103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2862 Introduced , by Rep. Theresa Mah SYNOPSIS AS INTRODUCED: 225 ILCS 2/14 new225 ILCS 150/5 Amends the Acupuncture Practice Act. Provides that a person who engages in the practice of telemedicine without a license issued under the Act shall be subject to the penalties provided in provisions concerning unlicensed practice. Provides that for purposes of the Act, telemedicine means the performance of acupuncture provided via technology or telecommunication methods. Provides that the standard of care shall be the same whether a patient is seen in person, through telehealth, or another method of electronically enabled health care. Provides that the Department of Financial and Professional Regulation shall, by rule, determine the appropriate acupuncture services allowed via telemedicine in consultation with the Board of Acupuncture. Provides that whenever the Department has reason to believe that a person has violated the provisions concerning telemedicine, the Department may issue a rule to show cause why an order to cease and desist should not be entered against that person. Provides that an out-of-state person providing a service allowed under the provisions to a patient residing in the State through the practice of telemedicine submits himself or herself to the jurisdiction of the Department and the courts of the State. Amends the Telehealth Act. Changes the definition of "health care professional" to include acupuncturists. Effective immediately. LRB103 03414 AMQ 48420 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2862 Introduced , by Rep. Theresa Mah SYNOPSIS AS INTRODUCED: 225 ILCS 2/14 new225 ILCS 150/5 225 ILCS 2/14 new 225 ILCS 150/5 Amends the Acupuncture Practice Act. Provides that a person who engages in the practice of telemedicine without a license issued under the Act shall be subject to the penalties provided in provisions concerning unlicensed practice. Provides that for purposes of the Act, telemedicine means the performance of acupuncture provided via technology or telecommunication methods. Provides that the standard of care shall be the same whether a patient is seen in person, through telehealth, or another method of electronically enabled health care. Provides that the Department of Financial and Professional Regulation shall, by rule, determine the appropriate acupuncture services allowed via telemedicine in consultation with the Board of Acupuncture. Provides that whenever the Department has reason to believe that a person has violated the provisions concerning telemedicine, the Department may issue a rule to show cause why an order to cease and desist should not be entered against that person. Provides that an out-of-state person providing a service allowed under the provisions to a patient residing in the State through the practice of telemedicine submits himself or herself to the jurisdiction of the Department and the courts of the State. Amends the Telehealth Act. Changes the definition of "health care professional" to include acupuncturists. Effective immediately. LRB103 03414 AMQ 48420 b LRB103 03414 AMQ 48420 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2862 Introduced , by Rep. Theresa Mah SYNOPSIS AS INTRODUCED: 225 ILCS 2/14 new225 ILCS 150/5 225 ILCS 2/14 new 225 ILCS 150/5 225 ILCS 2/14 new 225 ILCS 150/5 Amends the Acupuncture Practice Act. Provides that a person who engages in the practice of telemedicine without a license issued under the Act shall be subject to the penalties provided in provisions concerning unlicensed practice. Provides that for purposes of the Act, telemedicine means the performance of acupuncture provided via technology or telecommunication methods. Provides that the standard of care shall be the same whether a patient is seen in person, through telehealth, or another method of electronically enabled health care. Provides that the Department of Financial and Professional Regulation shall, by rule, determine the appropriate acupuncture services allowed via telemedicine in consultation with the Board of Acupuncture. Provides that whenever the Department has reason to believe that a person has violated the provisions concerning telemedicine, the Department may issue a rule to show cause why an order to cease and desist should not be entered against that person. Provides that an out-of-state person providing a service allowed under the provisions to a patient residing in the State through the practice of telemedicine submits himself or herself to the jurisdiction of the Department and the courts of the State. Amends the Telehealth Act. Changes the definition of "health care professional" to include acupuncturists. Effective immediately. LRB103 03414 AMQ 48420 b LRB103 03414 AMQ 48420 b LRB103 03414 AMQ 48420 b A BILL FOR HB2862LRB103 03414 AMQ 48420 b HB2862 LRB103 03414 AMQ 48420 b HB2862 LRB103 03414 AMQ 48420 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Acupuncture Practice Act is amended by 5 adding Section 14 as follows: 6 (225 ILCS 2/14 new) 7 Sec. 14. Telemedicine. 8 (a) The General Assembly finds and declares that because 9 technological advances and changing practice patterns 10 regarding the utilization of health care services are 11 occurring with increasing frequency across state lines and 12 across increasing geographical distances within the State, 13 certain technological advances in the health care industry are 14 in the public interest. The General Assembly further finds and 15 declares that providing professional health care services is a 16 privilege and is necessary for the protection of the public 17 health, welfare, and safety, especially in times of a pandemic 18 that can limit access to traditional means of accessing health 19 care services. 20 (b) A person who engages in the practice of telemedicine 21 without a license issued under this Act shall be subject to 22 penalties provided in Section 105. 23 (c) For purposes of this Act, "telemedicine" means the 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2862 Introduced , by Rep. Theresa Mah SYNOPSIS AS INTRODUCED: 225 ILCS 2/14 new225 ILCS 150/5 225 ILCS 2/14 new 225 ILCS 150/5 225 ILCS 2/14 new 225 ILCS 150/5 Amends the Acupuncture Practice Act. Provides that a person who engages in the practice of telemedicine without a license issued under the Act shall be subject to the penalties provided in provisions concerning unlicensed practice. Provides that for purposes of the Act, telemedicine means the performance of acupuncture provided via technology or telecommunication methods. Provides that the standard of care shall be the same whether a patient is seen in person, through telehealth, or another method of electronically enabled health care. Provides that the Department of Financial and Professional Regulation shall, by rule, determine the appropriate acupuncture services allowed via telemedicine in consultation with the Board of Acupuncture. Provides that whenever the Department has reason to believe that a person has violated the provisions concerning telemedicine, the Department may issue a rule to show cause why an order to cease and desist should not be entered against that person. Provides that an out-of-state person providing a service allowed under the provisions to a patient residing in the State through the practice of telemedicine submits himself or herself to the jurisdiction of the Department and the courts of the State. Amends the Telehealth Act. Changes the definition of "health care professional" to include acupuncturists. Effective immediately. LRB103 03414 AMQ 48420 b LRB103 03414 AMQ 48420 b LRB103 03414 AMQ 48420 b A BILL FOR 225 ILCS 2/14 new 225 ILCS 150/5 LRB103 03414 AMQ 48420 b HB2862 LRB103 03414 AMQ 48420 b HB2862- 2 -LRB103 03414 AMQ 48420 b HB2862 - 2 - LRB103 03414 AMQ 48420 b HB2862 - 2 - LRB103 03414 AMQ 48420 b 1 performance of acupuncture, as defined in Section 10, provided 2 via technology or telecommunication methods, also known as 3 telehealth. The standard of care shall be the same whether a 4 patient is seen in person, through telehealth, or another 5 method of electronically enabled health care. Further, the 6 Department shall, by rule, determine the appropriate 7 acupuncture services allowed via telemedicine in consultation 8 with the Board. 9 (d) Whenever the Department has reason to believe that a 10 person has violated this Section, the Department may issue a 11 rule to show cause why an order to cease and desist should not 12 be entered against that person. The rule shall clearly set 13 forth the grounds relied upon by the Department. Failure to 14 answer to the satisfaction of the Department shall cause an 15 order to cease and desist to be issued immediately. 16 (e) An out-of-state person providing a service allowed 17 under this Section to a patient residing in the State through 18 the practice of telemedicine submits himself or herself to the 19 jurisdiction of the Department and the courts of this State. 20 Section 10. The Telehealth Act is amended by changing 21 Section 5 as follows: 22 (225 ILCS 150/5) 23 Sec. 5. Definitions. As used in this Act: 24 "Asynchronous store and forward system" means the HB2862 - 2 - LRB103 03414 AMQ 48420 b HB2862- 3 -LRB103 03414 AMQ 48420 b HB2862 - 3 - LRB103 03414 AMQ 48420 b HB2862 - 3 - LRB103 03414 AMQ 48420 b 1 transmission of a patient's medical information through an 2 electronic communications system at an originating site to a 3 health care professional or facility at a distant site that 4 does not require real-time or synchronous interaction between 5 the health care professional and the patient. 6 "Distant site" means the location at which the health care 7 professional rendering the telehealth service is located. 8 "Established patient" means a patient with a relationship 9 with a health care professional in which there has been an 10 exchange of an individual's protected health information for 11 the purpose of providing patient care, treatment, or services. 12 "E-visit" means a patient-initiated non-face-to-face 13 communication through an online patient portal between an 14 established patient and a health care professional. 15 "Facility" includes a facility that is owned or operated 16 by a hospital under the Hospital Licensing Act or University 17 of Illinois Hospital Act, a facility under the Nursing Home 18 Care Act, a rural health clinic, a federally qualified health 19 center, a local health department, a community mental health 20 center, a behavioral health clinic as defined in 89 Ill. Adm. 21 Code 140.453, an encounter rate clinic, a skilled nursing 22 facility, a substance use treatment program licensed by the 23 Division of Substance Use Prevention and Recovery of the 24 Department of Human Services, a school-based health center as 25 defined in 77 Ill. Adm. Code 641.10, a physician's office, a 26 podiatrist's office, a supportive living program provider, a HB2862 - 3 - LRB103 03414 AMQ 48420 b HB2862- 4 -LRB103 03414 AMQ 48420 b HB2862 - 4 - LRB103 03414 AMQ 48420 b HB2862 - 4 - LRB103 03414 AMQ 48420 b 1 hospice provider, home health agency, or home nursing agency 2 under the Home Health, Home Services, and Home Nursing Agency 3 Licensing Act, a facility under the ID/DD Community Care Act, 4 community-integrated living arrangements as defined in the 5 Community-Integrated Living Arrangements Licensure and 6 Certification Act, and a provider who receives reimbursement 7 for a patient's room and board. 8 "Health care professional" includes, but is not limited 9 to, physicians, physician assistants, optometrists, advanced 10 practice registered nurses, clinical psychologists licensed in 11 Illinois, prescribing psychologists licensed in Illinois, 12 dentists, occupational therapists, pharmacists, physical 13 therapists, acupuncturists, clinical social workers, 14 speech-language pathologists, audiologists, hearing 15 instrument dispensers, licensed certified substance use 16 disorder treatment providers and clinicians, and mental health 17 professionals and clinicians authorized by Illinois law to 18 provide mental health services, and qualified providers listed 19 under paragraph (8) of subsection (e) of Section 3 of the Early 20 Intervention Services System Act, dietitian nutritionists 21 licensed in Illinois, and health care professionals associated 22 with a facility. 23 "Interactive telecommunications system" means an audio and 24 video system, an audio-only telephone system (landline or 25 cellular), or any other telecommunications system permitting 26 2-way, synchronous interactive communication between a patient HB2862 - 4 - LRB103 03414 AMQ 48420 b HB2862- 5 -LRB103 03414 AMQ 48420 b HB2862 - 5 - LRB103 03414 AMQ 48420 b HB2862 - 5 - LRB103 03414 AMQ 48420 b 1 at an originating site and a health care professional or 2 facility at a distant site. "Interactive telecommunications 3 system" does not include a facsimile machine, electronic mail 4 messaging, or text messaging. 5 "Originating site" means the location at which the patient 6 is located at the time telehealth services are provided to the 7 patient via telehealth. 8 "Remote patient monitoring" means the use of connected 9 digital technologies or mobile medical devices to collect 10 medical and other health data from a patient at one location 11 and electronically transmit that data to a health care 12 professional or facility at a different location for 13 collection and interpretation. 14 "Telehealth services" means the evaluation, diagnosis, or 15 interpretation of electronically transmitted patient-specific 16 data between a remote location and a licensed health care 17 professional that generates interaction or treatment 18 recommendations. "Telehealth services" includes telemedicine 19 and the delivery of health care services, including mental 20 health treatment and substance use disorder treatment and 21 services to a patient, regardless of patient location, 22 provided by way of an interactive telecommunications system, 23 asynchronous store and forward system, remote patient 24 monitoring technologies, e-visits, or virtual check-ins. 25 "Virtual check-in" means a brief patient-initiated 26 communication using a technology-based service, excluding HB2862 - 5 - LRB103 03414 AMQ 48420 b HB2862- 6 -LRB103 03414 AMQ 48420 b HB2862 - 6 - LRB103 03414 AMQ 48420 b HB2862 - 6 - LRB103 03414 AMQ 48420 b 1 facsimile, between an established patient and a health care 2 professional. "Virtual check-in" does not include 3 communications from a related office visit provided within the 4 previous 7 days, nor communications that lead to an office 5 visit or procedure within the next 24 hours or soonest 6 available appointment. 7 (Source: P.A. 101-81, eff. 7-12-19; 101-84, eff. 7-19-19; 8 102-104, eff. 7-22-21.) 9 Section 99. Effective date. This Act takes effect upon 10 becoming law. HB2862 - 6 - LRB103 03414 AMQ 48420 b