Senate Bill #4 (2021)

AN ACT RELATING TO INSURANCE -- THE TELEMEDICINE COVERAGE ACT

Amends the provisions of the telemedicine coverage act and provide coverage for telemedicine under Rhode Island Medicaid.

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  • 2021 – S 0004
  • 2021 – S 0004 SUBSTITUTE B AS AMENDED
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  • LC000597
  • LC000597/SUB B
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  • S T A T E O F R H O D E I S L A N D
  • IN GENERAL ASSEMBLY
  • JANUARY SESSION, A.D. 2021
  • S T A T E O F R H O D E I S L A N D
  • IN GENERAL ASSEMBLY
  • JANUARY SESSION, A.D. 2021
  • ____________
  • A N A C T
  • RELATING TO INSURANCE – THE TELEMEDICINE COVERAGE ACT
  • Introduced By: Senators Miller, Goldin,Valverde, Goodwin, Felag, Coyne, Burke, Cano,
  • Seveney, and Lawson
  • Date Introduced: January 11, 2021
  • Referred To: Senate Health & Human Services
  • It is enacted by the General Assembly as follows:
  • SECTION 1. Sections 27-81-3 and 27-81-4 of the General Laws in Chapter 27-81 entitled "The Telemedicine Coverage Act" are hereby amended to read as follows:
  • 27-81-3. Definitions.
  • As used in this chapter:
  • (1) "Distant site" means a site at which a healthcare provider is located while providing healthcare services by means of telemedicine.
  • (2) "Healthcare facility" means an institution providing healthcare services or a healthcare setting, including, but not limited to: hospitals and other licensed, inpatient centers; ambulatory surgical or treatment centers; skilled nursing centers; residential treatment centers; diagnostic, laboratory and imaging centers; and rehabilitation and other therapeutic-health settings.
  • (3) "Healthcare professional" means a physician or other healthcare practitioner licensed, accredited, or certified to perform specified healthcare services consistent with state law.
  • (4) "Healthcare provider" means a healthcare professional or a healthcare facility.
  • (5) "Healthcare services" means any services included in the furnishing to any individual of medical, podiatric, or dental care, or hospitalization, or incident to the furnishing of that care or hospitalization, and the furnishing to any person of any and all other services for the purpose of preventing, alleviating, curing, or healing human illness, injury, or physical disability.
  • (6) "Health insurer" means any person, firm, or corporation offering and/or insuring healthcare services on a prepaid basis, including, but not limitedto, a nonprofit service corporation, a health maintenance organization,oranentityofferinga policyof accident and sickness insurance.
  • (7)"Healthmaintenanceorganization" meansahealthmaintenanceorganizationasdefined in chapter 41 of this title.
  • (8) "Nonprofit service corporation" means a nonprofit hospital-service corporation as defined in chapter 19 of this title, or a nonprofit medical-service corporation as defined in chapter 20 of this title.
  • (9) "Originating site" means a site at which a patient is located at the time healthcare services are provided to them by means of telemedicine, which can be include a patient's home where medically appropriate; provided, however, notwithstanding any other provision of law, health insurers and healthcare providers may agree to alternative siting arrangements deemed appropriate by the parties.
  • (10) "Policy of accident and sickness insurance" means a policy of accident and sickness insurance as defined in chapter 18 of this title.
  • (11)"Store-and-forwardtechnology" meansthetechnologyusedtoenablethetransmission of a patient's medical information from an originating site to the healthcare provider at the distant site without the patient being present.
  • (12) "Telemedicine" means the delivery of clinical healthcare services by means of real time, two-way electronic audiovisual communications, including the application of secure video conferencing or store-and-forward technology or telephone-audio-only communications to provide or support healthcare delivery, which facilitate the assessment, diagnosis, treatment, and care management of a patient's health care while such patient is at an originating site and the healthcare provider is at a distant site, consistent with applicable federal laws and regulations and guidance. Telemedicine does not include an audio-only telephone conversation, email message, text message or facsimile transmission between the provider and patient, or an automated computer program used to diagnose and/or treat ocular or refractive conditions.
  • (1) "Clinically appropriate" means care that is delivered in the appropriate medical setting.
  • (1)(2) "Distant site" means a site at which a healthcare provider is located while providing healthcare services by means of telemedicine.
  • (2)(3) "Healthcare facility" means an institution providing healthcare services or a healthcare setting, including, but not limited to: hospitals and other licensed, inpatient centers; ambulatory surgical or treatment centers; skilled nursing centers; residential treatment centers; diagnostic, laboratory and imaging centers; and rehabilitation and other therapeutic-health settings.
  • (3)(4) "Healthcare professional" means a physician or other healthcare practitioner licensed, accredited, or certified to perform specified healthcare services consistent with state law.
  • (4)(5) "Healthcare provider" means a healthcare professional or a healthcare facility.
  • (5)(6)"Healthcareservices"meansanyservicesincludedinthefurnishingtoanyindividual of medical, podiatric, or dental care, or hospitalization, or incident to the furnishing of that care or hospitalization, and the furnishing to any person of any and all other services for the purpose of preventing, alleviating, curing, or healing human illness, injury, or physical disability.
  • (6)(7) "Health insurer" means any person, firm, or corporation offering and/or insuring healthcare services on a prepaid basis, including, but not limitedto, a nonprofit service corporation, a health maintenance organization, the Rhode Island Medicaid program, including its contracted managed care entities, or an entity offering a policy of accident and sickness insurance.
  • (7)(8) "Health maintenance organization" means a health maintenance organization as defined in chapter 41 of this title.
  • (9) "Medically necessary" means medical, surgical, or other services required for the prevention, diagnosis, cure, or treatment of a health related condition, including such services necessary to prevent a decremental change in either medical or mental health status.
  • (8)(10) "Nonprofit service corporation" means a nonprofit hospital-service corporation as defined in chapter 19 of this title, or a nonprofit medical-service corporation as defined in chapter 20 of this title.
  • (9)(11) "Originating site" means a site at which a patient is located at the time healthcare services are provided to them by means of telemedicine, which can be include a patient's home where medically appropriate necessary and clinically appropriate ; provided, however, notwithstanding any other provision of law, health insurers and healthcare providers may agree to alternative siting arrangements deemed appropriate by the parties.
  • (10)(12) "Policy of accident and sickness insurance" means a policy of accident and sickness insurance as defined in chapter 18 of this title.
  • (13) "Rhode Island Medicaid program" means a state-administered, medical assistance program that is funded by the state and federal governments under Title XIX and Title XXI of the U.S. Social Security Act and any general or public laws and administered by the executive office of health and human services.
  • (11)(14) "Store-and-forward technology" means the technology used to enable the transmission of a patient's medical information from an originating site to the healthcare provider at the distant site without the patient being present.
  • (12)(15) "Telemedicine" means the delivery of clinical healthcare services by means use of real time, two-way synchronous audio, video, telephone-audio-only communications or electronic media or other telecommunications technology including, but not limited to: online adaptiveinterviews,remote patient monitoringdevices, audiovisual communications,includingthe application of secure video conferencing or store-and-forward technology to provide or support healthcare delivery, which facilitate the assessment, diagnosis, counseling and prescribing treatment, and care management of a patient's health care while such patient is at an originating site and the healthcare provider is at a distant site, consistent with applicable federal laws and regulations."Telemedicine"doesnotincludeanaudio-onlytelephoneconversation,emailmessage, or facsimile transmission between the provider and patient, or an automated computer program used to diagnose and/or treat ocular or refractive conditions.
  • 27-81-4. Coverage of telemedicine services.
  • (a) Each health insurer that issues individual or group accident and sickness insurance policies for healthcare services and/or provides a healthcare plan for healthcare services shall provide coverage for the cost of such covered healthcare services provided through telemedicine services, as provided in this section.
  • (b) A health insurer shall not exclude a healthcare service for coverage solely because the healthcare service is provided through telemedicine and is not provided through in-person consultationorcontact,solongassuchhealthcareservicesaremedicallyappropriatetobeprovided through telemedicine services and, as such, may be subject to the terms and conditions of a telemedicine agreement between the insurer and the participating healthcare provider or provider group. The determination of the medical appropriateness of a health-care service to be provided through telemedicine shall include taking into consideration any existing public health emergency. The determination of the medical appropriateness of a health care service to be provided through telemedicine may vary for health care services provided through audio-visual telemedicine versus health care services provided through audio-only telemedicine.
  • (c) Benefit plans offered by a health insurer may impose a deductible, copayment, or coinsurance requirement for a healthcare service provided through telemedicine in excess of what would normally be charged for the same service when performed in-person.
  • (d) Medically appropriate telemedicine services delivered by in-network primary care and behavioral health providers shall not be subject to prior authorization. No more stringent medical or benefit determination and utilization review requirements shall be imposed on any telemedicine service than is imposed upon the same service when performed in-person.
  • (e) Medically appropriate telemedicine services delivered by in-network providers shall be reimbursed at rates not lower than the reimbursement rates for the same services delivered through traditional (in-person) methods.
  • (f) Except for requiring compliance with applicable state and federal laws, regulations and/or guidance, no health insurer shall impose any specific requirements as to the technologies used to deliver medically appropriate telemedicine services.
  • (d)(g) The requirements of this section shall apply to all policies and health plans issued, reissued, or delivered in the state of Rhode Island on and after January 1, 2018.
  • (e)(h) This chapter shall not apply to: short-term travel, accident-only, limited or specified disease; or individual conversion policies or health plans; nor to policies or health plans designed for issuance to persons eligible for coverage under Title XVIII of the Social Security Act, known as Medicare; or any other similar coverage under state or federal governmental plans.
  • SECTION 2. Chapter 27-81 of the General Laws entitled "The Telemedicine Coverage Act" is hereby amended by adding thereto the following section:
  • (b)(1) A health insurer shall not exclude a healthcare service for coverage solely because the healthcare service is provided through telemedicine and is not provided through in-person consultation orcontact, solongas such healthcareservices are medically appropriate necessaryand clinically appropriate to be provided through telemedicine services and, as such, may be subject to the terms and conditions of a telemedicine agreement between the insurer and the participating healthcare provider or provider group.
  • (2) All such medically necessary and clinically appropriate telemedicine services delivered by in-network primary care providers, registered dietitian nutritionists, and behavioral health providers shall be reimbursed at rates not lower than services delivered by the same provider through in-person methods.
  • (c) Benefit plans offered by a health insurer may impose a deductible, copayment, or coinsurance requirement for a healthcare service provided through telemedicine shall not impose a deductible, copayment, or coinsurance requirement for a healthcare service delivered through telemedicine in excess of what would normally be charged for the same healthcare service when performed in person.
  • (d) Prior authorization requirements for medically necessary and clinically appropriate telemedicine services shall not be more stringent than prior authorization requirements for in- person care. No more stringent medical or benefit determination and utilization review requirements shall be imposed on any telemedicine service than is imposed upon the same service when performed in person.
  • (e) Except for requiring compliance with applicable state and federal laws, regulations and/or guidance, no health insurer shall impose any specific requirements as to the technologies used to deliver medically necessary and clinically appropriate telemedicine services.
  • (d)(f) The requirements of this section shall apply to all policies and health plans issued, reissued, or delivered in the state of Rhode Island on and after January 1, 2018.
  • (e)(g) This chapter shall not apply to: short-term travel, accident-only, limited or specified disease; or individual conversion policies or health plans; nor to policies or health plans designed for issuance to persons eligible for coverage under Title XVIII of the Social Security Act, known as Medicare; or any other similar coverage under state or federal governmental plans.
  • SECTION 2. Chapter 27-81 of the General Laws entitled "The Telemedicine Coverage Act" is hereby amended by adding thereto the following sections:
  • 27-81-6. Rules and regulations.
  • The health insurance commissioner may promulgate such rules and regulations as are necessary and proper to effectuate the purpose and for the efficient administration and enforcement of this chapter.
  • SECTION 3. Chapter 27-18.9 of the General Laws entitled "Benefit Determination and Utilization Review Act" is hereby amended by adding thereto the following section:
  • 27-18.9-16. Temporary benefit determination review requirement during the COVID-19 pandemic.
  • (a) Through June 30, 2023, health care entities and, where applicable, review agents shall suspend prior authorization requirements for all in-network non-pharmacy COVID-19 related diagnostic and treatment services, including behavioral health services reasonably related to the COVID-19 pandemic;
  • (b) Through June 30, 2023, health care entities and, where applicable, review agents shall not replace prior authorization requirements suspended pursuant to subsection (a) of this section with new retrospective review requirements;
  • SECTION 4. Chapter 42-7.2 of the General Laws entitled "Office of Health and Human Services" is hereby amended by adding thereto the following section:
  • 42-7.2-21. Telemedicine.
  • (a) Statement of intent. Rhode Island Medicaid shall cover medically necessary, non- experimental, and cost-effective telemedicine services provided by Medicaid providers. There are no geographic restrictions for telemedicine; services delivered via telemedicine are covered statewide. Rhode Island Medicaid and its contracted managed care entities shall promote the use of telemedicine to support an adequate provider network.
  • (b) "Telemedicine" shall mean thedeliveryof clinical health-care servicesby means of real time, two-way electronic audiovisual communications, including the application of secure video conferencing or store-and-forward technology or telephone-audio-only communications to provide or support health-care delivery, which facilitate the assessment, diagnosis, treatment, and care management of a patient's health care while such patient is at an originating site and the health-care provider is at a distant site, consistent with applicable federal laws, regulations and guidance. "Telemedicine" does not include an email message, text message, or facsimile transmission between the provider and patient, or an automated computer program used to diagnose and/or treat ocular or refractive conditions.
  • (c) Coverage of telemedicine services. Rhode Island Medicaid and its contracted managed care entities shall provide coverage for the cost of such covered health-care services provided through telemedicine services, as provided in this section.
  • (1) Rhode Island Medicaid and its contracted managed care entities shall not exclude a health-care service for coverage solely because the health-care service is provided through telemedicine and is not provided through in-person consultation or contact, so long as such health- care services are medically appropriate to be provided through telemedicine services. The determination of the medical appropriateness of a health-care service to be provided through telemedicine shall include taking into consideration any existing public health emergency. The determination of the medical appropriateness of a health-care service to be provided through telemedicine may vary for health care services provided through audio-visual telemedicine versus health care services provided through audio-only telemedicine.
  • (2) Medically appropriate telemedicine services delivered by in-network primary care and behavioral health providers shall not be subject to prior authorization. No more stringent medical or benefit determination and utilization review requirements shall be imposed on any telemedicine service than is imposed upon the same service when performed in-person.
  • (3) Medically appropriate telemedicine services delivered by Rhode Island Medicaid and its contracted managed care entities shall be reimbursed at rates not lower than the reimbursement rates for the same services delivered through traditional (in-person) methods.
  • (4) Except for requiring compliance with applicable state and federal laws, regulations and/or guidance, Rhode Island Medicaid and its contracted managed care entities shall not impose any specific requirements as to the technologies used to deliver medically appropriate telemedicine services.
  • (d) Rules and Regulations. The secretary may promulgate such rules and regulations as are necessary and proper to effectuate the purpose and for the efficient administration and enforcement of this chapter.
  • 27-81-7. Telemedicine data reporting and telemedicine advisory committee.
  • Each health insurer shall collect and provide to the office of the health insurance commissioner (OHIC), in a form and frequency acceptable to OHIC, information and data reflecting its telemedicine policies, practices, and experience. OHIC shall provide this information and data to the general assembly on or before January 1, 2022, and on or before each January 1 thereafter.
  • SECTION 3. Section 5-31.1-1 of the General Laws in Chapter 5-31.1 entitled "Dentists and Dental Hygienists" is hereby amended to read as follows:
  • 5-31.1-1. Definitions.
  • As used in this chapter:
  • (1) "Board" means the Rhode Island board of examiners in dentistry or any committee or subcommittee of the board.
  • (2) "Chief of the division of oral health" means the chief of the division of oral health of the Rhode Island department of health who is a licensed dentist possessing a masters degree in public health or a certificate in public health from an accredited program.
  • (3) "Dental administrator" means the administrator of the Rhode Island board of examiners in dentistry.
  • (4) "Dental hygienist" means a person with a license to practice dental hygiene in this state under the provisions of this chapter.
  • (5) "Dentist" means a person with a license to practice dentistry in this state under the provisions of this chapter.
  • (6) "Dentistry" is defined as the evaluation, diagnosis, prevention, and/or treatment (nonsurgical, surgical, or related procedures) of diseases, disorders, and/or conditions of the oral cavity, cranio-maxillofacial area, and/or the adjacent and associated structures and their impact on the human body, provided by a dentist, within the scope of his or her education, training, and experience, in accordance with the ethics of the profession and applicable law.
  • (7) "Department" means the Rhode Island department of health.
  • (8) "Direct visual supervision" means supervision by an oral and maxillofacial surgeon (with a permit to administer deep sedation and general anesthesia) by verbal command and under direct line of sight.
  • (9) "Director" means the director of the Rhode Island department of health.
  • (10) "Healthcare facility" means any institutional health service provider licensed pursuant to the provisions of chapter 17 of title 23.
  • (11) "Health-maintenance organization" means a public or private organization licensed pursuant to the provisions of chapter 17 of title 23 or chapter 41 of title 27.
  • (12) "Limited registrant" means a person holding a limited registration certificate pursuant to the provisions of this chapter.
  • (13) "Nonprofit medical services corporation" or "nonprofit hospital service corporation" or "nonprofit dental service corporation" means any corporation organized pursuant to chapter 19 or 20 of title 27 for the purpose of establishing, maintaining, and operating a nonprofit medical, hospital, or dental service plan.
  • (14) "Peer-review board" means any committee of a state, local, dental or dental hygiene association or society, or a committee of any licensed healthcare facility, or the dental staff of the committee, or any committee of a dental care foundation or health-maintenance organization, or any staff committee or consultant of a hospital, medical, or dental service corporation, the function of which, or one of the functions of which, is to evaluate and improve the quality of dental care rendered by providers of dental care service or to determine that dental care services rendered were professionally indicated or were performed in compliance with the applicable standard of care or that the cost for dental care rendered was considered reasonable by the providers of professional dental care services in the area and includes a committee functioning as a utilization review committee under the provisions of P.L. 89-97, 42 U.S.C. § 1395 et seq. (Medicare law), or as a professional standards-review organization or statewide professional standards-review council under the provisions of P.L. 92-603, 42 U.S.C. § 1301 et seq. (professional standards-review organizations), or a similar committee or a committee of similar purpose, to evaluate or review the diagnosis or treatment of the performance or rendition of dental services performed under public dental programs of either state or federal design.
  • (15) "Person" means any individual, partnership, firm, corporation, association, trust or estate, state or political subdivision, or instrumentality of a state.
  • (16) "Practice of dental hygiene." Any person is practicing dental hygiene within the meaning of this chapter who performs those services and procedures that a dental hygienist has been educated to perform and which services and procedures are, from time to time, specifically authorized by rules and regulations adopted by the board of examiners in dentistry. Nothing in this sectionis construed to authorize a licensed dental hygienist to performthe following: diagnosis and treatment planning, surgical procedures on hard or soft tissue, prescribe medication, or administer general anesthesia or injectables other than oral local anesthesia. A dental hygienist is only permitted to practice dental hygiene under the general supervision of a dentist licensed and registered in this state under the provisions of this chapter.
  • (A) Provided, that in order to administer local injectable anesthesia to dental patients, dental hygienists must be under the supervision of a dentist and meet the requirements established by regulation of the board of examiners in dentistry including payment of a permit fee.
  • (17)(i)(A) "Practice of dentistry." Any person is practicing dentistry within the meaning of this chapter who:
  • (I) Uses or permits to be used, directly or indirectly, for profit or otherwise, for himself, herself, or for any other person, in connection with his or her name, the word "dentist" or "dental surgeon," or the title "D.D.S." or "D.M.D.," or any other words, letters, titles, or descriptive matter, personal or not, that directly or indirectly implies the practice of dentistry;
  • (II)Owns,leases,maintains,operatesadentalbusinessinanyofficeorotherroomorrooms wheredental operationsareperformed,ordirectlyorindirectlyismanager,proprietor,orconductor of this business;
  • (III) Directly or indirectly informs the public in any language, orally, in writing, or in printing, or by drawings, demonstrations, specimens, signs, or pictures that he or she can perform or will attempt to perform, dental operations of any kind;
  • (IV)Undertakes,byanymeansormethod,gratuitously,orforasalary,fee,money,orother rewardpaidorgranteddirectlyorindirectlytohimselforherself,ortoanyotherperson,todiagnose or profess to diagnose, or to treat or profess to treat, or to prescribe for, or profess to prescribe for, any of the lesions, diseases, disorders, or deficiencies of the human oral cavity, teeth, gums, maxilla, or mandible, and/or adjacent associated structures;
  • (V) Extracts human teeth, corrects malpositions of the teeth or of the jaws;
  • (VI) Except on the written prescription of a licensed dentist and by the use of impressions or casts made by a licensed and practicing dentist, directly or indirectly by mail, carrier, personal agent, or by any other method, furnishes, supplies, constructs, reproduces, or repairs prosthetic dentures,bridges,appliances,orotherstructurestobeusedandwornassubstitutesfornatural teeth;
  • (VII) Places those substitutes in the mouth and/or adjusts them;
  • (VIII) Administers an anesthetic, either general or local, in the course of any of the previously stated dental procedures; or
  • (IX) Engages inanyofthepracticesincludedinthecurricula ofrecognizeddental colleges;
  • (B) Provided, that in order to administer any form of anesthesia, other than local, dentists must meet the requirements established by regulation of the board of examiners in dentistry, including training in advanced cardiac life support and pediatric advanced life support, and payment of a permit fee.
  • (ii) The board shall promulgate regulations relating to anesthesia. Those regulations shall be consistent with the American Dental Association guidelines for the use of conscious sedation, deep sedation, and general anesthesia in dentistry. Neither the board, nor any regulation promulgated by the board, shall require additional licensing fees for the use of nitrous oxide by dentists. Prior to the adoption of those regulations, dentists shall be permitted to administer anesthesia without restriction. From the proceeds of any fees collected pursuant to the provisions of this chapter, there is created a restricted receipts account that is used solely to pay for the administrative expenses incurred for expenses of administrating this chapter.
  • (iii) No non-dentist who operates a dental facility in the form of a licensed outpatient healthcarecenter ormanagement serviceorganizationmayinterferewiththeprofessionaljudgment of a dentist in the practice.
  • (18) "Telemedicine" has the same meaning as provided in § 27-81-3.
  • SECTION 4. Chapter 5-31.1 of the General Lawsentitled"DentistsandDental Hygienists" is hereby amended by adding thereto the following section:
  • 5-31.1-40. Telemedicine in the practice of dentistry.
  • (a) Professionals licensed under this chapter utilizing telemedicine in the practice of dentistry are subject to the same standard of care that would apply to the provision of the same dental care service or procedure in an in-person setting.
  • SECTION 5. This act shall take effect upon passage.
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  • LC000597
  • LC000597/SUB B
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  • EXPLANATION
  • BY THE LEGISLATIVE COUNCIL
  • OF
  • A N A C T
  • RELATING TO INSURANCE – THE TELEMEDICINE COVERAGE ACT
  • ***
  • Thisactwouldamendtheprovisionsofthetelemedicinecoverageactandprovidecoverage for telemedicine under Rhode Island Medicaid.
  • This act would take effect upon passage. ======== LC000597 ========
  • EXPLANATION
  • BY THE LEGISLATIVE COUNCIL
  • OF
  • A N A C T
  • RELATING TO INSURANCE – THE TELEMEDICINE COVERAGE ACT
  • ***
  • Thisactwouldamendtheprovisionsofthetelemedicinecoverageact andprovidecoverage for telemedicine for medically necessary and clinically appropriate telemedicine services. This act would further provide that dentists practicing telemedicine are subject to the same standard of care as dental services provided in person.
  • This act would take effect upon passage. ======== LC000597/SUB B ========

Votes

NOTE: Electronic voting records are unofficial and may not be accurate. For an official vote tally, check the House or Senate Journal from the day of the vote.

Floor vote for Approval of Amendment

February 23, 2021 at 5:28pm
Yeas: 37 / Nays: 0 / Not voting: 1 / Recused: 0
Legislator Vote
Sen. Acosta Y
Sen. Algiere Y
Sen. Anderson Y
Sen. Archambault Y
Sen. Bell Y
Sen. Burke Y
Sen. Calkin Y
Sen. Cano Y
Sen. Ciccone NV
Sen. Coyne Y
Sen. Cruz Y
Sen. DiMario Y
Sen. DiPalma Y
Sen. Euer Y
Sen. Felag Y
Sen. Gallo Y
Sen. Goldin Y
Sen. Goodwin Y
Sen. Kallman Y
Sen. Lawson Y
Sen. Lombardi Y
Sen. Lombardo Y
Sen. Mack Y
Sen. McCaffrey Y
Sen. Mendes Y
Sen. Miller Y
Sen. Morgan Y
Sen. Murray Y
Sen. Paolino Y
Sen. Pearson Y
Sen. Picard Y
Sen. Quezada Y
Sen. Raptakis Y
Sen. Rogers Y
Sen. Ruggerio Y
Sen. Seveney Y
Sen. Sosnowski Y
Sen. Valverde Y

Floor vote for Approval of Amendment

February 23, 2021 at 5:28pm
Yeas: 37 / Nays: 0 / Not voting: 1 / Recused: 0
Legislator Vote
Sen. Acosta Y
Sen. Algiere Y
Sen. Anderson Y
Sen. Archambault Y
Sen. Bell Y
Sen. Burke Y
Sen. Calkin Y
Sen. Cano Y
Sen. Ciccone NV
Sen. Coyne Y
Sen. Cruz Y
Sen. DiMario Y
Sen. DiPalma Y
Sen. Euer Y
Sen. Felag Y
Sen. Gallo Y
Sen. Goldin Y
Sen. Goodwin Y
Sen. Kallman Y
Sen. Lawson Y
Sen. Lombardi Y
Sen. Lombardo Y
Sen. Mack Y
Sen. McCaffrey Y
Sen. Mendes Y
Sen. Miller Y
Sen. Morgan Y
Sen. Murray Y
Sen. Paolino Y
Sen. Pearson Y
Sen. Picard Y
Sen. Quezada Y
Sen. Raptakis Y
Sen. Rogers Y
Sen. Ruggerio Y
Sen. Seveney Y
Sen. Sosnowski Y
Sen. Valverde Y

Floor vote for Passage as Amended

February 23, 2021 at 5:31pm
Yeas: 37 / Nays: 0 / Not voting: 1 / Recused: 0
Legislator Vote
Sen. Acosta Y
Sen. Algiere Y
Sen. Anderson Y
Sen. Archambault Y
Sen. Bell Y
Sen. Burke Y
Sen. Calkin Y
Sen. Cano Y
Sen. Ciccone NV
Sen. Coyne Y
Sen. Cruz Y
Sen. DiMario Y
Sen. DiPalma Y
Sen. Euer Y
Sen. Felag Y
Sen. Gallo Y
Sen. Goldin Y
Sen. Goodwin Y
Sen. Kallman Y
Sen. Lawson Y
Sen. Lombardi Y
Sen. Lombardo Y
Sen. Mack Y
Sen. McCaffrey Y
Sen. Mendes Y
Sen. Miller Y
Sen. Morgan Y
Sen. Murray Y
Sen. Paolino Y
Sen. Pearson Y
Sen. Picard Y
Sen. Quezada Y
Sen. Raptakis Y
Sen. Rogers Y
Sen. Ruggerio Y
Sen. Seveney Y
Sen. Sosnowski Y
Sen. Valverde Y

Floor vote for Passage as Amended

February 23, 2021 at 5:31pm
Yeas: 37 / Nays: 0 / Not voting: 1 / Recused: 0
Legislator Vote
Sen. Acosta Y
Sen. Algiere Y
Sen. Anderson Y
Sen. Archambault Y
Sen. Bell Y
Sen. Burke Y
Sen. Calkin Y
Sen. Cano Y
Sen. Ciccone NV
Sen. Coyne Y
Sen. Cruz Y
Sen. DiMario Y
Sen. DiPalma Y
Sen. Euer Y
Sen. Felag Y
Sen. Gallo Y
Sen. Goldin Y
Sen. Goodwin Y
Sen. Kallman Y
Sen. Lawson Y
Sen. Lombardi Y
Sen. Lombardo Y
Sen. Mack Y
Sen. McCaffrey Y
Sen. Mendes Y
Sen. Miller Y
Sen. Morgan Y
Sen. Murray Y
Sen. Paolino Y
Sen. Pearson Y
Sen. Picard Y
Sen. Quezada Y
Sen. Raptakis Y
Sen. Rogers Y
Sen. Ruggerio Y
Sen. Seveney Y
Sen. Sosnowski Y
Sen. Valverde Y