are met.
21 (b) They have a place of service modifier for at-home
22 monitoring with remote monitoring solutions that are cleared by the
23 United States Food and Drug Administration for on-label use for
24 monitoring fetal heart rate, maternal heart rate, or uterine
25 activity.
26 (4) The department shall adopt and publish guidelines to
27 implement this section and section 109q.
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Statutes affected:
Senate Introduced Bill: 400.1, 400.119
As Passed by the Senate: 400.1, 400.119