<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" lang="" xml:lang="">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Top 5 Ways Telehealth Will Change Under the New Federal Funding
Bill</title>
<meta name="robots" content=noindex, nofollow, noarchive />
<style
type='text/css' media='all'>.ctools-locked {
color: red;
border: 1px solid red;
padding: 1em;
}
.ctools-owns-lock {
background: #FFFFDD none repeat scroll 0 0;
border: 1px solid #F0C020;
padding: 1em;
}
a.ctools-ajaxing,
input.ctools-ajaxing,
button.ctools-ajaxing,
select.ctools-ajaxing {
padding-right: 18px !important;
background: url(../images/status-active.gif) right center no-repeat;
}
div.ctools-ajaxing {
float: left;
width: 18px;
background: url(../images/status-active.gif) center center no-repeat;
}
/**
* @file
* Generic theme-independent base styles.
*/
/**
* Autocomplete.
*
* @see autocomplete.js
*/
/* Suggestion list */
#autocomplete {
border: 1px solid;
overflow: hidden;
position: absolute;
z-index: 100;
}
#autocomplete ul {
list-style: none;
list-style-image: none;
margin: 0;
padding: 0;
}
#autocomplete li {
background: #fff;
color: #000;
cursor: default;
white-space: pre;
zoom: 1; /* IE7 */
}
/* Animated throbber */
html.js input.form-autocomplete {
background-image: url(../../misc/throbber-inactive.png);
background-position: 100% center; /* LTR */
background-repeat: no-repeat;
}
html.js input.throbbing {
background-image: url(../../misc/throbber-active.gif);
background-position: 100% center; /* LTR */
}
/**
* Collapsible fieldsets.
*
* @see collapse.js
*/
html.js fieldset.collapsed {
border-bottom-width: 0;
border-left-width: 0;
border-right-width: 0;
height: 1em;
}
html.js fieldset.collapsed .fieldset-wrapper {
display: none;
}
fieldset.collapsible {
position: relative;
}
fieldset.collapsible .fieldset-legend {
display: block;
}
/**
* Resizable textareas.
*
* @see textarea.js
*/
.form-textarea-wrapper textarea {
display: block;
margin: 0;
width: 100%;
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
.resizable-textarea .grippie {
background: #eee url(../../misc/grippie.png) no-repeat center 2px;
border: 1px solid #ddd;
border-top-width: 0;
cursor: s-resize;
height: 9px;
overflow: hidden;
}
/**
* TableDrag behavior.
*
* @see tabledrag.js
*/
body.drag {
cursor: move;
}
.draggable a.tabledrag-handle {
cursor: move;
float: left; /* LTR */
height: 1.7em;
margin-left: -1em; /* LTR */
overflow: hidden;
text-decoration: none;
}
a.tabledrag-handle:hover {
text-decoration: none;
}
a.tabledrag-handle .handle {
background: url(../../misc/draggable.png) no-repeat 6px 9px;
height: 13px;
margin: -0.4em 0.5em; /* LTR */
padding: 0.42em 0.5em; /* LTR */
width: 13px;
}
a.tabledrag-handle-hover .handle {
background-position: 6px -11px;
}
div.indentation {
float: left; /* LTR */
height: 1.7em;
margin: -0.4em 0.2em -0.4em -0.4em; /* LTR */
padding: 0.42em 0 0.42em 0.6em; /* LTR */
width: 20px;
}
div.tree-child {
background: url(../../misc/tree.png) no-repeat 11px center; /* LTR */
}
div.tree-child-last {
background: url(../../misc/tree-bottom.png) no-repeat 11px center; /* LTR
*/
}
div.tree-child-horizontal {
background: url(../../misc/tree.png) no-repeat -11px center;
}
.tabledrag-toggle-weight-wrapper {
text-align: right; /* LTR */
}
/**
* TableHeader behavior.
*
* @see tableheader.js
*/
table.sticky-header {
background-color: #fff;
margin-top: 0;
}
/**
* Progress behavior.
*
* @see progress.js
*/
/* Bar */
.progress .bar {
background-color: #fff;
border: 1px solid;
}
.progress .filled {
background-color: #000;
height: 1.5em;
width: 5px;
}
.progress .percentage {
float: right; /* LTR */
}
/* Throbber */
.ajax-progress {
display: inline-block;
}
.ajax-progress .throbber {
background: transparent url(../../misc/throbber-active.gif) no-repeat 0px
center;
float: left; /* LTR */
height: 15px;
margin: 2px;
width: 15px;
}
.ajax-progress .message {
padding-left: 20px;
}
tr .ajax-progress .throbber {
margin: 0 2px;
}
.ajax-progress-bar {
width: 16em;
}
/**
* Inline items.
*/
.container-inline div,
.container-inline label {
display: inline;
}
/* Fieldset contents always need to be rendered as block. */
.container-inline .fieldset-wrapper {
display: block;
}
/**
* Prevent text wrapping.
*/
.nowrap {
white-space: nowrap;
}
/**
* For anything you want to hide on page load when JS is enabled, so
* that you can use the JS to control visibility and avoid flicker.
*/
html.js .js-hide {
display: none;
}
/**
* Hide elements from all users.
*
* Used for elements which should not be immediately displayed to any user.
An
* example would be a collapsible fieldset that will be expanded with a
click
* from a user. The effect of this class can be toggled with the jQuery
show()
* and hide() functions.
*/
.element-hidden {
display: none;
}
/**
* Hide elements visually, but keep them available for screen-readers.
*
* Used for information required for screen-reader users to understand and
use
* the site where visual display is undesirable. Information provided in
this
* manner should be kept concise, to avoid unnecessary burden on the user.
* "!important" is used to prevent unintentional overrides.
*/
.element-invisible {
position: absolute !important;
clip: rect(1px 1px 1px 1px); /* IE6, IE7 */
clip: rect(1px, 1px, 1px, 1px);
overflow: hidden;
height: 1px;
}
/**
* The .element-focusable class extends the .element-invisible class to
allow
* the element to be focusable when navigated to via the keyboard.
*/
.element-invisible.element-focusable:active,
.element-invisible.element-focusable:focus {
position: static !important;
clip: auto;
overflow: visible;
height: auto;
}
/**
* Markup free clearing.
*
* @see http://perishablepress.com/press/2009/12/06/new-clearfix-hack
*/
.clearfix:after {
content: ".";
display: block;
height: 0;
clear: both;
visibility: hidden;
}
/* IE6 */
* html .clearfix {
height: 1%;
}
/* IE7 */
*:first-child + html .clearfix {
min-height: 1%;
}
/**
* @file
* Styles for menus and navigation markup.
*/
/**
* Markup generated by theme_menu_tree().
*/
ul.menu {
border: none;
list-style: none;
text-align: left; /* LTR */
}
ul.menu li {
margin: 0 0 0 0.5em; /* LTR */
}
ul li.expanded {
list-style-image: url(../../misc/menu-expanded.png);
list-style-type: circle;
}
ul li.collapsed {
list-style-image: url(../../misc/menu-collapsed.png); /* LTR */
list-style-type: disc;
}
ul li.leaf {
list-style-image: url(../../misc/menu-leaf.png);
list-style-type: square;
}
li.expanded,
li.collapsed,
li.leaf {
padding: 0.2em 0.5em 0 0; /* LTR */
margin: 0;
}
li a.active {
color: #000;
}
td.menu-disabled {
background: #ccc;
}
/**
* Markup generated by theme_links().
*/
ul.inline,
ul.links.inline {
display: inline;
padding-left: 0;
}
ul.inline li {
display: inline;
list-style-type: none;
padding: 0 0.5em;
}
/**
* Markup generated by theme_breadcrumb().
*/
.breadcrumb {
padding-bottom: 0.5em;
}
/**
* Markup generated by theme_menu_local_tasks().
*/
ul.primary {
border-bottom: 1px solid #bbb;
border-collapse: collapse;
height: auto;
line-height: normal;
list-style: none;
margin: 5px;
padding: 0 0 0 1em; /* LTR */
white-space: nowrap;
}
ul.primary li {
display: inline;
}
ul.primary li a {
background-color: #ddd;
border-color: #bbb;
border-style: solid solid none solid;
border-width: 1px;
height: auto;
margin-right: 0.5em; /* LTR */
padding: 0 1em;
text-decoration: none;
}
ul.primary li.active a {
background-color: #fff;
border: 1px solid #bbb;
border-bottom: 1px solid #fff;
}
ul.primary li a:hover {
background-color: #eee;
border-color: #ccc;
border-bottom-color: #eee;
}
ul.secondary {
border-bottom: 1px solid #bbb;
padding: 0.5em 1em;
margin: 5px;
}
ul.secondary li {
border-right: 1px solid #ccc; /* LTR */
display: inline;
padding: 0 1em;
}
ul.secondary a {
padding: 0;
text-decoration: none;
}
ul.secondary a.active {
border-bottom: 4px solid #999;
}
/**
* @file
* Styles for system messages.
*/
div.messages {
background-position: 8px 8px; /* LTR */
background-repeat: no-repeat;
border: 1px solid;
margin: 6px 0;
padding: 10px 10px 10px 50px; /* LTR */
}
div.status {
background-image: url(../../misc/message-24-ok.png);
border-color: #be7;
}
div.status,
.ok {
color: #234600;
}
div.status,
table tr.ok {
background-color: #f8fff0;
}
div.warning {
background-image: url(../../misc/message-24-warning.png);
border-color: #ed5;
}
div.warning,
.warning {
color: #840;
}
div.warning,
table tr.warning {
background-color: #fffce5;
}
div.error {
background-image: url(../../misc/message-24-error.png);
border-color: #ed541d;
}
div.error,
.error {
color: #8c2e0b;
}
div.error,
table tr.error {
background-color: #fef5f1;
}
div.error p.error {
color: #333;
}
div.messages ul {
margin: 0 0 0 1em; /* LTR */
padding: 0;
}
div.messages ul li {
list-style-image: none;
}
/**
* @file
* Basic styling for common markup.
*/
/**
* HTML elements.
*/
fieldset {
margin-bottom: 1em;
padding: 0.5em;
}
form {
margin: 0;
padding: 0;
}
hr {
border: 1px solid gray;
height: 1px;
}
img {
border: 0;
}
table {
border-collapse: collapse;
}
th {
border-bottom: 3px solid #ccc;
padding-right: 1em; /* LTR */
text-align: left; /* LTR */
}
tbody {
border-top: 1px solid #ccc;
}
tr.even,
tr.odd {
background-color: #eee;
border-bottom: 1px solid #ccc;
padding: 0.1em 0.6em;
}
/**
* Markup generated by theme_tablesort_indicator().
*/
th.active img {
display: inline;
}
td.active {
background-color: #ddd;
}
/**
* Markup generated by theme_item_list().
*/
.item-list .title {
font-weight: bold;
}
.item-list ul {
margin: 0 0 0.75em 0;
padding: 0;
}
.item-list ul li {
margin: 0 0 0.25em 1.5em; /* LTR */
padding: 0;
}
/**
* Markup generated by Form API.
*/
.form-item,
.form-actions {
margin-top: 1em;
margin-bottom: 1em;
}
tr.odd .form-item,
tr.even .form-item {
margin-top: 0;
margin-bottom: 0;
white-space: nowrap;
}
.form-item .description {
font-size: 0.85em;
}
label {
display: block;
font-weight: bold;
}
label.option {
display: inline;
font-weight: normal;
}
.form-checkboxes .form-item,
.form-radios .form-item {
margin-top: 0.4em;
margin-bottom: 0.4em;
}
.form-type-radio .description,
.form-type-checkbox .description {
margin-left: 2.4em;
}
input.form-checkbox,
input.form-radio {
vertical-align: middle;
}
.marker,
.form-required {
color: #f00;
}
.form-item input.error,
.form-item textarea.error,
.form-item select.error {
border: 2px solid red;
}
/**
* Inline items.
*/
.container-inline .form-actions,
.container-inline.form-actions {
margin-top: 0;
margin-bottom: 0;
}
/**
* Markup generated by theme_more_link().
*/
.more-link {
text-align: right; /* LTR */
}
/**
* Markup generated by theme_more_help_link().
*/
.more-help-link {
text-align: right; /* LTR */
}
.more-help-link a {
background: url(../../misc/help.png) 0 50% no-repeat; /* LTR */
padding: 1px 0 1px 20px; /* LTR */
}
/**
* Markup generated by theme_pager().
*/
.item-list .pager {
clear: both;
text-align: center;
}
.item-list .pager li {
background-image: none;
display: inline;
list-style-type: none;
padding: 0.5em;
}
.pager-current {
font-weight: bold;
}
/**
* Autocomplete.
*
* @see autocomplete.js
*/
/* Suggestion list */
#autocomplete li.selected {
background: #0072b9;
color: #fff;
}
/**
* Collapsible fieldsets.
*
* @see collapse.js
*/
html.js fieldset.collapsible .fieldset-legend {
background: url(../../misc/menu-expanded.png) 5px 65% no-repeat; /* LTR */
padding-left: 15px; /* LTR */
}
html.js fieldset.collapsed .fieldset-legend {
background-image: url(../../misc/menu-collapsed.png); /* LTR */
background-position: 5px 50%; /* LTR */
}
.fieldset-legend span.summary {
color: #999;
font-size: 0.9em;
margin-left: 0.5em;
}
/**
* TableDrag behavior.
*
* @see tabledrag.js
*/
tr.drag {
background-color: #fffff0;
}
tr.drag-previous {
background-color: #ffd;
}
.tabledrag-toggle-weight {
font-size: 0.9em;
}
body div.tabledrag-changed-warning {
margin-bottom: 0.5em;
}
/**
* TableSelect behavior.
*
* @see tableselect.js
*/
tr.selected td {
background: #ffc;
}
td.checkbox,
th.checkbox {
text-align: center;
}
/**
* Progress bar.
*
* @see progress.js
*/
.progress {
font-weight: bold;
}
.progress .bar {
background: #ccc;
border-color: #666;
margin: 0 0.2em;
-moz-border-radius: 3px;
-webkit-border-radius: 3px;
border-radius: 3px;
}
.progress .filled {
background: #0072b9 url(../../misc/progress.gif);
}
/**
* @file
* Main stylesheet for Date module.
*/
/* Force start/end dates to float using inline-block, where it works,
otherwise inline. */
.container-inline-date {
clear: both;
}
.container-inline-date .form-item {
float: none;
margin: 0;
padding: 0;
}
.container-inline-date > .form-item {
display: inline-block;
margin-right: 0.5em; /* LTR */
vertical-align: top;
}
fieldset.date-combo .container-inline-date > .form-item {
margin-bottom: 10px;
}
.container-inline-date .form-item .form-item {
float: left; /* LTR */
}
.container-inline-date .form-item,
.container-inline-date .form-item input {
width: auto;
}
.container-inline-date .description {
clear: both;
}
.container-inline-date .form-item input,
.container-inline-date .form-item select,
.container-inline-date .form-item option {
margin-right: 5px; /* LTR */
}
.container-inline-date .date-spacer {
margin-left: -5px; /* LTR */
}
.views-right-60 .container-inline-date div {
margin: 0;
padding: 0;
}
.container-inline-date .date-timezone .form-item {
clear: both;
float: none;
width: auto;
}
/* The exposed Views form doesn't need some of these styles */
.container-inline-date .date-padding {
float: left;
}
fieldset.date-combo .container-inline-date .date-padding {
padding: 10px;
}
.views-exposed-form .container-inline-date .date-padding {
padding: 0;
}
/* Fixes for date popup css so it will behave in Drupal */
#calendar_div,
#calendar_div td,
#calendar_div th {
margin: 0;
padding: 0;
}
#calendar_div,
.calendar_control,
.calendar_links,
.calendar_header,
.calendar {
border-collapse: separate;
margin: 0;
width: 185px;
}
.calendar td {
padding: 0;
}
/* formatting for start/end dates in nodes and views */
span.date-display-single {
}
span.date-display-start {
}
span.date-display-end {
}
.date-prefix-inline {
display: inline-block;
}
.date-clear {
clear: both;
display: block;
float: none;
}
.date-no-float {
clear: both;
float: none;
width: 98%;
}
.date-float {
clear: none;
float: left;
width: auto;
}
/* Add space between date option checkboxes ('All day' & 'Collect End Date')
*/
.date-float .form-type-checkbox{
padding-right: 1em;
}
/* Add space between the date and time portions of the date_select widget. */
.form-type-date-select .form-type-select[class*=hour] {
margin-left: .75em; /* LTR */
}
.date-container .date-format-delete {
float: left;
margin-top: 1.8em;
margin-left: 1.5em;
}
.date-container .date-format-name {
float: left;
}
.date-container .date-format-type {
float: left;
padding-left: 10px;
}
.date-container .select-container {
clear: left;
float: left;
}
/* Calendar day css */
div.date-calendar-day {
background: #F3F3F3;
border-top: 1px solid #EEE;
border-left: 1px solid #EEE;
border-right: 1px solid #BBB;
border-bottom: 1px solid #BBB;
color: #999;
float: left;
line-height: 1;
margin: 6px 10px 0 0;
text-align: center;
width: 40px;
}
div.date-calendar-day span {
display: block;
text-align: center;
}
div.date-calendar-day span.month {
background-color: #B5BEBE;
color: white;
font-size: .9em;
padding: 2px;
text-transform: uppercase;
}
div.date-calendar-day span.day {
font-size: 2em;
font-weight: bold;
}
div.date-calendar-day span.year {
font-size: .9em;
padding: 2px;
}
.date-form-element-content-multiline {
padding: 10px;
border: 1px solid #CCC;
}
/* Admin styling */
.form-item.form-item-instance-widget-settings-input-format-custom,
.form-item.form-item-field-settings-enddate-required {
margin-left: 1.3em;
}
#edit-field-settings-granularity .form-type-checkbox {
margin-right: .6em; /* LTR */
}
.date-year-range-select {
margin-right: 1em;
}
#ui-datepicker-div {
font-size: 100%;
font-family: Verdana, sans-serif;
background: #eee;
border-right:2px #666 solid;
border-bottom:2px #666 solid;
z-index: 9999;
}
/* Datepicker
----------------------------------*/
.ui-datepicker { width: 17em; padding: .2em .2em 0; }
.ui-datepicker .ui-datepicker-header { position:relative; padding:.2em 0; }
.ui-datepicker .ui-datepicker-prev, .ui-datepicker .ui-datepicker-next {
position:absolute; top: 2px; width: 1.8em; height: 1.8em; }
.ui-datepicker .ui-datepicker-prev-hover, .ui-datepicker
.ui-datepicker-next-hover { top: 1px; }
.ui-datepicker .ui-datepicker-prev { left:2px; }
.ui-datepicker .ui-datepicker-next { right:2px; }
.ui-datepicker .ui-datepicker-prev-hover { left:1px; }
.ui-datepicker .ui-datepicker-next-hover { right:1px; }
.ui-datepicker .ui-datepicker-prev span, .ui-datepicker .ui-datepicker-next
span { display: block; position: absolute; left: 50%; margin-left: -8px; top:
50%; margin-top: -8px; }
.ui-datepicker .ui-datepicker-title { margin: 0 2.3em; line-height: 1.8em;
text-align: center; }
.ui-datepicker .ui-datepicker-title select { float:left; font-size:1em;
margin:1px 0; }
.ui-datepicker select.ui-datepicker-month-year {width: 100%;}
.ui-datepicker select.ui-datepicker-month,
.ui-datepicker select.ui-datepicker-year { width: 49%;}
.ui-datepicker .ui-datepicker-title select.ui-datepicker-year { float: right;
}
.ui-datepicker table {width: 100%; font-size: .9em; border-collapse:
collapse; margin:0 0 .4em; }
.ui-datepicker th { padding: .7em .3em; text-align: center; font-weight:
bold; border: 0; }
.ui-datepicker td { border: 0; padding: 1px; }
.ui-datepicker td span, .ui-datepicker td a { display: block; padding: .2em;
text-align: right; text-decoration: none; }
.ui-datepicker .ui-datepicker-buttonpane { background-image: none; margin:
.7em 0 0 0; padding:0 .2em; border-left: 0; border-right: 0; border-bottom:
0; }
.ui-datepicker .ui-datepicker-buttonpane button { float: right; margin: .5em
.2em .4em; cursor: pointer; padding: .2em .6em .3em .6em; width:auto;
overflow:visible; }
.ui-datepicker .ui-datepicker-buttonpane button.ui-datepicker-current {
float:left; }
/* with multiple calendars */
.ui-datepicker.ui-datepicker-multi { width:auto; }
.ui-datepicker-multi .ui-datepicker-group { float:left; }
.ui-datepicker-multi .ui-datepicker-group table { width:95%; margin:0 auto
.4em; }
.ui-datepicker-multi-2 .ui-datepicker-group { width:50%; }
.ui-datepicker-multi-3 .ui-datepicker-group { width:33.3%; }
.ui-datepicker-multi-4 .ui-datepicker-group { width:25%; }
.ui-datepicker-multi .ui-datepicker-group-last .ui-datepicker-header {
border-left-width:0; }
.ui-datepicker-multi .ui-datepicker-group-middle .ui-datepicker-header {
border-left-width:0; }
.ui-datepicker-multi .ui-datepicker-buttonpane { clear:left; }
.ui-datepicker-row-break { clear:both; width:100%; }
/* RTL support */
.ui-datepicker-rtl { direction: rtl; }
.ui-datepicker-rtl .ui-datepicker-prev { right: 2px; left: auto; }
.ui-datepicker-rtl .ui-datepicker-next { left: 2px; right: auto; }
.ui-datepicker-rtl .ui-datepicker-prev:hover { right: 1px; left: auto; }
.ui-datepicker-rtl .ui-datepicker-next:hover { left: 1px; right: auto; }
.ui-datepicker-rtl .ui-datepicker-buttonpane { clear:right; }
.ui-datepicker-rtl .ui-datepicker-buttonpane button { float: left; }
.ui-datepicker-rtl .ui-datepicker-buttonpane button.ui-datepicker-current {
float:right; }
.ui-datepicker-rtl .ui-datepicker-group { float:right; }
.ui-datepicker-rtl .ui-datepicker-group-last .ui-datepicker-header {
border-right-width:0; border-left-width:1px; }
.ui-datepicker-rtl .ui-datepicker-group-middle .ui-datepicker-header {
border-right-width:0; border-left-width:1px; }
/* Field display */
.field .field-label {
font-weight: bold;
}
.field-label-inline .field-label,
.field-label-inline .field-items {
float:left; /*LTR*/
}
/* Form display */
form .field-multiple-table {
margin: 0;
}
form .field-multiple-table th.field-label {
padding-left: 0; /*LTR*/
}
form .field-multiple-table td.field-multiple-drag {
width: 30px;
padding-right: 0; /*LTR*/
}
form .field-multiple-table td.field-multiple-drag a.tabledrag-handle {
padding-right: .5em; /*LTR*/
}
form .field-add-more-submit {
margin: .5em 0 0;
}
.mollom-captcha-container span,
#edit-mollom-captcha {
display: block;
}
/* Help themes to properly display Mollom's log messages. */
.dblog-event pre,
#simpletest-result-form table td {
white-space: pre-wrap;
}
/* Allow CAPTCHA rendering to take full form width. */
.form-item-mollom-captcha label[for="edit-mollom-captcha"] {
float: none;
}
/* Accessibilty focus helper for audio CAPTCHA. */
.mollom_captcha_flash_player:focus{
border: yellow 2px solid;
}
/* Refresh CAPTCHA icon */
.mollom-captcha-container {
display: inline-block;
position: relative;
}
.mollom-captcha-container .mollom-refresh-captcha {
position: absolute;
}
.mollom-captcha-container .mollom-captcha-content {
padding-left: 20px;
}
.node-unpublished {
background-color: #fff4f4;
}
.preview .node {
background-color: #ffffea;
}
td.revision-current {
background: #ffc;
}
#permissions td.module {
font-weight: bold;
}
#permissions td.permission {
padding-left: 1.5em; /* LTR */
}
#permissions tr.odd .form-item,
#permissions tr.even .form-item {
white-space: normal;
}
#user-admin-settings fieldset .fieldset-description {
font-size: 0.85em;
padding-bottom: .5em;
}
/**
* Override default textfield float to put the "Add role" button next to
* the input textfield.
*/
#user-admin-roles td.edit-name {
clear: both;
}
#user-admin-roles .form-item-name {
float: left; /* LTR */
margin-right: 1em; /* LTR */
}
/**
* Password strength indicator.
*/
.password-strength {
width: 17em;
float: right; /* LTR */
margin-top: 1.4em;
}
.password-strength-title {
display: inline;
}
.password-strength-text {
float: right; /* LTR */
font-weight: bold;
}
.password-indicator {
background-color: #C4C4C4;
height: 0.3em;
width: 100%;
}
.password-indicator div {
height: 100%;
width: 0%;
background-color: #47C965;
}
input.password-confirm,
input.password-field {
width: 16em;
margin-bottom: 0.4em;
}
div.password-confirm {
float: right; /* LTR */
margin-top: 1.5em;
visibility: hidden;
width: 17em;
}
div.form-item div.password-suggestions {
padding: 0.2em 0.5em;
margin: 0.7em 0;
width: 38.5em;
border: 1px solid #B4B4B4;
}
div.password-suggestions ul {
margin-bottom: 0;
}
.confirm-parent,
.password-parent {
clear: left; /* LTR */
margin: 0;
width: 36.3em;
}
/* Generated by user.module but used by profile.module: */
.profile {
clear: both;
margin: 1em 0;
}
.profile .user-picture {
float: right; /* LTR */
margin: 0 1em 1em 0; /* LTR */
}
.profile h3 {
border-bottom: 1px solid #ccc;
}
.profile dl {
margin: 0 0 1.5em 0;
}
.profile dt {
margin: 0 0 0.2em 0;
font-weight: bold;
}
.profile dd {
margin: 0 0 1em 0;
}
.views-exposed-form .views-exposed-widget {
float: left; /* LTR */
padding: .5em 1em 0 0; /* LTR */
}
.views-exposed-form .views-exposed-widget .form-submit {
margin-top: 1.6em;
}
.views-exposed-form .form-item,
.views-exposed-form .form-submit {
margin-top: 0;
margin-bottom: 0;
}
.views-exposed-form label {
font-weight: bold;
}
.views-exposed-widgets {
margin-bottom: .5em;
}
/* table style column align */
.views-align-left {
text-align: left;
}
.views-align-right {
text-align: right;
}
.views-align-center {
text-align: center;
}
/* Remove the border on tbody that system puts in */
.views-view-grid tbody {
border-top: none;
}
.view .progress-disabled {
float: none;
}
tr.views-table-highlighter-red.odd,
tr.views-table-highlighter-red.even { background-color: #f99; }
tr.views-table-highlighter-red.odd .active,
tr.views-table-highlighter-red.even .active { background-color: #f88; }
tr.views-table-highlighter-green.odd,
tr.views-table-highlighter-green.even { background-color: #9f9; }
tr.views-table-highlighter-green.odd .active,
tr.views-table-highlighter-green.even .active { background-color: #8f8; }
tr.views-table-highlighter-blue.odd,
tr.views-table-highlighter-blue.even { background-color: #99f; }
tr.views-table-highlighter-blue.odd .active,
tr.views-table-highlighter-blue.even .active { background-color: #88f; }
tr.views-table-highlighter-yellow.odd,
tr.views-table-highlighter-yellow.even { background-color: #ff9; }
tr.views-table-highlighter-yellow.odd .active,
tr.views-table-highlighter-yellow.even .active { background-color: #ff8; }
tr.views-table-highlighter-magenta.odd,
tr.views-table-highlighter-magenta.even { background-color: #f9f; }
tr.views-table-highlighter-magenta.odd .active,
tr.views-table-highlighter-magenta.even .active { background-color: #f8f; }
tr.views-table-highlighter-cyan.odd,
tr.views-table-highlighter-cyan.even { background-color: #9ff; }
tr.views-table-highlighter-cyan.odd .active,
tr.views-table-highlighter-cyan.even .active { background-color: #8ff; }
/* Print PDF */
body.print-pdf {
font-family: Helvetica !important;
font-size: 12px;
}
body.print-pdf h1 {
font-family: Helvetica !important;
}
/* underline all links */
a:link, a:visited
{
text-decoration: underline !important;
}
/* Don't underline header */
#site-name a:link,
#site-name a:visited
{
text-decoration: none !important;
}
/* CSS2 selector to add visible href after links */
#content a:link:after,
#content a:visited:after
{
content: " (" attr(href) ") ";
font-size: 0.8em;
font-weight: normal;
}
/* Un-float the content */
#content,
#content-inner
{
float: none;
width: 100%;
margin: 0 !important;
padding: 0 !important;
}
/* Turn off any background colors or images */
body,
#page, #page-inner,
#main, #main-inner,
#content, #content-inner
{
color: #000;
background-color: transparent !important;
background-image: none !important;
}
/* Hide sidebars and nav elements */
#skip-to-nav, #navbar, #sidebar-left, #sidebar-right, #footer,
.breadcrumb, div.tabs, .links, .taxonomy,
.book-navigation, .forum-topic-navigation, .pager, .feed-icons
{
visibility: hidden;
display: none;
}
/* Otherwise, Firefox clips the content after the first page. */
#page
{
overflow-y: visible;
}
/*Odd and Ends */
.view-content .views-row
{
padding-top:30px;
border-top:solid 2px #000;
}
.author-bio .view-author-bio .view-header p
{
font-weight:bolder;
text-decoration:underline;
}
.view-id-content_meta.view-display-id-block_1 .views-row > div {
float: left;
}
#admin-menu,
header,
#section2_middle,
.simplemenu-block,
.ads,
.office_manage .icon,
.fb_likebox,
.print-content .left_content_article.left_content > h1 {
display: none;
}
.artical {
width: 300px !important;
border: none !important;
float: right;
padding: 0;
background-color: #eee;
margin-left: 20px;
margin-bottom: 20px;
margin-top: 8px;
}
.artical img {
width: 260px;
height: auto;
text-align: center;
}
.artical div {
border: none !important;
}
.jackson,
.office_manage {
padding-left: 20px;
padding-right: 20px;
}
.print-logo {
text-align: center;
float:none;
}
.print-content .right_content,
.print-content .article-pager,
.print-content .article,
.print-content .views-admin-links
{
border-top: none;
border-bottom: none;
display: none;
}
.print-content {
font-weight: normal;
}
.print-content img {
float: left;
width: auto;
padding-top: 10px;
padding-right: 10px;
padding-bottom: 10px;
}
.right_content .view-content .views-row {
margin: 0;
padding: 0;
border: none !important;
}
.view-content-meta {
margin-top: 20px;
}
.views-field-field-sub-contrib-nid
{
margin-bottom: 20px;
}
.view-content-meta ul {
padding: 0;
margin: 0;
}
.view-content-meta ul li {
list-style: none;
margin: 0;
}
.views-field-field-author-nid label {
margin-bottom: 10px;
}
.views-field-field-author-org-nid {
position: absolute;
margin-top: -40px;
}
.views-field-field-author-nid .field-content {
float: left;
}</style>
</head>
<body>
<div class="print-message">Message from sender:<br /><br /><em>This
article was co-authored by Nate Lacktman, who is the keynote speaker for the
Telehealth Alliance of Oregon's Policy Forum.</em></div><p /> <div
class="print-logo"></div>
<div class="print-site_name">Published on <i>The National Law Review</i>
(<a href="http://www.natlawreview.com">http://www.natlawreview.com</a>)</div>
<p />
<hr class="print-hr" />
<div class="print-author">Article By:</div>
<div class="print-author"><div class="print-author">Thomas B.
Ferrante</div>
<div class="print-author">Nathaniel M. Lacktman</div>
<hr class="print-hr" />
<div class="print-content"><p class="rtejustify">The telemedicine
industry has been abuzz upon learning that provider-friendly legislation was
included in the new federal <a
href="https://www.gpo.gov/fdsys/search/pagedetails.action?collectionCode=BILLS&browsePath=115%2Fhr%2F%5B1800+-+1899%5D&granuleId=&packageId=BILLS-115hr1892enr&fromBrowse=true"
rel="noopener" target="_blank">Bipartisan Budget Act of 2018</a>, signed into
law by the President on February 9, 2018. But telehealth providers,
hospitals, and entrepreneurs need to cut through the hype and understand what
the provisions will really do for telehealth. This article summarizes
the key takeaways and insights on how the recent legislation will benefit the
telehealth industry.</p>
<h4 class="rtejustify"><strong>Significant Changes for Medicare and
Telehealth Services</strong></h4>
<p class="rtejustify">The bill introduces some of “the most significant
changes ever made to Medicare law to use telehealth,” according to
Senator Brian Schatz, a longtime sponsor and proponent of federal telehealth
legislation. Key elements of the bill include: (1) expanding stroke
telemedicine coverage; (2) improving access to telehealth-enabled home
dialysis oversight; (3) enabling patients to be provided with free
at-home telehealth dialysis technology without the provider violating the
Civil Monetary Penalties Law; (4) allowing Medicare Advantage (MA) plans to
include delivery of telehealth services in a plan’s basic benefits; and
(5) giving Accountable Care Organizations (ACOs) the ability to expand the
use of telehealth services.</p>
<h3 class="rtejustify"><strong>No More Originating Site Restrictions for
Telestroke?</strong></h3>
<p class="rtejustify">Historically, only Medicare patients located in rural
areas at qualifying originating sites were eligible for reimbursement for
telestroke services. Under Section 50325 of the new bill, beginning
Jan. 1, 2019, the geographic and facility-type requirements on originating
sites will no longer apply for purposes of diagnosis, evaluation, or
treatment of symptoms of an acute stroke when delivered at certain
originating sites. These are 1) hospitals, 2) critical access
hospitals, 3) any mobile stroke unit as defined by the Secretary of Health
and Human Services (HHS), or 4) any other site determined appropriate by HHS,
at which the eligible telehealth individual is located at the time the
service is furnished via telehealth. One potential site that HHS could
approve is the patient’s home</p>
<p class="rtejustify">The full extent to which telemedicine providers and
Medicare beneficiaries will benefit from expanded telestroke reimbursement
largely depends on the sites that HHS will permit as qualified originating
sites.</p>
<blockquote>
<p class="rtejustify">Allowing more qualified originating sites, such as the
patient’s home, ambulances, and mobile stroke units, will provide
broader options for healthcare systems that do not have constant access
to a neurologist and allow institutions with established stroke programs
opportunities for destination medicine and new patients.</p>
</blockquote>
<p class="rtejustify">Now is the time to make your voice heard and inform HHS
as to what you believe should be included among the new eligible originating
sites for telestroke.</p>
<p class="rtejustify">Note, the new reimbursement applies only to the distant
site practitioner’s professional fee. Originating sites
qualifying for reimbursement under this provision that do not meet the
historical originating site facility-type and rural geographic requirements
will not be eligible for a facility fee.</p>
<h3 class="rtejustify"><strong>Medicare Will Reimburse for Telehealth
Dialysis Services at the Patient’s Home and at Independent
Facilities</strong></h3>
<p class="rtejustify">The new law also extends telehealth reimbursement to
dialysis services provided remotely to patients located at home or at
independent renal dialysis facilities (neither of which have historically
been eligible originating sites under Medicare). Under Section 50302
and effective January 1, 2019, an individual with end stage renal disease
(ESRD) receiving home dialysis may choose to receive monthly ESRD-related
oversight visits from their home via telehealth if the patient receives a
“face-to-face” visit (in this context, meaning in-person) at
least once a month during the initial 3 months of home dialysis and then,
after the initial 3 months, at least once every 3 consecutive months.</p>
<p class="rtejustify">These two new originating sites, along with
hospital-based or critical access hospital-based renal dialysis centers, are
also be exempt from the rural geographic are requirement for the monthly
telehealth visits. Keep in mind, however, that no facility fee payment
is available when a patient is located at home.</p>
<h3 class="rtejustify"><strong>Providers Can Give Free Telehealth
Technology/Equipment for At-Home Dialysis Patients</strong></h3>
<p class="rtejustify">Under the bill, the provision of free telehealth
technologies by a provider of services or a renal dialysis facility to an
individual with ESRD who is receiving home dialysis for which Medicare
payment is received will <strong><em>not</em></strong> constitute
illegal remuneration under the Civil Monetary Penalties Law if three factors
are met:</p>
<ol>
<li class="rtejustify">
<p>The telehealth technologies are not offered as part of any advertisement
or solicitation;</p>
</li>
<li class="rtejustify">The telehealth technologies are provided for the
purpose of furnishing telehealth services related to the individual’s
ESRD; and</li>
<li class="rtejustify">The provision of the telehealth technologies meets
any other requirements set forth in regulations promulgated by CMS.</li>
</ol>
<p class="rtejustify">This means telehealth dialysis providers are allowed to
provide at-home telehealth technology/equipment at no charge to patients if
the above requirements are met. It is a patient (and provider)
–friendly change to the definition of “remuneration” as it
relates to patient inducements and the Civil Monetary Penalties
Law. Providers can benefit from the improved outcomes and
cost-effectiveness of delivering services remotely while simultaneously
providing comfort for ESRD patients to know that someone is available when
concerns arise without requiring that patients travel to the dialysis
center.</p>
<h3 class="rtejustify"><strong>Medicare Advantage Plans Can Finally Include
Telehealth Services as a Basic Benefit</strong></h3>
<p class="rtejustify">Medicare Advantage (MA) plans will be allowed to offer
additional, clinically appropriate telehealth benefits in their annual bid
amounts beyond the services that currently receive payment under Medicare
Part B. This has been a major sticking point and a reason why,
historically, MA plans have not been as quick to cover telehealth services
compared to Medicaid managed care plans.</p>
<p class="rtejustify">Section 50323 of the bill gives MA plans the ability to
offer telehealth services as part of their basic benefit package (i.e., as if
the telehealth services were benefits under the original Medicare
fee-for-service program option). However, exactly what telehealth
services will qualify as a “basic benefit” have not been fully
defined. HHS will solicit public comments before November 30, 2018 to
determine what types of telehealth items and services (e.g., remote patient
monitoring, secure messaging, store and forward technologies, and other
non-face-to-face services) should be considered to be an “additional
telehealth benefit” (meaning, eligible to be counted as part of the
basic benefit package). HHS will also solicit comments on the
requirements for providing and furnishing such telehealth services (e.g.,
training and coordination rules). An expansive list of eligible
telehealth services by HHS likely would stimulate a big uptick in telehealth
service coverage by MA plans.</p>
<p class="rtejustify">These new provisions go into effect in 2020, so now is
a smart time for hospitals and telehealth providers to engage their MA plan
partners in discussions on how to amend their participation agreement and
cover telehealth services.</p>
<h3 class="rtejustify"><strong>The Patient’s Home is an Eligible
Originating Site for Accountable Care Organizations</strong></h3>
<p class="rtejustify">Accountable Care Organizations (ACOs) have even more
flexibility to use telehealth services. Beginning January 1, 2020, the
patient’s home qualifies as an eligible originating site for telehealth
services provided by a physician or practitioner participating in certain
ACOs (Next Generation, MSSP Track II, MSSP Track III, and certain two-sided
risk models). No payment may be made for telehealth services CMS deems
to be inappropriate to furnish in the home setting (e.g., inpatient hospital
services). Additionally, the law eliminates the rural geographic area
requirements for ACOs (i.e., the originating site need not be located in a
rural health professional shortage area or a non-metropolitan statistical
area). As with many of the other changes introduced by the new law, the
patient’s home is not eligible for a facility fee.</p>
<h3 class="rtejustify"><strong>Conclusion</strong></h3>
<p class="rtejustify">The 2018 Act represents federal lawmakers’
continued and increasing support for expanding Medicare telehealth
reimbursement. Telehealth providers should embrace the Act and use it
as an opportunity to contribute to and develop meaningful telehealth
reimbursement policies.</p>
</div>
© 2018 Foley & Lardner LLP <br/>
<br/>
<hr class="print-hr" />
<div class="print-source_url">Source URL: <a
href="https://www.natlawreview.com/article/top-5-ways-telehealth-will-change-under-new-federal-funding-bill?platform=hootsuite">https://www.natlawreview.com/article/top-5-ways-telehealth-will-change-under-new-federal-funding-bill?platform=hootsuite</a></div>
</body>
</html>