Louisiana Board discusses new telehealth certification and rules for medical practice

In a pivotal meeting held on December 16, 2024, the Louisiana State Board of Medical Examiners (LSBME) gathered to discuss crucial updates to telehealth regulations that could reshape the landscape of remote medical care in the state. As the board members convened, the atmosphere buzzed with anticipation over the proposed changes aimed at enhancing the safety and efficacy of telehealth services.

Dr. Galati presented a draft of new telehealth rules, emphasizing the need for a telehealth certification for practitioners who are not licensed in Louisiana. This initiative aims to ensure that all telehealth providers operating within the state are properly certified, thereby safeguarding patient care. Currently, there are approximately 2,200 physicians participating in the Interstate Medical Licensure Compact (IMLCC), and the board is working to gather data on how many of these are actively providing telemedicine services.

A significant point of discussion arose regarding the complexities of telehealth, particularly concerning patients who may receive care from out-of-state providers while temporarily residing in Louisiana. Dr. Wharton raised concerns about the potential risks associated with patients receiving telehealth services from physicians not licensed in the state, especially in situations where patients are hospitalized. The board acknowledged the need for clear guidelines to prevent any lapses in care continuity, particularly for patients who may be away at school or on vacation.

The conversation also touched on the sensitive issue of inpatient care. Several board members expressed the importance of restricting telehealth consultations for hospitalized patients, emphasizing that primary care should be managed by on-site physicians. This measure aims to prevent confusion and ensure that patients receive appropriate and coordinated care during critical times.

As the meeting progressed, the board decided to table the proposed telehealth rules for further refinement, allowing time for additional input from members and stakeholders. This decision reflects the board's commitment to thorough deliberation and the importance of crafting regulations that prioritize patient safety and care quality.

In closing, the board members expressed their holiday wishes, signaling a collaborative spirit as they look forward to reconvening in the new year to finalize the telehealth regulations. The outcome of these discussions will undoubtedly have lasting implications for the future of telemedicine in Louisiana, as the board strives to balance innovation with the essential need for patient protection.