During the 2016 legislative session to date, legislatures in Louisiana and Missouri considered bills to amend telemedicine policies. Louisiana H.B. 570, introduced on March 3, would remove the current requirement that a physician providing services via telemedicine maintain an office or an arrangement with a physician who maintains an office within the state. Further, the proposed legislation deletes the requirement that communications via telemedicine be both video and audio, leaving a choice between video or audio transmission. Missouri H.B. 1923, introduced on January 6, would establish a new telemedicine policy dictated by the standard of care applicable to in-person services. Although the law would require a telemedicine provider to establish a proper physician–patient relationship before rendering telemedicine services, under the law, such relationship can be established through the use of telemedicine.

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