House reps advocate for audio-only telehealth extensions for opioid treatments Jeff Lagasse October 21, 2022 The lawmakers describe the future of audio-only telehealth coverage as "unpredictable" and say a consistent policy should be established. Two Democratic members of the U.S. House of Representatives have penned a letter to the Substance Abuse and Mental Health Services Administration and the Drug Enforcement Agency, imploring the agencies to extend flexibilities for audio-based telehealth so physicians may continue prescribing medication-assisted treatments to address opioid use disorder. Representatives Ann McLane Kuster, D-N.H., and Lori Trahan, D-Mass., said they're advocates for the development of a long-term policy regarding telehealth flexibilities, particularly, when it comes to administering buprenorphine to patients, a medication that helps prevent overdose death. They cited research from the National Library of Medicine suggesting that the COVID-19 pandemic introduced increased barriers to accessing treatment for those with opioid use disorder. Drug overdoses are increasing and disparities have been worsening over the last several years, with opioid-related overdose deaths reaching an all-time high in 2021. Kuster and Trahan noted that the Physician Fee Schedule proposed rule regarding coverage of audio-only telehealth for buprenorphine initiation depends on if "buprenorphine is authorized by the DEA and SAMHSA at the time the service is furnished." Since payment for services is dependent on Drug Enforcement Agency and Substance Abuse and Mental Health Services Administration guidance, the House members encouraged the agencies to release the public guidance quickly, and to include policies, such as telehealth, that increase access to OUD treatment. WHAT'S THE IMPACT? Audio-only telehealth is an important tool for clinicians in responding to the addiction crisis, the lawmakers said. A 2021 study from the National Library of Medicine backs this up, finding that audio-only telehealth, as a "low-threshold" approach to medication-assisted treatment, was associated with better retention in care. Previous studies also show that providers treating patients with OUD think that telemedicine, including audio-only options, should be offered in some form beyond the COVID-19 pandemic, regulations permitting. The American Society for Addiction Medicine recently released their policy statement on telehealth, saying it's a viable tool to increase access to buprenorphine as part of OUD treatment "and that there is ample opportunity moving forward to study the role that audio-only care can play in responding to the opioid crisis," the lawmakers wrote. Calling the future of audio-only telehealth coverage "unpredictable," the representatives requested that SAMHSA and the DEA grant telehealth flexibilities along with the declaration of a public health emergency for the opioid crisis; evaluate long-term policy for flexibilities based on the utilization and effectiveness of audio-only telehealth in relation to medication-assisted treatment; and detail a projected timeline regarding rulemaking for audio-only telecommunications for the initiation of buprenorphine for treatment of OUD. THE LARGER TREND Overdose deaths were rising prior to the COVID-19 pandemic, but in 2020, there was a significant increase in overdose deaths. According to provisional CDC data, overdose deaths increased more than 30% in 2020, leading to more than 93,000 deaths. This increase was driven by the use of synthetic opioids, such as fentanyl and stimulants, such as methamphetamine and cocaine, or combinations of substances. Pandemic restrictions intended to prevent the spread of COVID-19 have unfortunately also made it harder for individuals with substance use disorders (SUDs) to receive treatment and support services. Providing funding for harm-reduction services is one pillar of a four-pillar approach being implemented at the federal level. Evidence-based harm-reduction strategies minimize the negative consequences of drug use, according to the Department of Health and Human Services. The other three pillars of the administration's opioid mitigation strategy are primary prevention, focusing on the root causes and predictors of SUDs, evidence-based treatment and recovery support. A December 2021 report from the Office of the Inspector General found that while more than 1 million Medicare beneficiaries had a diagnosis of OUD in 2020, less than 16% of those beneficiaries received medication to treat their conditions. They accounted for fewer than 1 in 6 of all Medicare beneficiaries with OUD. Twitter: @JELagasse Email the writer: jeff.lagasse@himssmedia.com See original article: https://www.healthcarefinancenews.com/news/house-reps-advocate-audio-only-telehealth-extensions-opioid-treatments < Previous News Next News >

Extended Reality for Telehealth The technologies enabling a more fully immersive telehealth experience of the future Jordan Owens September 20, 2022 There has been a digital transformation in telehealth in the form of remote meetings and video consultations. Just a few years ago, it was considered innovative to meet with a patient over video: now it’s seen as routine. Necessity can be a catalyst for innovation and telehealth is now here to stay. But that doesn’t mean the industry has finished growing, changing — or expanding. Extended reality (XR) is a catch-all term used to describe the many and various ways that technology can enhance what we perceive with our senses: how the real and virtual worlds can combine to extend perception, observation, and — in the case of telehealth — patient care and diagnosis. Using extended reality tools like augmented reality headsets and wearable devices, healthcare workers can diagnose with better accuracy, treat patients faster, and provide an optimal level of care — even when the patient is on the other side of the country (or the world). Some of the innovative ways that people are combining telehealth and extended reality include: Wearable technology to enhance remote patient monitoring You enter a remote telehealth session with a patient. You ask them what seems to be the issue. They respond, “Well, my ring says that my sleep patterns have been disturbed for the past few nights due to elevated heart rate, and then today my temperature has gone up. Here, look at the data for yourself.” Wearable technologies — from smart watches and wristbands to patches, rings, and even headsets — help collect valuable health data. These devices are already shaping the future of telehealth by making remote patient monitoring faster, easier, and more accurate than ever before. There are currently thousands of wearable devices on the market, tracking a variety of conditions. But as sensor technology improves, the accuracy of these devices improves as well. In fact, Gartner predicts that “by 2024, miniaturizing capabilities will advance to the point that 10% of all wearable technologies will become unobtrusive to the user,” leading to rapid market growth over the next three to five years. Virtual reality environments to set remote patients at ease The immersive nature of VR makes it a great way to distract patients from the stress they’re feeling. In fact, virtual reality has already proven effective in helping anxious in-office patients relax in stressful situations — like a child receiving a vaccine. This soothing, calming effect can be replicated in telehealth as well. Virtual environments can help alleviate some of the awkwardness of remote telehealth sessions, and help the patient feel closer — both physically and mentally — to the caregiver, which can improve patient care. According to a recent paper on the use of extended reality in telehealth: “Some patients report reluctance to self-advocate during typical telehealth sessions because of poor eye contact and audio interference if more than one person speaks at a time (….) Technologies that evoke presence—the perception, feeling, and interaction with simulations as if they were real — can meaningfully impact the practice and outcomes of telehealth.” While VR technology might not yet be advanced enough to create a fully immersive telehealth experience, it could be very soon. Imagine the possibilities. Augmented reality to improve patient care and diagnosis Wearables aren’t just for patients. There are many devices on the market that can augment and enhance the skills of medical caregivers as well. Visual overlays can help practitioners improve the accuracy of incisions, find difficult veins, take patient temperatures remotely, and much more. Many of these AR headsets, like those designed by RealWear, are also voice-controlled, leaving the practitioner’s hands free to do the work that needs to be done. They can also use the headsets to contact, and even video chat with, clinical specialists to get advice and guidance — making it easier for first responders in the field to accurately diagnose and treat illnesses and injuries before the patient even arrives at the hospital. Getting started with extended reality in telehealth As with any new technology, it’s important to work with partners who provide not only general support, but also vertical-centric support. Pexip is achieving this through partnering and working closely with headset manufacturers like RealWear and Hippo. We are also working with vertical-centric partners like SimplyVideo, allowing Pexip customers to add a variety of XR functionalities to their existing video telehealth platform. Pexip’s vision for the future is centered around leveraging technology to enhance and improve what people can achieve. We’re excited for the journey ahead and hope you will join us. About the Author Jordan Owens is the VP of Architecture for Pexip. He joined Pexip in 2012 from TANDBERG and Cisco where he led the Americas Technical Support organization, the Americas Product Engineering team, and a Pre-Sales Engineering organization for the previous 10+ years of his career. At Pexip, Jordan is responsible for leading the Americas engineering organization and serving as an extension of the global R&D organization. He can be reached at jordan@pexip.com See original article: https://www.americantelemed.org/blog/extended-reality-for-telehealth/ < Previous News Next News >

Telehealth QA – Is it all it’s QAcked up to be? Trudy Bearden, PA-C, MPAS February 16, 2022 In hopes of sparking renewed commitment to applying improvement science to telehealth, we offer this Telehealth QI and QA Miniseries. Today is the fourth in the series. Require expertise and excellence in telehealth service delivery. Expertise with telehealth requires deliberate practice which builds on or modifies existing skills, usually with the help and guidance of a coach or teacher with targeted feedback on what to improve and how to improve those skills. Send staff through telehealth training either internally or externally. The California Telehealth Resource Center Telehealth Course Finder is a great place to start for external telehealth trainings. Provide peer review of telehealth sessions by inviting a trusted clinician to join a telehealth visit – with patient permission. Debrief after the session to provide feedback and to discuss what went well, what did not go well and what changes can be made to improve Implement written triage protocols that are easily accessible by all staff to clarify which patients or patient issues are appropriate for telehealth and which need to be seen in person. Make a commitment to exceptional service delivery. Solicit and act on patient and staff feedback. Consider including a patient partner or advisor in these efforts. Below are some sample staff and clinician satisfaction survey questions. Some institutions may already incorporate some of these into their existing patient feedback systems (e.g., Press Ganey) so check to see if they are before duplicating efforts. Sometimes it’s best to collect feedback simply and in real time by asking, “How was your visit? What could have gone better?” Read full article here: https://southwesttrc.org/blog/2022/telehealth-qa-it-all-it-s-qacked-be < Previous News Next News >

Telehealth Waivers Wind Down, Restricting Some Providers From Delivering Care Across State Lines Hailey Mensik August 2021 States allowed medical professionals licensed elsewhere to hold virtual visits with their residents during the pandemic. Some are making the rollbacks permanent, but others are reversing again. State lawmakers temporarily scrapped hundreds of regulations early in the COVID-19 pandemic to help businesses and consumers deal with widespread shutdowns, giving patients greater access to telehealth and helping spur an explosion in use of virtual care. A number of states allowed medical professionals licensed elsewhere to hold telehealth visits with residents of their state during the pandemic, and some already have or are looking to make the rollbacks permanent. Exact numbers are difficult to track because some policies overlap and are organized differently in different states, but as of July 28, 17 states and the District of Columbia still had some type of telehealth waivers in place, according to the Federation of State Medical Boards. Other states like New York, Minnesota, Florida and Alaska are among those that have pulled back emergency waivers. Alaska is going back to its old ways after its governor's emergency order ended. Patients there can only visit telehealth providers licensed in the state now after about a year without that rule. The same goes for Florida after its emergency declaration expired on June 26. Meanwhile, Arizona lawmakers passed sweeping legislation in May making the state's pandemic-related telehealth waivers permanent, including requiring insurers to cover audio-only visits and allowing out-of-state medical professionals to conduct telehealth visits with patients in the state. Advocates for allowing providers to permanently deliver virtual care across state lines say it would help ease staffing shortages, help patients and doctors maintain existing relationships and benefit patients in isolated communities by making faraway specialists more accessible. But as long as medical licensing is regulated at the state level, the broad access to services and providers that existed during the pandemic won’t continue for everyone. Patients in rural areas are often far away from a doctor's office, and in states like Alaska where flexibilities expired, can be even further from providers practicing certain specialties, such as a pediatric intensivist or certain oncologists, said Mei Kwong, executive director for the Center for Connected Health Policy. "Maybe there aren't enough of those cases in those particular states to make it worth a provider's while to go and move there, but there's still a need because they may still have people who need those services," Kwong said. The patchwork of red tape could also pose a challenge for providers who have pivoted to delivering more virtual care over the past year. Mia Finkelston, a family medicine physician in Maryland, made the switch to telehealth nearly a decade ago and has been practicing with Amwell ever since. She's currently licensed in 29 states, and said the process to get her licenses varied widely. "It's not standard as far as fees, it's not standard as far as what documents you need to give them. It really is based on those state medical boards and what they decide is important to them," Finkelston said. As more states' waivers expire and others' rules change, one option for providers who want to continue delivering care across state lines is through the Interstate Medical Licensure Compact, which currently includes 30 states, the District of Columbia and Guam. Similar to the nurse licensure compact, it allows eligible physicians to practice in other compact states. It’s worth noting, however, that the Interstate Medical Licensure Compact does not issue a compact license or a nationally recognized medical license for physicians, but rather streamlines the process for them to receive multiple licenses from individual state medical boards. Physicians pay an initial $700 compact fee, then an additional cost for each license in any compact state they want to practice in. States must pass legislation to join the compacts. "No two states are totally alike in their legal and regulatory framework for the practice of medicine, which of course, affects telehealth, which is just one aspect of the overall US healthcare system," Kyle Zebley, director of public policy at the American Telehealth Association, a coalition with a board that includes representatives from hospitals like HCA and payers like CVS, said. "Therefore a way to be consistent with our federal system, consistent with the way that the practice of medicine has been done in this country for so long, we've come up with this great model of compact, which is a way to be consistent with all that while still allowing for care across state lines," Zebley said. As lawmakers try to facilitate continued access to telemedicine for those who need it most, licensure reforms will be key, the authors of a February article in the New England Journal of Medicine argue. "The growth of large national and regional health systems and the increased use of telemedicine have expanded the scope of health care markets beyond state borders," the authors said. They agree that a federal medical licensing system is the loftiest reform option and strengthening existing compacts is the way to go, suggesting Congress pass legislation to encourage holdout states to join the Interstate Medical Compact. Other options include encouraging states to practice reciprocity, where they automatically recognize an out-of-state license, as the Department of Veterans Affairs does with physicians in its system. Source: https://www.healthcaredive.com/news/telehealth-waivers-wind-down-restricting-some-providers-from-delivering-ca/603169/#:~:text=Healthcare%20Dive-,Telehealth%20waivers%20wind%20down%2C%20restricting%20some%20providers%20from%20delivering%20care,but%20others%20are%20reversing%20again. < Previous News Next News >

Spending Bill to Extend Telehealth, Hospital-at-Home Waivers for 2 Years Anuja Vaidya December 20, 2022 The year-end package includes two-year extensions for Medicare telehealth flexibilities enacted during the pandemic and the Acute Hospital Care at Home Program. The year-end $1.7 trillion spending bill includes provisions to extend pandemic-era telehealth and hospital-at-home waivers for two years. The legislation, released Tuesday, aims to avert a government shutdown and includes several healthcare provisions, including reducing the 2023 Medicare payment cuts to 2 percent from 4.5 percent. In a win for telehealth proponents, the sweeping bill also includes a two-year extension of telehealth-related regulatory flexibilities for Medicare beneficiaries put in place during the COVID-19 pandemic. A previous bill extended these flexibilities for five months after the public health emergency expires. Now, the waivers will remain in place through Dec. 31, 2024, if the legislation passes both the House and Senate and is enacted into law. The flexibilities include eliminating geographic restrictions on originating sites for telehealth services, enabling Medicare beneficiaries to receive services from any location, and allowing federally qualified health centers and rural health centers to continue providing telehealth services. Further, the waivers lift the initial in-person care requirements for those receiving mental healthcare through telehealth and allow for continued coverage of audio-only telehealth services. In addition to extending the Medicare telehealth waivers, the new legislation includes a two-year extension of the Acute Hospital Care at Home Program. Introduced in November 2020 by the Centers for Medicare and Medicaid Services, the Acute Hospital Care at Home Program allows treatment for common acute conditions in home settings. As of Dec. 16, 259 hospitals across 37 states were participating in the program. The safe harbor for telehealth coverage for those with high deductible health plans (HDHPs) with health savings accounts (HSAs) will also be extended by two years if the new bill passes. The safe harbor provision enables people with HDHP-HSAs to receive telehealth coverage without meeting their annual deductible first. "Today, our Congressional telehealth champions on both sides of the aisle came through for the American people and for ATA and ATA Action members, by meeting our plea for more certainty around telehealth access for the next two years, while we continue to work with policymakers to make telehealth access a permanent part of our healthcare delivery for the future," said Kyle Zebley, senior vice president of public policy at American Telemedicine Association and executive director of the association's advocacy arm, ATA Action, in an emailed press release. But the new legislation does not include a similar two-year extension for the waiver of the Ryan Haight Act. The Ryan Haight Act of 2008 required providers to meet with a patient in person before being allowed to prescribe controlled substances for that person via telehealth. The in-person visit requirement was temporarily lifted during the COVID-19 pandemic. Since then, several stakeholders, including the American Telemedicine Association and American Psychiatric Association, have asked that Congress permanently eliminate the Ryan Haight Act. The latest spending bill does, however, direct the Drug Enforcement Administration (DEA) to create final regulations regarding the circumstances under which a special registration for telemedicine may be issued. Providers obtaining a special registration for telemedicine would be allowed to waive the in-person visit requirement. Earlier this month, the American Hospital Association had also asked that the DEA clarify regulations for the special registration process and provide recommendations for an interim plan. "…the hard work continues, as we persist in pressing telehealth permanency and creating a lasting roadblock to the 'telehealth cliff,'" said Zebley. "Additionally, we will continue to work with Congress and the Biden administration to make sure that a predictable and preventable public health crisis never occurs by giving needed certainty to the huge number of Americans relying on the clinically appropriate care achieved through the Ryan Haight in-person waiver." See original article: https://mhealthintelligence.com/news/spending-bill-to-extend-telehealth-hospital-at-home-waivers-by-2-years < Previous News Next News >

Membership Benefits Welcome to the New Mexico Telehealth Alliance! This members section contains exclusive content and is available to subscribed members. For information on membership benefits, please select an option below. If you're already a member, please log-in to access your exclusive content. Click here to download NMTHA virtual backgrounds (ZOOM and Google Meets compatible). Membership Benefits Learn more New Member Log-in Guide Download Add/Change Member Guide Download

Membership Benefits COMING SOON: NEW MEMBERSHIP BENEFITS Thank you for your interest in joining the New Mexico Telehealth Alliance. The newly formed Membership Co mmittee and the NMTHA Board of Directors are revising the Membership section of this website. If you have any questions please contact us HERE .

Grants & Funding The Federal government has numerous funding sources for telehelath support: USDA Community Connect Grants USDA Distance Learning and Telemedicine Grants Other Telemedicine Grants FCC Rural Health Care - Healthcare Connect Fund USDA COMMUNITY CONNECT GRANTS This federal program funds broadband deployment into rural communities where it is not yet economically viable for private sector provi ders to deliver service. For more information, please visit USDA Community Connect Grants . USDA DISTANCE LEARNING AND TELEMEDICINE GRA NTS Th is federal program helps rural communities use telecommunications' unique connectivity capabilities to overcome effects of remoteness and low population density. Grant funds may be used for a cquisition of eligible capital assets, such as: Technical assistance and instruction for using eligible equipment Inside wiring and similar infrastructu re that further DLT services Acquisition of instructional programming as a capital asset Computer hardware, network components, and software Audio, video, and interactive vid eo equipment Terminal and data terminal equipment For more information , please visit USDA Distance Learning and Telemedicine Grants . OTHER TELEMEDICINE GRANT OPPORTUNITES The Health and Human Services Division for telehealth and broadband related programs posts funding opp ortunities HE RE . HEALTHCARE CONNECT FUND The New Mexico Telehealth Alliance (N MTHA) manages the Southwest Telehealth Access Grid (SWTAG), a Federal Communications Commission (FCC) approved consortium for funding through the Healthcare Connect Fund (HCF). If you manage one or more healthcare provider sites serving clients in New Mexico, contact NMTHA to discuss joining SWTAG. Advantages to applying to SWTAG via NMTHA include: Lower application and administrative costs. Access to expert funding advice for a mix of rural and urban sites. Professional assistance with proven track record of funding success. Additional information on eligibility and application procedures can be found HERE . Community Connect Distance Learning Other Healthcare Connect

NMTHA Sponsors NMTHA Sponsors support our efforts in exchange for promotional benefits: Sponsorship Available to members and non-members All Sponsor benefits included Does not include member benefits Membership is not required for sponsorship Better Access. Better Outcomes. More about AmplifyMD AmplifyMD is a multi-specialty physician practice providing virtual consults via telehealth. Our doctors cover all E & M specialties, including; Psychiatry, Cardiology, Neurology, Infectious Disease, Orthopedics, Hematology, Oncology, etc. At AmplifyMD, we’ve streamlined workflows so you can manage everything from one screen. By centralizing all your virtual care delivery onto a single turnkey platform, we’ve alleviated the cost, time, and frustration burden of setting up and managing multiple hospitals and telehealth systems. More about ENVIVE ENVIVE Solutions, LLC is a nationally certified women-owned business located in the enchanted southwest. We provide quality remote and onsite strategic management, project planning, coaching and consultation, and implementation support services to organizations across the United States - with expertise in large-scale collaborations and human-centered initiatives (e.g., behavioral health, human services). We lead and support teams and projects through all phases of strategic management - from conceptualization to successful implementation. For Members and Non-Members NMTHA Sponsors (Membership not required) $2,500 $ 2,500 (Member benefits not included. Membership is available separately.) Valid for one year Select Tax-deductible sponsorship is donation to 501c3 organization Organization featured on NMTHA's dedicated Sponsor webpage Webinar presentation to NMTHA Board of Directors Poster presentation at NMTHA's Annual Town Hall 1-page contract with defined mutual expectations

Policy & Legislation New Mexico: A Leader in Telehealth Laws New Mexico has one of the most progressive telehealth statutes in the entire U.S. New Mexico Legislation Federal Resources NEW MEXICO LEGISLATION Telehealth NMSA § 13-7-14 "Healthcare Purchasing Act" NMSA § 59A-22-49.3 "Health Insurance Contracts " NMSA § 59A-23-7.12 "Group and Blanket Health Insurance Contracts " NMSA § 59A-46-50.3 "Health Maintenance Organizations " NMSA § 59A-47-45.3 "Nonprofit Healthcare Plans " (see also S.B.354 (2019) "Coverage for Telemedicine Services" ) Broadband NMSA § 63-9J-1 thru 63-9J-4 "The Broadband Access and Expansion Act" ( see also S.B.93 (2021) "Broadband Access and Expansion Act" ) New Mexico Federal FEDERAL RESOURCES Center for Connected Health Policy (CCHP) Find up-to-date information for Medicare, Medicaid, Federal Employee Plans, and more... CCHP, a nonprofit, nonpartisan organization, has been the federally designated National Telehealth Policy Resource Center since 2012. CCHP provides technical assistance to twelve regional Telehealth Resource Centers (TRCs), state and federal policy makers, national organizations, health systems, providers, and the public. CCHP - Federa l CCHP - New Mexico

Why is an Alliance needed? NMTHA assists with ensuring telehealth program dollars are applied effectively and efficiently through : Clinical coordination Technical coordination Health information technology Administrative Services Federal, State, and private funds are spent on telehealth programs with little or no attention to coordination with other programs, efficient reuse of existing resources, and delivering the best level of cost-effective services. Existing and proposed programs create a patchwork of telehealth solutions with overlaps, gaps, and little long-term accountability. No entity coordinates telehealth statewide and ensures that telehealth programs and dollars generate the best possible health benefits for New Mexicans. How can New Mexico ensure dollars spent on telehealth programs are applied effectively and efficiently? New Mexico needs an organization to provide the following telehealth-related services: Clinical Coordination: Identifying healthcare delivery needs, finding organizations to deliver healthcare services, monitoring the delivery, and ensuring improved health outcomes. Technical Coordination: Identifying the proper technical solution for healthcare service delivery including equipment evaluation, telecommunications connectivity, reuse of existing resources, scheduling, network management, support, and maintenance. Health Information Technology: Managing information exchange among healthcare providers and ensuring compliance with federal, state, and other standards. Administrative Services: Reimbursement issues, administrative policy and procedures, legislative issues, and general management of the telehealth process. Every dollar spent on coordination ensures that dollars spent on specific telehealth programs generate the greatest improvement in health across all programs and regions of the State. Be part of the solution! Join the New Mexico Telehealth Alliance JOIN NOW

Audio-Only Telemedicine Services Special Announcement NMTHA's communication with the New Mexico Office of the Superintendent of Insurance about billing for AUDIO-ONLY telemedicine services February 2022 Update: New Mexico Audio-Only Telemedicine Services The New Mexico Telehealth Alliance (NMTHA) works hard to ensure telehealth is sustainable and meets healthcare needs in our State. The NMTHA has been instrumental in ensuring New Mexico has one of the leading telehealth laws in the country. Looking at the NM Telehealth Act, last amended in 2019, the New Mexico Office of Superintendent of Insurance (OSI) has put out the following information around the continued ability to bill for telephonic services. What you need to know: The telemedicine definition allows the use of audio-only telemedicine services. The NM Telehealth Act: The New Mexico Telehealth Act, which was last amended in 2007, defines telehealth as “the use of electronic information, imaging and communication technologies, including interactive audio, video, data communications as well as store-and-forward technologies, to provide and support health care delivery, diagnosis, consultation, treatment, transfer of medical data and education.” § 24-25-3(C) NMSA. This definition clearly incorporates audio-only services, particularly as “the purpose of the New Mexico Telehealth Act is to provide a framework for health care providers to follow in providing telehealth services to New Mexico citizens in a manner that provides efficient and effective access to quality health services.” § 24-25-2(B) NMSA. What insurance this affects: This is only for fully-insured health plans regulated by the NM OSI, and for NM State employee, public school, and retiree health plans. It does not apply to Medicaid, Medicare, other federal health plans, or self-insured health plans. Access the final text of S.B.354 (2019) and chaptered statutes HERE . See the email communication from the NM OSI HERE . Sincerely, New Mexico Telehealth Alliance

Healthcare Connect Fund The FCC's newest component of the Rural Health Care (RHC) program: Funding may significantly improve access for patients and service providers. Participants may receive a subsidy of up to 65%. Funding recipients must provide 35% cash match. The New Mexico Telehealth Alliance (NMTHA) manages the Southwest Telehealth Access Grid (SWTAG), a Federal Communications Commission (FCC) approved consortium for funding through the Healthcare Connect Fund (HCF). If you manage one or more healthcare provider sites serving clients in New Mexico, contact NMTHA to discuss joining SWTAG. Advantages to applying to SWTAG via NMTHA include: Lower application and administrative costs .* Access to expert funding advice for a mix of rural and urban sites. Professional assistance with proven track record of funding success . ELIGIBILITY Eligible healthcare sites must meet all three following criteria: Non-profit or public entity In a rural area (as defined by the FCC: Eligible Rural Areas Search Tool Designated type of facility: Post-secondary educational institution offering health care instruction (e.g., teaching hospital, medical school) Community health center or health center providing services to migrants Dedicated emergency department of a rural for-profit hospital Local health department or agency Community mental health center Not-for-profit hospital Skilled nursing facility Rural health clinic Part-time eligible entity located in an ineligible facility *NMTHA contracts with Prairie Health Ventures to manage the application process and other bureaucratic aspects of the HCF. SWTAG members span over 200 sites in several States including many rural and urban facilities in New Mexico. SWTAG members have secured millions of HCF funding dollars to date. Current funding requests are under development. Universal Service Administrative Company ( USAC) Funding "Lingo" Form 460: Confirms Eligibility Step 1: Determine Eligibility of Your Site Form 461: Request for Services Step 2: Develop Bid Evaluation Criteria & Select Services Form 462: Funding Request Step 4: Submit Funding Requests Form 463: Invoice USAC for Release of Funds Step 6: Invoice USAC Evergreen Contract: Evergreen Contracts Funding Request Number (FRN) Funding Commitment Letter (FCL) Health Care Provider (HCP) Network Cost Worksheet (NCW) F or additional information about the Healthcare Connect Fund, please consult the following resources: HCF web page Related FAQs FCC orders

Top of Page 1 2 3 4 5 6 7 8 9 10 11 NMTHA's Telehealth Toolkit NMTHA's Telehealth Toolkit provides: Templates Best practice guidelines Gene ral resources Links to additional toolkits 11 telehealth topic areas, including: Client engagement Provider eng agement Provider self-care Technology Clinical specialities As part of a grant provided by the New Mexico Human Services Department (HSD), the resources below were curated and organized to match themes from interviews and surveys supported through efforts by the NMTHA and Anchorum St. Vincent . How do we address broadband and other telehealth challenges in rural New Mexico? How do we get started with telemedicine? How do we improve client engagement? How do we improve provider engagement? How do we manage our telehealth practice? How can we reduce provider burnout? How do we use/expand telehealth in schools and youth programs? What are the best ways to use telehealth for clinical specialties? What is the future of telehealth? What is the latest data on telehealth? How do we collect data on telehealth use? What telehealth platforms are best (and other technology questions)? 1 HOW DO WE ADDRESS BROADBAN D AND OTHER TELEHEALTH CHALLENGES IN RURAL NEW MEXICO? To o lk i ts Rural Telehealth Toolkit T h is toolkit from the Rural Health Informat ion Hub, compiles evidence-based, promising models and resources to support organizations in identifying and implementing telehealth programs to address common challenges experienced in rural communities across the United States. Audience: Facility leadership and providers in rural areas. G ene ral Resources Active Programs to Improve Telehealth Services in Remote Areas Office of the Advancement of Telehealth (OAT) provides funding to promote and improve telehealth services in rural areas. Audience: Executive leadership for clinics/facilities in rural areas. Virtual Critical Care: A Lifeline for Rural Hospitals and Patients (CASE STUDY) Auburn University Health and Amwell identify methods participating rural hospitals used to reduce their transfers by more than 80%, enabling patients to receive care in their communities with minimal disruption to continuity of care. Comparing Televideo and Telephone Behavioral Health Services for People with Chronic Mental Illness Powerpoint presentation from the UNM Rural Psychiatry Program, Annual Spring Conference: "Adapting Care for 2021 and Beyond." HOW DO WE GET STARTED WITH TELEMEDICINE? Toolkits Setting Up Tele-Be havioral Health Service This step-by-step guide provided by the Indian Health Services is meant to be comprehensive, touching upon everything that may need to be considered in s etting up Telebehavioral health services at your site. Audience: Facility directors and providers serving tribal and Indigenous populations. Telehealth Program Developer Kit From the California Telehealth Resource Center: "The CTRC Program Developer was designed to assist in developing and implementing telehealth services. This Guide provides overview information on the process and the activities and information you will collect during each of the development phases. Each of the steps is designed to allow an organization to consider critical aspects of development and to support decision making.” Telehealth Implementation Playbook Learn more about identifying the need for telehealth, finding a vendor, designing the workflow, implementing, and scaling from the American Medical Association. A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice Telehealth services and payment, roles and responsibilities, licensing and legal requirements, technology, workflow, and family medicine scenarios. Toolkit from the American Academy of Family Physicians (AAFP) . Templa tes Telemedicine Multi-S ite Agreement Arizona Telemedicine offers a template for consideration of the mutual covenants and agreements for involved parties. Best Practice Guidelines 15 Key Steps to Creating a Business Proposal to Implement Telemedicine Here you’ll find a concise overview of 15 steps to implement a successful telemedicine program at your facility. Offered by the Northwest Regional Telehealth Resource Center. Audience: Directors and Executive leadership. General Resources Telehealth Start-Up and Resource Guide Covering Telehealth vs. Telemedicine, ATA and AMA guidelines, startup to sustainability, telehealth module and outlook, reimbursement guide, Medicaid, Medicare billing, CNM code information and other resources. This start-up and resource guide was created in partnership between Telligen and gpTRAC, the GreatPlains Telehealth Resource and Assistance Center. It is intended to provide an overview and framework for implementing telehealth in critical access hospitals and rural areas, and to point the reader toward reliable and informative resources for learning about telehealth and the organizations that support the use of telehealth in various ways. General Provider Telehealth and Telemedicine Tool Kit This document contains links to reliable information sources regarding telehealth and telemedicine. Most information is directed toward providers seeking to establish a permanent telemedicine program with specific documents useful for choosing telemedicine vendors, initiating a telemedicine program, monitoring patients remotely, and developing documentation tools. The New Normal: Tips for Making Telemedicine Part of Your Permanent Practice September 2020, 1:02:46 Alaska Native Medical Center and Shoshone Family Medical Center join together via Project ECHO to help participants understand tactics to develop a well-rounded telehealth program, move telemedicine into their standard operations, outline the elements of a telemedicine quality program, understand considerations of health equity in telemedicine, proactively and reactively address patient barriers, and outline infrastructure components needed to support ongoing program success. Audience: Facility directors ready to establish a telemedicine program. Telemedicine: Where Do I Start? July 2020, 1:03:41 Project ECHO, Shepherd’s Clinic, UV Medicine, and CommonSpirit Health offer an expert-guided video on how to start and subsequently navigate telemedicine. Audience: Facility directors ready to establish a telemedicine program. 2 3 HOW DO WE IMPROVE CLIENT ENGAGEMENT? Templates Behavioral Telehealth Session Checklist Mental Health Technology Transfer Center Network provides this checklist put together by Operation PAR, Inc. to provide basic guidance on the before-, during-, and after- of a telehealth session. Audience: Behavioral health providers using telehealth and looking to improve their interactions with clients or behavioral health providers using telehealth for the first time. Telehealth Instructions for Behavioral Health Patients Behavioral Health Partners offers telehealth instructions to behavioral health patients in preparation for a telehealth visit. Patient Consent Form Telemedicine patient consent form provided by the Southwest Telehealth Resource Center. Audience: Facility directors. Telehealth Instructions for Behavioral Health Patients Behavioral Health Partners offers telehealth instructions to behavioral health patients in preparation for the telehealth visit. Audience: Behavioral health providers using telehealth and looking to improve their interactions with clients or behavioral health providers using telehealth for the first time. Telehealth Visit Etiquette Checklist From the American Medical Association: "This checklist is intended for clinicians and care team members who will be hosting the telehealth visit to ensure that the professional standards of in-person care is maintained in a virtual environment.” Audience: Telemedicine and telebehavioral health providers. Patient Information Sheet (English) Overview of telehealth visit for patients from the FQHC Telehealth Consortium. Patient Information Sheet (Spanish) Overview of telehealth visit for patients from the FQHC Telehealth Consortium. Best Practice Guidelines Telehealth Etiquette Video Series In this series of videos, we learn the difference between a Bad, Good, and even Better telehealth consult. While some demonstrations may seem humorous or “over the top,” all are based on actual patient scenarios. As you watch, notice the difference between the Good, the Bad, and the downright Ugly. Provided by the South Central Telehealth Resource Center and produced by Old Dominion University College of Health Sciences, School of Nursing. Audience: Telemedicine and telebehavioral health providers. General Resources Telehealth Best Practice s April 2020, 0:04:06 A short video from the Hawaii State Department of Health Genomics Section highlighting best practices for healthcare providers when using telehealth to provide services. Audience: All providers. 4 HOW DO WE IMPROVE PROVIDER ENGAGEMENT? General Resources Clinical Best Practices and the Art of the Tele-Physical Exam September 2020, 0:59:31 This video aims to help providers understand the process of conducting a telemedicine visit, select the equipment needed to conduct a physical assessment through telemedicine, collec t physical data through a videoconferencing session without peripherals , and utilize creative strategies to obtain clinical data. Provided by the University of New Mexico’s Project ECHO as a joint effort with the Center for Telehealth Innovation, Education, & Research; Old Dominion University; and the Mid-Atlantic Telehealth Resource Center. Audience: Primary care providers. Physicians' Motivations and Requirements to Adopting Digital Clinical Tools February 2020 Study by the American Medical Association on “Physicians’ motivations and requirements for adopting digital health and adoption and attitudinal shifts from 2016 to 2019.” Audience: Executive leadership. Telehealth Driver Diagram Develop a sustainable, patient-centered, and equitable telehealth model and achieve an advanced level of maturity with the FQHC Consortium diagram. Top Five Tips for Managing Expectations and Challenges of Transitioning to Telehealth May, 2020, 0:17:46 Discussion of the "Top 5 tips for Managing Expectations and Coping with the Challenges of Transitioning to Telehealth." Speakers: Nancy Roget, Executive Director of the Center for the Application of Substance Abuse Technologies at the University of Nevada–Reno and Co-Director of the Mountain Plain Addiction Technology Transfer Center (ATTC) Regional Center, and Paul Warren, research project director at the New York State Psychiatric Institute, Division of Substance Use Disorders, in association with Columbia University and Project Manager for the Northeast and Caribbean ATTC. Audience: Executive leadership and facility directors. 5 HOW DO WE MANAGE OUR TELEHEALTH PRACTICE? Toolkits Organizational Assessment Toolkit for Primary and Behavioral Health Care Integration Designed by a team of integration experts and offered by the National Council for Mental Wellbeing, the Organizational Assessment Toolkit for primary and behavioral health care Integration (OATI) provides a compendium of tools that lay out a path for organizations to assess readiness for integration, as well as benchmarking opportunities for those organizations well down the line in integration efforts. Audience: Facility directors and providers looking to integrate primary care and behavioral health. Telehealth Playbook Federally Qualified Health Centers Telehealth Consortium provides a Telehealth Playbook as a how-to guide to support the adoption and sustainability of telehealth at health centers. Templates Job Description RN Coordinator - Telehealth Sample Sample from UW Health. (University of Wisconsin) Audience: Clinic administrators and directors. Job Description: Telehealth Program Coordinator Sample Sample from the FQHC Telehealth Consortium. Audience: Clinic administrators a nd directors. Job Description: The Telemedicine Navigator (TMN) Sample Sample from the FQHC Telehealth Consortium. Audience: clinic administrators and directors. Job Descriptions Multiple Telemedicine Positions Includes several sample telemedicine job descriptions from the California Telehealth Resource Center. Audience: clinic administrators, directors and executive leadership. Appointment Types & Duration Guide From the FQHC Telehealth Consortium. Audience: Clinic administrators. Best Practice Guidelines Billing for Telehealth Encounters: An Introductory Guide on Fee-for-Service Prepared by the Center for Connected Health Policy and The National Telehealth Policy Resource Center to provide guidance on billing for telehealth and virtual healthcare and fee-for-service (FFS) Medicare and Medicaid programs. Audience: Facility directors and providers. General Resources 2021 Medicare Coverage and Payment for Audio Only Services (Telephone E/M) The Association of American Medical Colleges provides an overview of current Medicare coverage for audio-only services. Audience: Facility directors and providers. Billing and Coding Medicare Fee-for-Service Claims During the COVID-19 Pandemic More Medicare fee-for-service (FFS) services are billable as telehealth during the COVID-19 public health emergency. Read the latest guida nce on billing and coding FFS telehealth claims. Audience: Facility directors and providers. Coding Scenario: Coding for Telehealth Visits Guide for how to bill for a variety of telehealth visits from the American Academy of Family Physicians. Audience: Facility directors and providers. C overage and Payment for Telemedicine The American Medical Association offers an overview of health plan coverage and payment for telemedicine services. Audience: Facility directors and providers. Interstate Medical Licensure Compact American Medical Association explains pathway to expedite licensing of physicians already licensed in another state. Audience: Facility directors. NCTRC Webinar - Digital Marketing: Best Practices for Direct-to-Consumer Telehealth July 2020, 0:59:09 This South Central Telehealth Resource Center presentation lays the foundation for building a digital strategy for telemedicine practice. Participants will learn how to identify opportunities to reduce friction based on consumer journey, discuss highest value marketing channels based on consumer data, define audience segments, and outline conversion goals. Audience: Executive leadership and facility directors. NCTRC Webinar - Leveraging Telehealth to Address Social Determinants November 2020, 1:00:08 The National Consortium of Telehealth Resources presents on how the healthcare industry's shift from fee-for-service (FFS) to value-based care, planning, implementing, and enhancing telehealth as a service delivery model, makes it crucial to ensure practices are on the leading edge - not the bleeding edge - of reimbursement strategies. Audience: Executive leadership and facility directors. Overview of Telehealth Billing and Reimbursement Policies August 2020, 1:03:35 The Center for Connected Health Policy, via Project ECHO, presented this installment during a 10-week series offered by the National COVID Response peer-to-peer learning. Audience: Executive leadership and facility directors. Policy Telehealth Coding and Payment Quick Guide The American Medical Association’s Advocacy team summarizes the latest updates in Federal policy , including key policy and payment considerations. Audience: Executive leadership and facility directors. Service Provider Directory Telemedicine and Telehealth The directory lists companies providing medical specialty services (e.g., radiology, rheumatology, neurology, psychiatry) and ancillary services (e.g., patient education and language interpretation) through telemedicine to healthcare providers (e.g., hospitals, clinics, nursing homes, private practices, urgent care centers). Audience: Hospital and healthcare administrators and other decision-makers who want to expand or improve their healthcare services to their patients, employees, clients, etc. by connecting them with specialty care. Telehealth and Health Equity: Considerations for Addressing Health Disparities During the COVID-19 Pandemic September 2020, 1:04:50 Centers for Disease Control and Prevention presenters discuss the intersection of telehealth and health equity, and the implications for health services during the COVID-19 pandemic. Presenters will identify long-standing systemic health and social inequities that contribute to COVID-19 health disparities while highlighting the opportunities and limitations of telehealth implementation as an actionable solution. Audience: Executive leadership, facility directors and providers. Telemedicine Policy Guidelines for creating a telemedicine policy from the American Medical Association. Audience: Facility directors. Telemedicine Quick Reference Guide Created by BlueCross/BlueShield of New Mexico to help providers with questions on telemedicine services and billing. Please note: this does not include federal or state exceptions for the Public Health Emergency for COVID. Audience: Directors and providers offering telemedicine in New Mexico. Workflows and Documentation August 2020, 1:02:00 The California Telehealth Resource Center, along with Dartmouth-Hitchcock Medical Center and Mary’s Center, offer a Project ECHO video presentation showing basics of facilitating workflow conversations, creating workflow maps, and how to pull together and lead successful teams. Audience: Executive leadership, facility directors and providers. Podcasts Top Five Clinical Best Practices for Telehealth April 2020, 0:10:08 Mary Ellen Evers, LCSW, CAADC, a registered telebehavioral health clinician for mental health and addiction services and a telebehav ioral health trainer for the Center for the Application of Substance Abuse Technologies, shares her top five clinical best practices for providing services via telehealth platforms. Audience: Providers. Top Five Tips for Group Services via Telehealth April 2020, 0:09:03 Sandes Boulanger, LCSW, MCAP, the Vice President of Clinical Services for Operation Par, Inc., located in Florida, shares her top five tips for running group sessions and support via telehealth during COVID-19. Audience: Providers. Top Five Tips for Telehealth Implementation April 2020, 0:09:22 Kathy Wibberly, the Director of the Mid-Atlantic Telehealth Resource Center located at the University of Virginia Karen S. Rheuban Center for Telehealth, gives her top five tips for successful implementation of telehealth services. Audience: Executive leadership, facility directors and providers. Top Seven Telehealth Privacy Considerations April 2020, 0:09:41 The Center for Excellence for Protected Health Information presents key points around privacy, HIPAA, and confidentiality when providing telehealth behavioral health and addiction services, with Jacqueline Seitz, JD; CoE-PHI, Christine Khaikin, JD; CoE-PHI, and Michael Graziano. Audience: Executive leadership, facility directors and providers serving behavioral health patients. Top Seven Tips for Telehealth Billing April 2020, 0:18:34 A review of best practices for billing for telehealth services to ensure reimbursement during COVID-19, presented by Kathy Wibberly, PhD, the director of the Mid-Atlantic Telehealth Resource Center located at the University of Virginia. Audience: Facility directors and providers. 6 HOW DO WE REDUCE PROVIDER BURNOUT? Toolkit Physician Suicide and Support The American Medical Association discusses how to identify at-risk physicians and facilitate access to appropriate care. Audience: Executive leadership and facility directors. Provider Self-Care Toolkit The National Center for Post Traumatic Stress Disorder discusses how managers can support employees struggling with burnout and stress. Audience: Executive leadership and facility directors. Tips for Supporting Employee Mental Health The National Council for Mental Wellbeing offers a toolkit on Stress, Anxiety, Depression: "What it Looks Like at Work and How to Provide Support." Audience: Executive leadership and facility directors. General Resources Burnout in Healthcare Workers: Prevalence, Impact, and Preventative Strategies Article from the National Center for Biotechnology Information, U.S. National Library of Medicine . Audience: Providers and executive leadership. Equipping Physicians to Manage Burnout Resources from the American Medical Association, including a tip of the week, free learning modules, and podcasts. Audience: healthcare leaders and providers. Gratitude Practice for Nurses The Gratitude Practice for Nurses initiative is a joint effort of the American Nurses Foundation and the Greater Good Science Center at the University of California, Berkeley, aimed at cultivating the practice of gratitude within the nursing profession. Decades of research have shown that practicing gratitude is highly effective in promoting physical and psychological health, both at the individual and organizational levels. Audience: Nurses and healthcare leaders. Mental Health Support for Healthcare Providers Support from the National Alliance on Mental Health includes confidential and professional support, peer support, resources on building resiliency, and more. Audience: All medical and behavioral treatment staff and providers. Provider Burnout: Prioritizing Self-Care to Strengthen Patient Care Ideas for self-care from the American Academy of Physician Assistants. Audience: All medical and behavioral treatment staff and providers. 7 HOW DO WE USE/EXPAND TELEHEALTH IN SCHOOLS AND YOUTH PROGRAMS? Toolkit National Telehealth Toolkit for Educators/Faculty Created in 2019, a group of over 45 nursing faculty from 19 U.S. States, Canada, and 28 universities met to develop a telehealth toolkit with the goal of providing faculty with content needed to integrate telehealth across the curriculum for health professions programs. Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children’s Health and Well-Being School-Based Checklist and Resources Compiled by the Clearinghouse for Military Family Readiness at Pennsylvania State University, this document provides a variety of checklists as well as links to additional resources. Audience: Directors of school and youth programs using telehealth. Best Practice Guidelines Evaluation Considerations for Delivering Virtual School-B ased OT Services via Telehealth Checklist, resources, and recommendations provided by the American Occupational Therapy Association. Audience: Directors of school and youth programs using telehealth. General Resources How to Start and Implement a School-Based Telehealth Program How to Build a School-Based Telemedicine Program in Your Community 0:52:21 The South Central Telehealth Resource Center, University of Arkansas for Medical Sciences, offers a video on building a school-based telemedicine program. Audience: Directors of school and youth programs looking to implement a telemedicine program. R eimbursement of School-Based Telehealth Services-Report The National Academy for State Health Policy report explores how states are increasing their Medicaid coverage of school-based telehealth services during COVID-19, determining which services can be effectively delivered through telehealth, and supporting equitable access to telehealth services for students. Audience: Directors of school and youth programs using telehealth. 8 WHAT ARE THE BEST WAYS TO USE TELEHEALTH FOR CLINICAL SPECIALTIES? Behavioral Health Best Practice Guide Introduction to telehealth for behavioral health care. Audience: Executive leadership and fac ility directors. Telehealth Delivery of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) The Medical University of South Carolina offers a 2-part webinar series: Part 1 (0:59:26) - Provides logistics for delivering trauma-informed, evidence-based mental health services via telehealth (e.g., necessary equipment, procedures, documentation, ethical considerations) Part 2 (1:41:09) - Provides specific tips and resources for delivering Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) via telehealth. Audience: Facility directors and providers. Dentistry ADA Guide to Understanding and Documenting Teledentistry Events The American Dental Association provides Q&A with scenarios providing insight and understanding of how care is delivered and reported wh en teledentistry is a facet of the process. Audience: Dental office directors and providers. Emergency Departments Best Practice Guide: Introduction to Telehealth Practices for Emergency Departments The Health Resources and Services Administration (HRSA) provides information on getting started, billing, tele-triage, tele-emergency care, virtual rounds, e-consults, and telehealt h for follow-up care. Audience: Executive leadership, ED directors, and providers. Hospice and Palliati ve Care Best Practices for Using Telehealth in Hospice and Palliative Care Article from the National Library of Medicine highlights the work of expert clinicians from multiple hospice and palliative care organizations to develop best practices for conducting telehealth visits in inpatient and community settings. Audience: Facility directors and providers. Maternal Health UMTRC Webinar: Ohio Telehealth Billing & Reimbursement Webinar for Maternal Health May 2020, 0:55:22 Ohio State University and the Ohio Department of Health provide a video on how maternal health providers in Ohio can integrate telehealth into their clinical practices, and a deep dive into telehealth reimbursement for maternal health, with an emphasis on Ohio Medicaid. Audience: Facility directors and providers. Pediatrics Pediatric Telemedicine in Ambulatory and Inpatient Settings D uring COVID-19 and Beyond May 2020, 1:0 4:51 The University of Minnesota Pediatrics Grand Rounds offers a video that describes: 1. Evolution of telemedicine practice before and since COVID in pediatric ambulatory and inpatient settings. 2. Three elements of best practice for effective telemedicine visits. 3. Advantages and disadvantages of telemedicine in Pediatrics. 4. Applications for telemedicine after the COVID-19 pandemic in your practice. Audience: Facility directors and providers. Remote Monitoring Remote Patient Monitoring Toolkit The Mid-Atlantic Telehealth Reso urce Center designed a toolkit to help many different audiences quickly understand remote patient monitoring and define the responsibilities of each role. Audience: Facility directors and providers. Substance Use Disorders Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders From the Center for Mental Health Services (CMHS) and Substance Abuse and Mental Health Services Administration (SAMHSA): “This guide reviews ways that telehealth modalities can be used to provide treatment for serious mental illness and substance use disorders among adults, distills the research into recommendations for practice, and provides examples of how these recommendations can be implemented.” Audience: Behavioral health providers and clinical supervisors. Tele-Treatment for Substance Use Disorders Treating substance use disorders via telehealth requires expertise and training in addiction care. Telehealth Health and Human Services provide special considerations to keep in mind for telehealth substance use treatment. Audience: Facility directors and providers. 9 WHAT IS THE FUTURE OF TELEHEALTH? Best Practice Guidelines Current State Laws and Policies for New Mexico Current state laws and policies related to telemedicine in New Mexico curated by the Center for Connected Health Policy. Audience: Ex ecutive leadership, facility directors and providers. Statute on Establishing a Patient-Physician Relationship Via Telehealth The American Medical Association offers a quick reference guide for providing care with medical ethics while maintaining the patient’s well-being via telemedicine. Audience: Executive leadership, facility directors and providers. General Resources A New Decade for Telehealth: A Loo k at the Rapid Rise in Telehealth Adoption and What's Required to Support its Growth White paper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber te chnology solutions serving America’s largest businesses and communications service providers. Audience: Executive leadership. Covering the Cost of Telehealth White paper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers: “Healthcare leaders expect patient demand for digital services to continue rising — even after the COVID-19 public health crisis subsides. That in turn has healthcare organizations (HCOs) strategizing on how to cover the costs of the telehealth investments they’ll need to meet rising demands in the months and years ahead.” Audience: Executive leadership. How Telehealth Can Support People Living in the Community The American Telehealth Association provides background education on telehealth, increases awareness of the benefits of telehealth that support community living, and raises policy considerations for States, health plans, and providers. Medicare and Medicaid COVID-19 Program Flexibilities and Considerations for Their Continuation Statements of Jessica Farb, Director of Health Care, and Carolyn L. Yocom, Director of Health Care, were incorporated in the Testimony Before the Committee on Finance, U.S. Senate, in response to the COVID-19 pandemic to discuss flexibilities related to Medicare and Medicaid made available during the public health emergency. Testimony highlights the various flexibilities and waivers implemented during the COVID-19 pandemic and provides preliminary information on how these flexibilities have likely benefited providers and beneficiaries. Audience: Executive leadership, facility directors and providers. Pending Telehealth Legislation and Regulation in New Mexico and the United States A quick reference guide presented by the Center for Connected Health Policy. Audience: Healthcare leadership and all providers. Return on Health: Moving Beyond Dollars and Cents in Realizing the Value of Virtual Care This report, jointly developed by the American Medical Association and Manatt Health Strategies, expands on existing research by articulating a more robust framework for measuring the value of digitally enabled care that accounts for the various ways in which virtual care programs may increase the overall “return on health” by generating positive impact for patients, clinicians, payers and society going forward. Audience: Executive leadership, facility directors and providers. Telehealth Needs & Opportunities: Emerging Findings from Non-Profit Behavioral Health Providers in Northern New Mexico Special Report from the New Mexico Telehealth Alliance and Anchorum St. Vincent, a community health impact organization, resulting from a needs assessment in early 2021. Audience: Executive leadership, facility directors and providers. 10 WHAT IS THE LATEST DATA ON TELEHEALTH USE OR HOW DO WE COLLECT DATA ON TELEHEALTH USE? Te mplates Telehealth Patient Experience Survey Sample survey from the FQHC Telehealth Consortium. Audie nce: Providers and administrators. General Resources Configuring Telehealth Visits Using RPMS and EHR Presentation by the Indian Health Service from Sept. 2020 regarding standardization for national tracking and reporting. Audience: Facility directors and provid ers serving native and Indigenous populations. Measures of S uccess: 5 Key Metrics for Evaluating Telehealth Services White paper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers. Audience: Executive leadership. Measuring Patient Experience and Satisfaction with Telemedicine: A Quick Guide to Survey Selection The California Health Care Foundation provides a guide to support and inform quality improvement efforts at health centers. Audience: Executive leadership and facility directors. Supporting Today’s Data-Intensive Clinical Environments Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers, offers tep-by-step guidance for planning a network infrastructure that advances digital health initiatives and improves efficiency and patient outcomes. Audience: Executive leadership. Telemedicine and Non-Telemedicine Visit Experience Interview Guides The University of Rochester provides an interview guide designed to be conducted with patients, physicians, nurses, and office staff in an ambulatory setting and includes questions to assess users' satisfaction and perceptions of telehealth. Audience: Executive leadership, facility directors and providers. 11 WHAT TELEHEALTH PLATFORMS ARE BEST AND OTHER TECHNOLOGY QUESTIONS? Toolkits Remote Patient Monitoring Platforms: Vendor Overview Snapshot of various platforms from the FQHC Teleheal th Consortium. Telehealth Platforms: Vendor Overview Snapshot of various platforms from the FQHC Telehealth Consortium. Vendor Selection Toolkit From the Mid-Atlantic Telehealth Resource Center, this provides some quick info on selecting your telehealth vendor. Audience: Directors and executive leadership. General Resources AMA Telehealth Implementation Playbook Includes a vendor evaluation checklist on pages 32-38. Audience: Directors and executive leadership. Comparing 11 Top Telehealth Platforms: Company Execs Tout Quality, Safety, EHR Integrations Article from HealthcareIT News. Audience: Executive leadership and facility directors. Growing Digital Health Innovation Means It’s Time for a Bandwidth Checkup Whitepaper from Spectrum Enterprise, a part of Charter Communications, Inc., a national provider of scalable, fiber technology solutions serving America’s largest businesses and communications service providers. Audience: Directors and executive leadership. Telehealth Technology Trends October 2020, 0:59:41 National Consortium of Telehealth Resources: The Telehealth Technology Assessment Resource Center (TTAC) has seen a significant shift in choosing telehealth technology for providing patient care, specifically in choosing video conferencing platforms and providing care to the patient in the home, both from the provider and the consumer perspective. TTAC gives a short overview of changing trends observed now and for the future. Audience: Executive leadership and facility directors. The Top 30 Tools for Improving Your Telehealth Implementation Telehealth tools, hardware, software, monitoring and on-demand portals from Cambridge Brain Sciences. Audience: Executive leadership and facility directors.

Contact SBRL Community Contacts Get answers to your Federal and State broadband questions: New Mexico broadband contacts Federal broadband contacts Contacts for New Mexico broadband questions: Rand Tilton, NM Department of Informatio n Technology (NM DoIT)/Broadband Rand.Tilton@state.nm.us Gar Clarke, NM DoIT Geospatial Program Manager Presented October 2021 webinar: "NM Broadband and What’s Next." Recording: HERE Sli des: HERE NM Broadband Program (NMBBP ): Online Interactive Broadband Map Statewide Broadband Strategic Plan (June 2020) NM Speed Tester New Mexico Contacts for Federal broadband questions: U.S. Senator Ben Ray Lujan: Sen. Lujan wants to know about telehealth or broadband barriers and successes you have experienced. Telehealth barriers and successes: M e lanie_Goodman@lujan.senate.gov Health polic y matters: Calli_Shapiro@lujan.senate.gov Broadband and telecommunications matters: Jeffrey_Lopez@lujan.senate.gov. Senator Ben Ray Lujan's recording about New Mexico telehealth: HERE Federal

Top of Page Video Access Highlighted Webinars Clincal Innovation Business Funding NMTHA Town Hall Experts in TH Webinars, Interviews, & Videos Video Access Featured Webinar & Video Series Highlighted Videos NMTHA provi des videos by topic: Clinical Innovation Business Funding Town Hall Meeting Expert Interviews Webinars FEATURED WEBINAR NMTHA Town Hall Event: The Future of Telehealth As our world changed due to the COVID-19 pandemic, so did the world of telehealth. But, what happens next? Featuring nationally recognized speaker and telehealth pioneer Dr. Weinstein, plus Russel Toal from New Mexico's OSI. View Webinar FEATURED SERIES Experts in Telehealth: An Interview Series NMTHA brings "Experts in Telehealth" a video series interviewing experts from various areas within the Telehealth arena. View Series Featured The Modern-Day House Call. Duke City’s Medic Buddy: House Call/Telemed Hybrid August 24, 2022 Mark Maydew, CFO/COO and Kelly Spring, PA-C from Duke City Cares walk us through their Medic Buddy Mobile Medical Care service. Duke City Cares is not only making house calls but connecting patients when needed to physicians via telemedicine via this mobile service. Performing a Physical via Telemedicine April 15, 2022 Dr. Tarun Girotra, Clinical Educator and Assistant Professor of Neurology at the University of New Mexico. Dr. Girotra presents various levels of physical exam documentation over telemedicine and demonstrates how to perform the best possible physical exam during a telehealth visit. CLINICAL Leveraging Telehealth for Behavioral Health in Challenging Times December 14, 2022 Molly Brack, Clinical Director at the Agora Crisis Center and Wendy Linebrink-Allison, Program Manager of the NM Crisis Line and Elizabeth Glantz, 988 Project Manager with NM Behavioral Health Services Division. Presentation on how crisis line services can assist in closing gaps and build bridges for people who experience mental, emotional, and behavioral health and substance use concerns which do not replace community services, but fill in the gaps and create connections to support people in communities. Performing a Physical via Telemedicine April 15, 2022 Dr. Tarun Girotra, Clinical Educator and Assistant Professor of Neurology at the University of New Mexico. Dr. Girotra presents on the various levels of physical exam documentation over telemedicine and demonstrates how to perform the best possible physical exam during a telehealth visit. Addressing Provider Burnout December 01, 2021 Rick Vinnay, LCSW, CEAP - The Solutions Group EAP and Wellness Programs, and Pierce Ferriegel, CEO - The Community Lighthouse. Rick Vinnay and Pierce Ferriegel each have a different vantage point and discuss what their organization experienced and how they managed burnout. Telemedicine Clinical Specialties October 27, 2021 Dr. Randy Nederhoff, Neonatology, Dr. Rina Patel-Trujillo, Endocrinology, and Dr. David Phelps, Medical Director, PHS Urgent Care Clinics. For this webinar we bring you three medical specialists and their experience using telemedicine. They cover conducting a physical exam via telemed, using telemed for endocrinology, primary care, specialty care, surgical specialties and neonatal care. Telemedicine Clinical Specialties: Behavioral Health October 20, 2021 Lora Blazina, LPCC, Clinical Supervisor at The Mountain Center, Santa Fe’, Dr. Caroline Bonham, Vice Chair of Community Behavioral Health Policy, Department of Psychiatry and Behavioral Sciences, and Dr. Marita Campos-Melady, Clinical Psychologist and Director of Specialty Behavioral Health Therapy services at Presbyterian Medical Group. In this webinar we have three speakers as we explore tele behavioral health - the challenges, the successes and the innovations when using telehealth for serious mental illnesses, complex trauma, use in BH and medical settings and for adults as well as children. Expanding Your Telemedicine Services September 29, 2021 Dr. Elizabeth Krupinski, Phd, Southwest Telehealth Resource Center, and Dr. Van Roper, University of New Mexico. Whether you have been using telemedicine for 1 year or 10, Drs. Krupinski and Roper have some ideas for making the most of your telemedicine services, which can contribute to further sustaining your practice. Telehealth and COVID: Lessons Learned February 17, 2021 Van Roper, PhD, FNP-C, Associate Clinical Professor. This presentation covers telehealth basics, primary care specific applications, and lessons learned in the implementation of telehealth in small rural clinics during the COVID-19 pandemic. Care Integration in the Time of Covid: Focus on Patient Experience January 13, 2021 Elizabeth Krupinski, PhD, Southwest Telehealth Resource Center. This presentation focuses on ensuring patients have a positive experience during telemedicine encounters, starting from the first encounter at scheduling through the actual visit with the provider. Topics include incorporating the entire care team in telemedicine encounters and finding relevant quality indicators to measure success. INNOVATION The Ups and Downs of Digital Innovation in Healthcare November 16, 2022 Alex Carter, certified Physician Assistant, Presbyterian Healthcare Services’ Innovation Hub. A sought after speaker on this topic, Alex's presentation includes TytoCare as a case by which to discuss a system-wide Telehealth implementation, and get real with the many challenges they have. She weaves in other projects and tools as well. Rethinking How We Connect Hospitals, Specialists and Patients September 21, 2022 Darcy Litzen, MS, BSN, RN, VP of Sales for AmplifyMD. Physician video visits became necessary during the pandemic and are now widely accepted. But what if we take them a step further and use virtual care to provide a holistic solution to the ever-present cost-of-care and network adequacy pressures on health systems and insurers, while also addressing physician burnout and the complexities of providing timely specialty care locally? All with built-in continuous improvement? The Modern-Day House Call. Duke City’s Medic Buddy: House Call/Telemed Hybrid August 24, 2022 Mark Maydew, CFO/COO and Kelly Spring, PA-C from Duke City Cares walk us through their Medic Buddy Mobile Medical Care service. Duke City Cares is not only making house calls but connecting patients when needed to physicians via telemedicine via this mobile service. Growing Peer Support in the Virtual World. How Presbyterian Healthcare Service’s Community Health Built a Virtual Peer Network March 17, 2022 Valerie V. Quintana, MA, PTP, and Donald M. Hume, CPSW with Presbyterian Health Services, Community Health. Presbyterian Healthcare Service's Community Health department stood up a virtual peer network. In this presentation, Valerie Quintana and Donald Hume describe what they built and bring us their experience - the challenges, the successes, and what they learned in creating this new network. BUSINESS OF TELEHEALTH Telehealth Needs & Opportunities: Emerging Findings from BH Providers December 08, 2021 Margy Wienbar, MS, and Renee G. Sussman, RN, MA, MSN. This presentation briefly reviews the findings of the report “Telehealth Needs & Opportunities: F indings from Nonprofit Behavioral Health Providers in Northern New Mexico” that was published by the New Mexico Telehealth Alliance and Anchorum St. Vincent in July of 2021. Participants will hear from three of the organizations that were interviewed and contributed to the report’s findings. Telemedicine Billing & Coding: What You Need to Know September 08, 2021 Steve DeSaulniers from Blue Cross Blue Shield of New Mexico, Jennifer Sandoval from Molina Healthcare, Julie Wohrlin from Western Sky Community Care, Dr. Denise Gonzales from Presbyterian Healthcare, Lorelei Kellogg, NM HSD, and Moderator: Stetson Berg, UNM Center for Telehealth This full panel of speakers present and answer questions from attendees. Delta Variant is on the Rise: Is Your Telemedicine Practice HIPAA Compliant? September 01, 2021 Michael Herrick, Founder & CEO Matterform. With the rise of the Delta Variant, you may be thinking that we will be relying on telehealth more this fall. Are you compliant? Do you have concerns about your platform? Have you been relying on tools that won't be compliant once the Public Emergency Health order ends? Collective Learning of the Telehealth Learning Community March 31, 2021 Kate Gibbons, LCSW, LISW, Ph.D., of Janus LLC. A summation and update on the learning and data collected during the first cohort of the Telehealth Learning Community (TLC) for behavioral health providers. Show Me the Data: How COVID-19 Impacted Telehealth Claims & What Happens Next March 17, 2021 Stefany Goradia, MSIE-VP Health Analytics, RS21 Health Lab. COVID-19 caused a spike in telehealth as new payment models were approved and the healthcare industry pivoted rapidly to continue providing care via telehealth at the March onset. Since that time, organizations have witnessed declines in overall telehealth utilization, with some services slowly dwindling and others converting entirely back to in-person visits. In this case study, we will review an anonymized payer’s telehealth claim trends, services and conditions that were identified to be the most widely-adopted for telehealth between March and December 2020, and considerations for an ongoing telehealth strategy going into 2021. New Mexico’s Telehealth Stature Simplified: What You Need To Know March 10, 2021 Beth Landon, MBA, MHA-NMTHA Chair, and Stetson Berg, MHA-NMTHA Vice Chair. New Mexico enjoys one of the nation’s most progressive telehealth laws. Full payment parity and zero geographic restrictions comprise just part of the law; we also suffer zero limitations on eligible providers and no lifetime limits. This presentation and ensuing discussion intends to demystify the law, answer your questions, and gain your ideas on how to further improve the statute in subsequent legislative sessions. Developing Telehealth Workflow for Best Possible Patient and Provider Experience February 10, 2021 Jen Gruger, PMI-PBA. Delivering a successful telehealth visit is as much about the step-by-step workflow and how each individual involved executes their portion, as it is about the technology used and the clinical outcome we desire. This session will cover three essential components of building (or repairing) an effective and efficient workflow for this type of visit regardless of the telehealth platform being used. Using Remote Monitoring Technology to Improve Patient Outcomes & Retain Staff January 20, 2021 Arlene Maxim, RN. This presentation focuses on technology to augment home health care, an extremely valuable tool when clinicians use it effectively. Agency owners and managers are beginning to see the critical role that telehealth and remote care monitoring can play in keeping patients at home and improving patient satisfaction. Telehealth and remote care monitoring can also improve clinician satisfaction. During this session we discuss what to look for in a telehealth/remote care monitoring provider and how to market technology’s ability to improve patient outcomes and staff satisfaction. FUNDING FCC Rural Health Care Program Funding Opportunities March 24, 2021 Steve Constantine, SVP/CIO, Prairie Health Ventures & COO, and Marci L. White, FCC Rural Health Care Program Funding Specialist. The FCC Rural Health Care Programs provide funding opportunities for eligible healthcare providers across the U.S. to develop and grow their telemedicine programs. The two programs fund telecommunications and broadband services necessary for the provision of health care. In addition, the Healthcare Connect Fund allows opportunities for some urban participation as well as funding for data centers, administrative offices and certain network equipment. NMTHA TOWN HALL Town Hall: The Future of Telehealth September 22, 2021 Dr. Ronald S. Weinstein, na tional telemedicine pioneer, and Russell Toal, New Mexico Superintendent of Ins urance and local community. This special 90-minute town hall explores the possibilities of where we go from here. The town hall features speakers from local and state leadership, healthcare and YOU. INTERVIEWS: TELEH EA LTH EXPERTS Elizabeth Krupinksi , PhD, Southwest Telehealth Resource Center Jen Gruger , PMI-PBA, EHR Sup port Dept., Gerald Champion Regional Medical Center Geof Empey , Progra m Operations Director, University of New Mexico Center for Telehealth Kelly Schlegel , Director of the New Mexico Office of Broadband Access and Expansion Clincal Innovation Business Funding NMTHA Town Hall Highlighted Videos Experts in TH Highlighted NMTHA Webinar Series 10-week Educational Series From our 2021 10-week educational series, webinars focused on data, broadband in New Mexico, client engagement, and more! These webinars were hosted by the New Mexico Telehealth Alliance and made possible through funding by Health Resources and Services Administration Office for the Advancement of Telehealth and the Southwest Telehealth Resource Center. View Webinar Fall 2021 Webinar Series Topics include the future of telehealth, billing, using telehealth for clinical specialties, and more. View Webinar Webinars

ATA: What's ahead for telehealth policy after the pandemic Andrea Fox September 23, 2022 Federal and state advocacy team members discussed the status of telehealth policy as the public health emergency deadline looms and the industry questions, 'Is the pandemic over?' The American Telehealth Association is working with Congress and several federal agencies to shape the fate of policies and payments for telehealth services that experienced a rapid uptake during the COVID-19 pandemic. WHY IT MATTERS Now that President Joe Biden has declared the COVID-19 pandemic over, the ATA's Telehealth Awareness Week policy update webinar explored how federal and state telehealth policies may be affected as Congress decides whether or not to end the public health emergency (PHE). Federal priorities for telehealth have evolved with the pandemic with restrictions lifted by a Congress deciding if the limiting of certain restrictions should be lifted permanently. The PHE must be reviewed every 90 days, so Congress will have to revisit the renewal by mid-October, according to policy experts presenting during Wednesday's online event. "As we know, [President] Biden has said in recent days that the pandemic is over, so it's possible that the technical public health emergency might expire sometime in the very near future," said Megan Herber, director at Faegre Drinker who advises ATA and ATA Action on all things Federal policy. Telehealth payments and provider practices are highly regulated on the Federal level, said Quinn Shean, strategic advisor at Tusk Ventures and the state policy advisor for ATA and ATA Action. But even if providers do not serve Medicare populations, "Medicare policy trickles down," added Herber. For example, before the pandemic, patients had to be in a rural area in a hospital or clinical setting to receive reimbursement for telehealth. "That is the current status quo right now – as long as the COVID-19 public health emergency is in place," Herber explained. But in about five months, "all of those waivers go away automatically unless Congress does something." Approaches to policy can be different in different contexts, noted moderator Alexis Gilroy, co-leader of the healthcare and life sciences practice at Jones Day. "Where do you come at it based on the particular lane it sits in?" In terms of state-level telehealth policy, there are multiple state priorities because states differ in their approaches to telehealth coverage requirements for public and private health plans, reimbursement for services provided via telehealth, and eligibility to deliver reimbursable services. States also differ in how they regulate synchronous and asynchronous telehealth and remote patient monitoring. They vary on which types of providers can deliver telehealth, what establishes a valid patient/provider relationship and if out-of-state practitioners can treat patients in the state remotely without a license, explained Shean. "We have a patchwork of 50 different state requirements here," she said. The ATA has been focused on developing a consistent regulatory framework so telehealth can be deployed across states and fully leveraged. "The ATA is committed to modality-neutral policies," instead of dictating which tools clinicians choose to use to deliver telehealth, she said. ATA is pushing for fair payment for telehealth and home health as well as licensure flexibility across state lines. "It's really aligning our state frameworks with the 21st Century care model," and the states are moving quickly, she said. There have been hundreds of pieces of legislation to update state telehealth policies. The organization is also working with the U.S. Drug Enforcement Agency and Congress to address the future of online prescribing of controlled substances. Many of the barriers to telehealth policy have been based on perceptions that telehealth is somehow substandard and that romanticizes in-patient care, but telehealth has often delivered care where there was no prior access to healthcare, said Shean. "We need to recognize the access gaps that telehealth can fill" and recognize the guardrails that are in place with telehealth as they are with other care settings, said Shean. As more retail providers like CVS, Amazon and others enter the space through mergers and acquisitions, they will also have an impact on the direction of telehealth policy, including how to protect the patient data these companies will have more access to. But with more stakeholders pushing for telehealth on the state level, "having a broader tent now helps show the different patient populations that can be served here and brings more focus," Shean pointed out. THE LARGER TREND Under the CARES Act, Congress granted the Centers for Medicare & Medicaid Services authority to waive certain restrictions for Medicare coverage of telehealth. The agency was able to remove geographic restrictions, expand care at home, increase the amount of Medicare-covered services via telehealth and more. Additional legislative proposals, including the Telehealth Benefit Expnasion for Workers Act, Telehealth Extension Act and others, suggest broadening access to telehealth. "Throughout the pandemic, telehealth has proven to be a vital tool for Americans to receive timely and quality care from their own home," said Tim Walberg, R-Mich, during the bill's introduction at the Capitol in March. "For rural communities in particular, telemedicine has helped remove barriers to care, expand access to specialists and improve health outcomes." ON THE RECORD "There is urgency [for Congress] to act – don't wait until four months and 20 days after the pandemic ends; we need some stability," said Herber. "We'd love to make it permanent, and a lot of these policies we have been asking for since before the pandemic, so it's not really new," she concluded. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org Healthcare IT News is a HIMSS publication. See original article: https://www.healthcareitnews.com/news/ata-whats-ahead-telehealth-policy-after-pandemic < Previous News Next News >

Federal Broadband Funding Negotiations Continue Center for Connected Health Policy June 2021 As the administration and Senate Democrats attempt to come to a bipartisan infrastructure deal over the next month, they have since presented a counter offer of $1.7 trillion, $65 billion of which would expand broadband funding. President Biden’s American Jobs Plan originally totaled $2.3 trillion, $100 billion of which was designated to broadband. As noted in recent CNBC articles, as the administration and Senate Democrats attempt to come to a bipartisan infrastructure deal over the next month, they have since presented a counter offer of $1.7 trillion, $65 billion of which would expand broadband funding. While Senate Republicans then put forward a $928 billion counteroffer, there appears to be agreement on both sides with the piece of the proposal designating $65 billion to broadband. Nevertheless, discussions on other issues remain far apart and it is possible to pass the bill without Republican support in the evenly split Senate, therefore Senate Majority Leader Chuck Schumer recently expressed his desire to continue the process with or without Republicans to get comprehensive jobs and infrastructure legislation done this summer. For more information read the American Jobs Plan in its entirety - https://www.whitehouse.gov/american-jobs-plan/. < Previous News Next News >

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