{"id":12871,"date":"2024-09-23T15:05:28","date_gmt":"2024-09-23T15:05:28","guid":{"rendered":"https:\/\/wifamily.news\/?p=12871"},"modified":"2024-09-23T15:06:36","modified_gmt":"2024-09-23T15:06:36","slug":"september-healthcare-highlight-telemedicine","status":"publish","type":"post","link":"https:\/\/wifamily.news\/?p=12871","title":{"rendered":"September Healthcare Highlight: Telemedicine"},"content":{"rendered":"<p>This post originally appeared at <a href=\"https:\/\/will-law.org\/september-healthcare-highlight-telemedicine\/\">https:\/\/will-law.org\/september-healthcare-highlight-telemedicine\/<\/a><\/p>\n<div class=\"et_pb_section et_pb_section_0 et_section_regular\">\n<div class=\"et_pb_row et_pb_row_0\">\n<div class=\"et_pb_column et_pb_column_3_4 et_pb_column_0  et_pb_css_mix_blend_mode_passthrough\">\n<div class=\"et_pb_module et_pb_text et_pb_text_0  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<p>By: Miranda Spindt<\/p>\n<p>During the pandemic, the ability to speak with a doctor through mediums such as videoconferencing, phone calls and text messages became vital. While it was extreme circumstances making this necessary, the additional healthcare access it provides is becoming more essential. By 2036, we are projected to have a national <u><a id=\"m_2279202506298692991OWAa97d9f12-346d-5d6e-a754-de939c51d7d1\" href=\"https:\/\/www.aamc.org\/news\/press-releases\/new-aamc-report-shows-continuing-projected-physician-shortage\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.aamc.org\/news\/press-releases\/new-aamc-report-shows-continuing-projected-physician-shortage&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw2drY8UJn3kUL0ljXiT80LN\">shortage of 86,000 physicians<\/a><\/u> making it even harder, especially for rural populations, to get the care they need. Wisconsin has made great strides in expanding access to telehealth services, but we still need to expand access for telehealth across state lines to remove geographic and financial barriers to healthcare for our residents.\u00a0\u00a0<\/p>\n<p>According to a <u><a id=\"m_2279202506298692991OWA7fb74945-8314-1f20-8a9c-d36d159fdce0\" href=\"https:\/\/a8d50b36.rocketcdn.me\/wp-content\/uploads\/2024-state-policy-agenda-for-telehealth-innovation.pdf\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/a8d50b36.rocketcdn.me\/wp-content\/uploads\/2024-state-policy-agenda-for-telehealth-innovation.pdf&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw1zWrAPJly63oAfpnPtLyMW\">50-state report<\/a><\/u> of telehealth best practices, Wisconsin has great laws for modality neutrality. This means the state \u201callows synchronous and asynchronous (interaction with healthcare professionals) explicitly or has a broad enough definition for their use\u201d. Overall, Wisconsin offers doctors and their patients great flexibility in how best they can access and receive care.\u00a0\u00a0<\/p>\n<ul>\n<li>\n<p>Patients and doctors can communicate in the way that works best for them, whether that\u2019s a scheduled videochat or texting.\u00a0\u00a0<\/p>\n<\/li>\n<li>\n<p>Doctors and patients can start their relationship using the modality of their choice, rather than being required to meet for the first time in person.\u00a0<\/p>\n<\/li>\n<li>\n<p>Doctors can use remote patient monitoring to track their patients\u2019 health information such as heart rate and blood pressure using technology, rather than requiring patients to come to a facility. \u00a0<\/p>\n<\/li>\n<\/ul>\n<p>However, this flexibility does not extend to out-of-state providers. As the shortage of physicians grows, it will be more difficult to find doctors, particularly specialists, who practice in the same state. If the doctor that someone needs is in a different state, then access to that care will be limited to those who have the time and money to travel to them.\u00a0\u00a0<\/p>\n<p>There are also many situations where telehealth with an out-of-state provider is the best option for a patient. For example, residents who split their time in Wisconsin and another state can keep the same doctor year-round. Those who live along the state border could more easily work with a doctor in cities such as Dubuque or Minneapolis. It also provides extra flexibility if patients need to find an appointment quickly, wants a second opinion, or increases the opportunity to find lower cost services.\u00a0\u00a0<\/p>\n<p>As of right now, there are limited pathways for out-of-state doctors to provide telehealth services to Wisconsin residents.\u00a0\u00a0<\/p>\n<p>Wisconsin is part of <u><a id=\"m_2279202506298692991OWA2047559d-32ae-f622-5d9d-9b2a6ccf00b3\" href=\"https:\/\/www.cchpca.org\/topic\/licensure-compacts\/\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.cchpca.org\/topic\/licensure-compacts\/&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw3LxRTH5hBsBwxwE8vYJErA\">multiple state compacts<\/a><\/u> which allows easier mobility of healthcare providers between the compact member states. These are a step in the right direction but still have significant setbacks. It limits out-of-state providers only to those who are in other compact states. For example, the <u><a id=\"m_2279202506298692991OWAf793fc0a-0bb1-ade8-a8d3-83b9db2ee673\" href=\"https:\/\/www.pacompact.org\/\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.pacompact.org\/&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw1TJYZYJBO3Bgx-yhgKiV_q\">Physician Assistant Licensure Compact<\/a><\/u> only has 13 member states with three pending, not including Illinois or Iowa, and won\u2019t be operational for another two years. While other compacts have larger participation, the most populous states with presumably more providers have yet to participate. Of the eight compacts Wisconsin has joined, six of them do not include California, four do not include Texas, and three do not include Florida. Additionally, the approval process for providers who want to practice in other compact states can still be slow and costly.\u00a0\u00a0<\/p>\n<p>Some progress was made in the 2023 legislative session to create an easier and more universal process. <u><a id=\"m_2279202506298692991OWA282f357d-de9f-bfff-66d0-78ad840f03fe\" href=\"https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/sb476\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/sb476&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw2WgXXC_kf4ljLfZc_IhH_Y\">Senate Bill 476<\/a><\/u> prohibits DHS from requiring a physical Wisconsin address for Wisconsin licensed providers or provider groups that exclusively provide telehealth services in the state to enroll in the Wisconsin Medical Assistance program. This is open to providers of any state but is still very limited. They still must go through a Wisconsin licensing process and this only applies to the Medical Assistance program.\u00a0\u00a0<\/p>\n<p><u><a id=\"m_2279202506298692991OWA9f6323f6-34a6-134d-d9ae-c2b560e54d7c\" href=\"https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/reg\/asm\/bill\/ab875\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/reg\/asm\/bill\/ab875&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw1dAyajtJqAhqVVveNFJTJT\">Assembly Bill 875<\/a><\/u> proposed an ideal solution by allowing out-of-state telemedicine providers, who are licensed and in good standing, to practice within the scope of their state license in Wisconsin without obtaining a separate Wisconsin license, provided they register with the Department of Safety and Professional Services (DSPS). As of October 2023, <u><a id=\"m_2279202506298692991OWAf1ffc974-6f40-a96c-8520-94eb58a48071\" href=\"https:\/\/pacificlegal.org\/30-states-telehealth-rules\/\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/pacificlegal.org\/30-states-telehealth-rules\/&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw3_is1sBNs9PxXNeHC8DIe3\">eight states have similar laws<\/a><\/u> including Minnesota, Indiana, and Kansas. Unfortunately, the bill did not advance past a committee hearing despite no one registering against it.\u00a0\u00a0<\/p>\n<p><u><a id=\"m_2279202506298692991OWA08a375f1-a080-b4d8-daa8-ccd7d7fd079e\" href=\"https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/reg\/asm\/bill\/ab541\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/docs.legis.wisconsin.gov\/2023\/proposals\/reg\/asm\/bill\/ab541&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw0x3HgD_9zNA3dMDhar7bpF\">Assembly Bill 541<\/a><\/u> was similar, but only applied to mental health professionals including psychologists, counselors, therapists, and social workers. This one had bipartisan support in the legislature but was<u> <\/u>ultimately <u><a id=\"m_2279202506298692991OWA3e41cdb5-559a-6d1d-64a8-ff77647a0387\" href=\"https:\/\/docs.legis.wisconsin.gov\/2023\/related\/veto_messages\/ab541.pdf\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/docs.legis.wisconsin.gov\/2023\/related\/veto_messages\/ab541.pdf&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw0PafnmWNm_Ck4OC1JTU-Rq\">vetoed<\/a><\/u> by Governor Evers who claimed that he \u201ccannot support legislation that is likely to ultimately reduce healthcare quality and patient protections.\u201d However, he did support this <u><a id=\"m_2279202506298692991OWA0a111e40-2ab5-9ac5-b871-115dd6790dbc\" href=\"https:\/\/docs.legis.wisconsin.gov\/code\/register\/2020\/771b\/register\/emergency_orders\/phe_2020_emergency_order_16\/phe_2020_emergency_order_16.pdf\" target=\"_blank\" rel=\"noreferrer noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/docs.legis.wisconsin.gov\/code\/register\/2020\/771b\/register\/emergency_orders\/phe_2020_emergency_order_16\/phe_2020_emergency_order_16.pdf&amp;source=gmail&amp;ust=1727190105699000&amp;usg=AOvVaw0XKx7pKlYlieNCFDijlYvT\">exact policy<\/a><\/u> during the COVID-19 emergency where doctors, who were specifically providing telehealth to Wisconsin residents, were able to do so without obtaining a Wisconsin license. If this was adequate during a public health emergency, it should still be now. \u00a0<\/p>\n<p>Just how airline pilots do not lose their ability to fly when they cross state lines, providers do not lose their ability to practice. Telehealth is the future of healthcare access, and Wisconsin should remove unnecessary barriers to telemedicine to ensure none of our residents are lacking due to their geography or income.\u00a0\u00a0<\/p>\n<\/div><\/div>\n<\/p><\/div>\n<div class=\"et_pb_column et_pb_column_1_4 et_pb_column_1  et_pb_css_mix_blend_mode_passthrough et-last-child\">\n<div class=\"et_pb_module et_pb_team_member et_pb_team_member_0 clearfix  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_team_member_image et-waypoint et_pb_animation_off\"><img loading=\"lazy\" decoding=\"async\" width=\"616\" height=\"980\" src=\"https:\/\/wifamily.news\/wp-content\/uploads\/2023\/02\/Miranda-Spindt.jpg\" alt=\"Miranda Spindt\" class=\"wp-image-21572\" \/><\/div>\n<div class=\"et_pb_team_member_description\">\n<h4 class=\"et_pb_module_header\">Miranda Spindt<\/h4>\n<p class=\"et_pb_member_position\">Policy Associate<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<p>The post <a href=\"https:\/\/will-law.org\/september-healthcare-highlight-telemedicine\/\">September Healthcare Highlight: Telemedicine<\/a> appeared first on <a href=\"https:\/\/will-law.org\">Wisconsin Institute for Law &amp; Liberty<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This post originally appeared at https:\/\/will-law.org\/september-healthcare-highlight-telemedicine\/ By: Miranda Spindt During the pandemic, the ability to&#8230;<\/p>\n","protected":false},"author":123,"featured_media":821,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-12871","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-will"],"_links":{"self":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts\/12871","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/users\/123"}],"replies":[{"embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12871"}],"version-history":[{"count":2,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts\/12871\/revisions"}],"predecessor-version":[{"id":12873,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts\/12871\/revisions\/12873"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/media\/821"}],"wp:attachment":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12871"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12871"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12871"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}