Maryland's Senate Bill 372 is set to reshape the landscape of telehealth services in the state, extending critical access to healthcare for residents. Introduced on January 20, 2025, the bill aims to clarify and expand the definition of telehealth, ensuring that audio-only telephone consultations remain billable until June 30, 2025, a provision that has sparked significant debate among lawmakers and healthcare providers.

The bill defines telehealth as the delivery of necessary health services—be it somatic, dental, or behavioral—through technology-assisted communication. Notably, it includes both synchronous and asynchronous interactions, as well as remote patient monitoring. However, it explicitly excludes services provided solely through audio-only conversations, emails, or faxes, except for the specified audio-only consultations.

One of the most contentious aspects of Senate Bill 372 is its reimbursement policy. The bill mandates that healthcare providers be reimbursed for telehealth services that are covered under the state program, but it does not require reimbursement for services delivered in person or by out-of-network providers unless they are self-referred. This has raised concerns among some healthcare advocates who argue that limiting reimbursement could hinder access to care for vulnerable populations.

Supporters of the bill argue that it is a necessary step to ensure that telehealth remains a viable option for patients, especially in the wake of the COVID-19 pandemic, which highlighted the importance of remote healthcare access. They emphasize that maintaining audio-only consultations as billable services is crucial for patients without access to high-speed internet or advanced technology.

Opposition voices, however, caution against potential over-reliance on telehealth, warning that it may not be suitable for all medical conditions and could lead to a decline in in-person visits, which are essential for comprehensive care.

As the Maryland Legislature prepares to debate Senate Bill 372, its implications could be far-reaching. If passed, the bill could set a precedent for how telehealth services are defined and reimbursed across the country, potentially influencing similar legislation in other states. The outcome of this bill will be closely watched, as it could significantly impact healthcare delivery and access in Maryland and beyond.