Texas Senate Bill SB1428

Texas 2017 - 85th Regular

Caption

Relating to the provision of mental health telemedicine medical services.

Impact

The bill makes significant changes to the Occupations Code, specifically regarding the requirement for health professionals providing mental health services via telemedicine. It allows treating physicians and health professionals to operate without needing a 'patient site presenter' for telemedicine services, except in behavioral emergencies. Moreover, it facilitates the use of patients' homes or institutional settings as recognized locations for evaluations, thereby broadening access to mental health services for individuals in these settings. This shift could have a profound impact on how mental health services are delivered in Texas, especially in underserved areas.

Summary

SB1428 aims to provide clear regulations regarding the provision of mental health telemedicine services. This bill seeks to establish definitions related to mental health emergencies and the roles of healthcare professionals in these cases. Notably, it redefines certain terms to clarify what constitutes a behavioral emergency and the necessary actions that can be taken by healthcare providers during such situations. The bill emphasizes the importance of utilizing telemedicine in mental health care while ensuring that appropriate standards and protocols are adhered to.

Contention

Despite the positive aspects of expanding mental health services, there may be concerns regarding the quality of care provided through telemedicine compared to in-person evaluations. The provision that does not require a face-to-face evaluation, except in an emergency, may raise questions about diagnostic accuracy and the effectiveness of treatment. Additionally, there may be debates among health professionals about the implications for supervision and the potential for overworking physicians who may need to manage multiple telehealth cases at once without adequate support.

Notable points

The act emphasizes the necessity of preventing fraud and ensuring patient safety, and it empowers the Texas Medical Board to adopt necessary rules for overseeing telemedicine practices. The ability to diagnose without an initial in-person consultation could enhance service accessibility but might also contribute to varying standards across the profession. Overall, SB1428 marks a significant step towards integrating telemedicine into the mental health framework, with both potential benefits and challenges on the horizon.