The bill seeks to standardize the requirements for establishing a relationship between healthcare providers and patients specifically for audio-only telemedicine services. It amends existing laws, including RCW 41.05.700 and 48.43.735, to mandate that, starting January 1, 2023, a covered person must have an established relationship with the provider to qualify for reimbursement of audio-only services. The definition of "established relationship" is updated to require at least one in-person or real-time interactive appointment within the past three years, extending the previous two-year requirement. The bill also clarifies that referrals from other providers can contribute to establishing this relationship.

Furthermore, the legislation ensures that managed care organizations must reimburse providers for telemedicine services that are medically necessary and recognized as essential health benefits, without differentiating between rural and urban originating sites. It emphasizes the necessity of patient consent for billing audio-only services and outlines penalties for non-compliance by providers. The bill aims to improve access to telemedicine while ensuring fair reimbursement practices, thereby enhancing the overall delivery of healthcare services through telemedicine technologies.

Statutes affected:
Original Bill: 41.05.700, 48.43.735
Bill as Passed Legislature: 41.05.700, 48.43.735
Session Law: 41.05.700, 48.43.735