Telehealth around the world: A global guide - DLA Piper

1 NOVEMBER 2020 Telehealth around the world : a global Telehealth around THE world : a global GUIDE2 IntroductionThe COVID-19 pandemic has caused healthcare systems around the globe to rapidly, and in some cases, radically rethink the delivery of medical care. The global expansion of Telehealth services is one way we have seen this transformation occur. This has resulted in significant opportunities in the field, as well as unprecedented regulatory a quickly evolving area, Telehealth can have different meanings in different contexts. In this global guide , Telehealth refers to the delivery of healthcare services where patients and providers are separated by distance, using information and communications technology for the exchange of information for the diagnosis or treatment of diseases and injuries.

2 We have adapted this definition from the world health Organisation s definition of is not a new concept healthcare providers, academics and technology developers have been advocating for its use for decades. There are many benefits to the widespread adoption of Telehealth , including improved access to healthcare services, risk mitigation, convenience and flexibility, and in many cases, a reduction in overhead costs. However, the use of Telehealth is not without its challenges. For example, it is not suited to all forms of healthcare, its implementation and adoption can be time consuming and costly, and additional care must be taken in relation to the transfer of patient health restrictions of movement in many parts of the world due to COVID-19 has caused governments to recognise the potential of Telehealth , and amend laws and regulations seemingly overnight to enable healthcare providers to deploy Telehealth solutions.

3 Many governments have adopted Telehealth reforms in a matter of weeks, which may otherwise have taken years to be considered and many of these reforms presently have an expiration date (dependent on the duration of the COVID-19 pandemic), there is likely to be continued growth in Telehealth due to the advantages of such a service even after the pandemic. There are enormous opportunities in the Telehealth space for businesses already operating in this field, businesses considering expanding into Telehealth , and global guide provides an overview of the current state of Telehealth regulations worldwide and assists readers to identify the opportunities, challenges and risks, on a country-by-country basis.

4 As the field of Telehealth , and the regulations underpinning it, remain highly dynamic and subject to change, this document is intended as a general guide and does not constitute legal you wish to discuss any aspects of Telehealth with a specialist lawyer, please contact us contacts:Greg BodulovicPartner+61 2 9286 WangSenior Associate+61 2 9286 de MorpurgoPartner | global Co-Chair, Life Sciences Sector+39 06 68 880 Jane SaundersSpecial Counsel+61 3 9274 Telehealth around THE world : a global GUIDE3 ContentsINTRODUCTION 2 ASIA PACIFIC 4 AUSTRALIA 5 CHINA 9 HONG KONG 11 INDONESIA 14 JAPAN 16 NEW ZEALAND 19 SINGAPORE

5 22 THAILAND 25 EUROPE 28 AUSTRIA 29 BELGIUM 32 CROATIA 35 CZECH REPUBLIC 38 DENMARK 39 FINLAND 41 FRANCE 45 GERMANY 49 GREECE 52 HUNGARY 54 IRELAND 57 ITALY

6 61 LUXEMBURG 64 THE NETHERLANDS 67 NORWAY 69 POLAND 72 PORTUGAL 74 ROMANIA 76 RUSSIA 79 SLOVAKIA 81 SLOVENIA 83 SPAIN 87 SWEDEN 89UK 91 UKRAINE 95 MIDDLE EAST 99 BAHRAIN

7 100 KUWAIT 103 QATAR 104 SAUDI ARABIA 107 UNITED ARAB EMIRATES 109 NORTH AMERICA 113 CANADA 114 MEXICO 117 UNITED STATES 119 SOUTH AMERICA 123 ARGENTINA 124 BRAZIL 126 CHILE 129 COLOMBIA 133 CONTACTS Telehealth around THE world .

8 a global GUIDE4 Back to topAsia PacificChinaHong KongSingaporeThailandIndonesiaAustraliaN ew Telehealth around THE world : a global GUIDE5 Back to top1. Is the use of Telehealth permitted?Yes, Telehealth is permitted in to the COVID-19 pandemic, there were limited situations where Telehealth could be used for the delivery of healthcare services in Australia. This was largely due to Medicare (Australia s publicly funded universal healthcare system) restricting registered healthcare providers to delivering their services from a registered location ( , their medical practice), and limiting the availability of government subsidies for Telehealth consultations to patients in rural and remote communities where pre existing provider-patient relationships 30 March 2020, in response to the COVID-19 pandemic, the health Insurance (Section 3C General Medical Services COVID-19 Telehealth and Telephone Attendances) Determination 2020 (Cth) ( Telehealth Determination ) came into force.

9 As a result of the Telehealth Determination, a range of healthcare services delivered via Telehealth that previously could not be subsidised under Medicare (including , standard general practitioner consultations) became eligible for subsidy. That is, a variety of Telehealth services became available at no cost to the patient under the Telehealth Determination was first introduced, it permitted the delivery of healthcare services via telephone or video-conferencing to patients where there was no pre existing provider-patient relationship (although an existing relationship was preferred).The Telehealth Determination was subsequently amended so that from 20 July 2020, Telehealth general practice providers are required to have an existing and continuous relationship with a patient in order to provide Telehealth services.

10 Therefore, at present, unless an exception applies ( , the patient resides in an area where their movement is restricted by a public health requirement)