The bill proposes the repeal of sections 191.1146 and 334.108 of the Revised Statutes of Missouri and enacts two new sections that establish guidelines for telemedicine practices. It mandates that physicians licensed under chapter 334 must ensure a valid physician-patient relationship is established before providing telemedicine services. This relationship can be formed through in-person evaluations, consultations with other physicians, or telemedicine encounters, provided they meet the standard of care. The bill emphasizes the importance of using adequate technology for diagnosis and requires that any medical evaluation questionnaire completed by the patient be reviewed by a licensed health care professional. Additionally, the new provisions outline specific requirements for prescribing medications through telemedicine, including obtaining a reliable medical history and performing necessary evaluations. It prohibits prescribing based solely on telemedicine evaluations unless a prior physician-patient relationship exists. The bill also stipulates that medical records related to telemedicine prescriptions must comply with the Health Insurance Portability and Accountability Act (HIPAA) to ensure the protection and sharing of patient information for continuity of care.

Statutes affected:
Introduced (5882H.01): 191.1146, 334.108