Bill > SB108

This bill modifies Missouri's telemedicine regulations by establishing more precise requirements for creating and maintaining physician-patient relationships in remote medical care. The legislation clarifies that physicians using telemedicine must ensure a properly established relationship through either an in-person medical evaluation and physical examination, consultation with another physician who has an existing patient relationship, or a telemedicine encounter that meets specific standards of care. The bill requires that telemedicine technology be sufficiently advanced to provide an informed diagnosis equivalent to an in-person examination, and mandates that physicians collect comprehensive medical history and perform thorough evaluations before providing treatment or prescriptions. Additionally, the bill prohibits prescribing medications based solely on telephone evaluations or internet questionnaires, with some exceptions for existing patient relationships and on-call scenarios. The legislation emphasizes maintaining detailed medical records, ensuring patient consent, and following up on treatment outcomes. Key changes include replacing the term "medical interview" with "medical evaluation" and establishing more rigorous standards for remote medical care to protect patient safety and ensure quality healthcare delivery.

Health and Social Services

https://www.senate.mo.gov/25info/BTS_Web/Bill.aspx?SessionType=R&BillID=315