Table 3.

Relevant Missouri Statutes for Telemedicine as of 2019

Senate Bill (SB)	Effective Year	Summary
SB716	2014	Creates the Show-Me ECHO (Extension for Community Healthcare Outcomes) Program Authorizes collaboration between Show-Me ECHO and the Missouri Department of Social Services
SB579	2016	Physician-patient relationship required Must consist of an interview – an Internet or telephone questionnaire is not enough Must follow standards of care and evidence-based standards of practice Prescriptions, controlled substance, and other treatment within the scope of practice based solely on a telephone evaluation ONLY IF a patient-physician relationship has previously been established
SB951	2018	Services provided by licensed health care practitioners can also be provided via telehealth Licensure requirements and scope of practice are the same for telehealth vs. in-person Same reimbursement for telehealth as for in-person services Same standard of care May consider a fee for the originating site No restriction on originating (patient) site Subject to parental authorization, children may receive telehealth services in school
SB514	2019	Improved Access to Treatment for Opioid Addictions Act (IOTOA) Expands the ability of assistant physicians, physician assistants, and advanced practice registered nurses to help with opioid addiction treatment within the IOTOA program In particular, a remote collaborating physician is still considered on-site (even though the collaboration is conducted via telecommunications)