In Sweden, via-app medical consultancy gets a standard way for this services as a first - line support. Payment for this is fixed and goes to the registry, where after certain amount of payments, you're getting free consultancy (It's by the health care system). How they are going to handle that?
Too me this new guideline is like a wide net - most of top application will have to violate some rules there, but in case of miss subordination (like Epic) then having that rule is a simple case in court.