HB 710 Missouri House · 2025 Regular Session

Modifies provisions relating to telemedicine

HB 710 sets new standards for telemedicine in Missouri to ensure safe patient care. It requires physicians to establish a valid physician-patient relationship before providing telemedicine services, which can be done through in-person visits, consultations with other doctors, or specific telemedicine encounters meeting evidence-based guidelines. The bill prohibits prescribing medications or treatments based solely on internet requests or questionnaires without this established relationship, mandating thorough medical history reviews, appropriate diagnosis, and documented follow-up. These rules apply directly to physicians, nurse practitioners, physician assistants, and other telehealth providers prescribing medications via telemedicine. The law aims to align telemedicine practices with in-person care standards while allowing exceptions for hospital, hospice, and collaborative care settings.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 2, 2025 Last action Apr 23, 2025
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What changed between versions

Introduced House Committee Substitute · 6 edits
MODERATE
This bill amendment adds new requirements for telemedicine practices, including mandatory evaluation standards, reporting obligations, and record-keeping rules. It also clarifies when physicians can prescribe medications remotely and expands the list of settings where designees can prescribe under certain conditions.
Scope change
The bill now applies more specifically to telemedicine practices and adds new requirements for establishing physician-patient relationships through remote care.
REQUIREMENT

Added requirement that telemedicine providers must evaluate patients and review relevant medical history before providing treatment or prescriptions.

Added requirement that providers using questionnaires must be employed or contracted with a business entity licensed to provide healthcare in Missouri.

Added requirement that providers must submit written reports to patients' primary healthcare providers within 14 days of evaluation, if requested.

Added requirement that medical records from telemedicine prescriptions must be maintained in accordance with HIPAA standards.

Modified telephone evaluation provisions to clarify that remote prescribing is allowed only when a previously established physician-patient relationship exists.

ELIGIBILITY

Modified the list of settings where physicians' designees can prescribe to explicitly include hospice programs and home health services.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
9
Key actions
2
Committee
4
Apr 23, 2025
Committee
Referred: Rules - Administrative(H)
lower
Apr 3, 2025
Lower · Passed
HCS Reported Do Pass (H) - AYES: 13 NOES: 0 PRESENT: 0
lower
Apr 2, 2025
Lower · Passed
HCS Voted Do Pass (H)
lower
Feb 6, 2025
Committee
Referred: Health and Mental Health(H)
lower
Jan 2, 2025
Introduced
Prefiled (H)
lower
1 primary · 1 co-sponsor

Sponsors