As virtual doctor visits take off, a debate over who should pay heats up

When is a video chat with a doctor equivalent to an office visit? State legislators across the US have been grappling with that question as hospitals press for insurance companies to fully cover virtual appointments — and insurers balk at those demands. The Massachusetts Hospital Association has organized a coalition to support House Bill 267, which would require private payers to reimburse telemedicine at the same level as in-person services.