{"id":3110,"date":"2016-02-04T19:03:27","date_gmt":"2016-02-04T19:03:27","guid":{"rendered":"http:\/\/tele.healthcare\/?p=3110"},"modified":"2016-02-04T19:03:27","modified_gmt":"2016-02-04T19:03:27","slug":"to-amend-titles-xviii-and-xi-of-the-social-security-act-to-promote-cost-savings-and-quality-care-under-the-medicare-program-through-the-use-of-telehealth-and-remote-patient-monitoring-services-and-fo","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/to-amend-titles-xviii-and-xi-of-the-social-security-act-to-promote-cost-savings-and-quality-care-under-the-medicare-program-through-the-use-of-telehealth-and-remote-patient-monitoring-services-and-fo\/","title":{"rendered":"To amend titles XVIII and XI of the Social Security Act to promote cost savings and quality care under the Medicare program through the use of telehealth and remote patient monitoring services, and for other purposes."},"content":{"rendered":"<p><strong><span style=\"font-family: Calibri\">The new CONNECT for Health Act bill is seeking to lift the several barriers providers experience when trying to use remote monitoring technologies to treat patients with chronic conditions. Optimism on alternate payment models is also being established within the bill.<\/span><\/strong><\/p>\n<p style=\"text-align: left\" align=\"center\"><span style=\"color: #000000;font-size: x-large\">IN <\/span><span style=\"color: #000000;font-size: x-large\">\u00a0<\/span><span style=\"color: #000000;font-size: x-large\">THE <\/span><span style=\"color: #000000;font-size: x-large\">\u00a0<\/span><span style=\"color: #000000;font-size: x-large\">SENATE <\/span><span style=\"color: #000000;font-size: x-large\">\u00a0<\/span><span style=\"color: #000000;font-size: x-large\">OF <\/span><span style=\"color: #000000;font-size: x-large\">\u00a0<\/span><span style=\"color: #000000;font-size: x-large\">THE <\/span><span style=\"color: #000000;font-size: x-large\">\u00a0<\/span><span style=\"color: #000000;font-size: x-large\">UNITED <\/span><span style=\"color: #000000;font-size: x-large\">\u00a0<\/span><span style=\"color: #000000;font-size: x-large\">STATES<\/span><\/p>\n<p>Mr. \u00a0SCHATZ\u00a0 \u00a0(for \u00a0himself, \u00a0Mr. \u00a0WICKER, \u00a0Mr. \u00a0COCHRAN, \u00a0Mr. \u00a0CARDIN, \u00a0Mr.THUNE, and Mr. WARNER) introduced the following bill; which was read twice and referred to the Committee on<\/p>\n<p><strong>A\u00a0 BILL<\/strong><\/p>\n<p>To amend titles XVIII and XI of the Social Security Act to promote cost savings and quality care under the Medi- care program through the use of telehealth and remote patient monitoring services, and for other purposes.<\/p>\n<ul>\n<li>1 <em>Be it enacted by the Senate and House of Representa-<\/em><\/li>\n<li>2 <em>tives of the United States of America in Congress assembled,<\/em><\/li>\n<li>3 <strong>SECTION SHORT TITLE; TABLE OF CONTENTS.<\/strong><\/li>\n<li>4 (a) SHORT TITLE.\u2014This Act may be cited as the<\/li>\n<\/ul>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018Creating Opportunities Now for Necessary and Effective<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0 Care Technologies (CONNECT) for Health Act\u2019\u2019 or the<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018CONNECT for Health Act\u2019\u2019.<\/p>\n<ul>\n<li>1 (b) TABLE OF CONTENTS.\u2014The table of contents of<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 this Act is as follows:<\/p>\n<p>Sec. 1. Short title; table of contents.<\/p>\n<p>TITLE \u00a0I\u2014TELEHEALTH \u00a0AND \u00a0REMOTE \u00a0PATIENT \u00a0MONITORING SERVICES \u2018\u2018BRIDGE\u2019\u2019 DEMONSTRATION WAIVERS<\/p>\n<p>Sec. 101. Telehealth and remote patient monitoring services \u2018\u2018bridge\u2019\u2019 dem- onstration waivers.<\/p>\n<p>TITLE\u00a0 II\u2014TELEHEALTH\u00a0 AND \u00a0REMOTE\u00a0 PATIENT \u00a0MONITORING SERVICES FURNISHED BY QUALIFYING APM PARTICIPANTS<\/p>\n<p>Sec. 201. Telehealth and remote patient monitoring services furnished by quali- fying APM participants.<\/p>\n<p>TITLE \u00a0III\u2014MEDICARE \u00a0COVERAGE \u00a0OF \u00a0TELEHEALTH \u00a0AND \u00a0REMOTE PATIENT MONITORING SERVICES<\/p>\n<p>Sec. 301. Remote patient monitoring services for individuals with certain chron- ic health conditions.<\/p>\n<p>Sec. 302. Allowing telehealth to meet monthly clinician in-person visit require- ment for certain home dialysis.<\/p>\n<p>Sec. 303. Allowing stroke evaluation sites and Native American health service facilities as sites eligible for telehealth payment.<\/p>\n<p>Sec. 304. Rural health clinics and Federally qualified health centers authorized to be distant sites.<\/p>\n<p>Sec. 305. Addressing gaps in quality measures for telehealth and remote pa- tient monitoring services.<\/p>\n<p>&nbsp;<\/p>\n<p>TITLE IV\u2014USE OF TELEHEALTH AND REMOTE PATIENT MONI- TORING SERVICES TO PROVIDE BASIC BENEFITS UNDER MEDI- CARE PART C<\/p>\n<p>Sec. 401. Use of telehealth and remote patient monitoring services to provide basic benefits under Medicare part C.<\/p>\n<p>TITLE V\u2014CLARIFICATION REGARDING TELEHEALTH AND RE- MOTE PATIENT MONITORING TECHNOLOGIES PROVIDED TO BENEFICIARIES<\/p>\n<p>Sec. 501. Clarification regarding telehealth and remote patient monitoring tech- nologies provided to beneficiaries.<\/p>\n<h1>1\u00a0\u00a0\u00a0\u00a0\u00a0 TITLE\u00a0 I\u2014TELEHEALTH\u00a0 AND\u00a0 RE-<\/h1>\n<ul>\n<li>2 <strong>MOTE\u00a0\u00a0 <\/strong><strong>PATIENT\u00a0 MONITORING<\/strong><\/li>\n<li>3 <strong>SERVICES\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><strong>\u2018\u2018BRIDGE\u2019\u2019\u00a0\u00a0\u00a0\u00a0 DEM-<\/strong><\/li>\n<li>4 <strong>ONSTRATION WAIVERS<\/strong><\/li>\n<li>5 <strong> \u00a0101.\u00a0 \u00a0TELEHEALTH\u00a0 \u00a0AND\u00a0 \u00a0REMOTE\u00a0 \u00a0PATIENT\u00a0 \u00a0MONI-<\/strong><\/li>\n<li>6 <strong>TORING\u00a0 SERVICES\u00a0 \u00a0\u2018\u2018BRIDGE\u2019\u2019\u00a0 \u00a0DEMONSTRA-<\/strong><\/li>\n<li>7 <strong>TION <\/strong><\/li>\n<\/ul>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Title XVIII of the Social Security Act (42 U.S.C.<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0 1395 et seq.) is amended by adding at the end the fol-<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 lowing new section:<\/p>\n<ul>\n<li>11 <strong>\u2018\u2018SEC. \u00a0TELEHEALTH \u00a0AND \u00a0REMOTE \u00a0PATIENT \u00a0MONI-<\/strong><\/li>\n<li>12 <strong>TORING\u00a0\u00a0\u00a0 SERVICES\u00a0\u00a0 \u2018BRIDGE\u2019\u00a0\u00a0 DEMONSTRA-<\/strong><\/li>\n<li>13 <strong>TION <\/strong><\/li>\n<li>14 \u2018\u2018(a) IMPLEMENTATION.\u2014<\/li>\n<li>15 \u2018\u2018(1) IN GENERAL.\u2014Subject to the succeeding<\/li>\n<\/ul>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 provisions of this subsection, the Secretary shall so-<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 licit proposals from, and issue telehealth or remote<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 patient monitoring services \u2018bridge\u2019 demonstration<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 waivers under this title to, eligible applicants who,<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 for the duration of time for which the demonstration<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 waiver would apply, are furnishing telehealth or re-<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mote patient monitoring services (as defined in sec-<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion 1861(iii)) to individuals under this title in a<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 manner that is consistent with the goals of the<\/p>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Merit-based Incentive Payment System under sec-<\/p>\n<p>&nbsp;<\/p>\n<p>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion 1848(q), including the goals of quality, resource<\/p>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 utilization, and clinical practice improvement (in-<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 cluding care coordination and patient engagement),<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 or the incentive payments for participation in eligible<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 alternative payment models under section 1833(z).<\/p>\n<ul>\n<li>6 \u2018\u2018(2) ELIGIBLE \u00a0APPLICANT \u00a0DEFINED.\u2014In \u00a0this<\/li>\n<\/ul>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 section, the term \u2018eligible applicant\u2019 means the fol-<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 lowing:<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(A) A professional described in section<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1848(q)(1)(C)(i)(I).<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(B) A qualifying APM participant (as de-<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 fined in section 1833(z)(2)).<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(C) Any other provider, including a pro-<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 fessional\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 described\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 in\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 section<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1848(q)(1)(C)(i)(II), determined appropriate by<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the Secretary, and a group that includes such<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 providers.<\/p>\n<ul>\n<li>18 \u2018\u2018(b)\u00a0 DEMONSTRATION\u00a0\u00a0 \u00a0WAIVER\u00a0\u00a0 \u00a0APPLICATION\u00a0\u00a0 \u00a0RE-<\/li>\n<\/ul>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 QUIREMENTS.\u2014An eligible applicant seeking a demonstra-<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0 tion waiver under this section shall submit an application<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0 to the Secretary on an annual basis that includes the fol-<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0 lowing:<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(1) An attestation of the intent of the appli-<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 cant to use telehealth or remote patient monitoring<\/p>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 services to meet the goals described in subsection<\/p>\n<p>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (a)(1), and details (as specified by the Secretary) on<\/p>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 how the eligible applicant will use those services to<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 meet such goals.<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(2) An agreement by the applicant to\u2014<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(A) submit the information described in<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 subsection (d) in accordance with such sub-<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 section; and<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(B)\u00a0\u00a0 cooperate\u00a0\u00a0\u00a0 in\u00a0\u00a0 any\u00a0\u00a0 audit\u00a0\u00a0\u00a0 conducted<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 under subsection (e) with respect to claims for<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 telehealth or remote patient monitoring services<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 furnished by the applicant under the waiver.<\/p>\n<ul>\n<li>12 \u2018\u2018(c) WAIVER OF LIMITATIONS FOR TELEHEALTH OR<\/li>\n<li>13 REMOTE PATIENT MONITORING SERVICES.\u2014<\/li>\n<li>14 \u2018\u2018(1) IN GENERAL.\u2014The Secretary shall waive<\/li>\n<\/ul>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 certain applicable provisions of sections 1834(m)<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 and 1861(iii) as a condition of payment for tele-<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 health or remote patient monitoring services for eli-<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 gible applicants whose application for a demonstra-<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion waiver was approved under this section. The<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 provisions to be waived under the preceding sentence<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 include any limitation on what qualifies as an origi-<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nating site, any geographic limitation (subject to<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 State licensing requirements), any limitation on the<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 use of store-and-forward technologies, or any limita-<\/p>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion on the type of health care provider who may<\/p>\n<p>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 furnish such services (provided the provider is a<\/p>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Medicare enrolled provider).<\/p>\n<ul>\n<li>3 \u2018\u2018(2) GENERAL SUPERVISION.\u2014The Secretary<\/li>\n<\/ul>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 shall permit an eligible applicant whose application<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 for a demonstration waiver was approved under this<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 section to furnish telehealth or remote patient moni-<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 toring services under the general supervision of the<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 applicant.<\/p>\n<ul>\n<li>9 \u2018\u2018(d) ANNUAL SUBMISSION OF DATA.\u2014An eligible ap-<\/li>\n<\/ul>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 plicant whose application for a demonstration waiver<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 under this section was approved shall, on an annual basis,<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0 submit to the Secretary\u2014<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(1) information requested by the Secretary for<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 evaluation of the demonstration, including informa-<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion on utilization and expenditures for telehealth or<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 remote patient monitoring services under the dem-<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 onstration waiver during the preceding year;<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(2) data on applicable quality measures during<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the preceding year, consistent with sections 1848<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 and 1833(z); and<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(3) such other information as the Secretary<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 determines is necessary to complete the report under<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 subsection (g).<\/p>\n<ul>\n<li>24 \u2018\u2018(e) RANDOM AUDITS.\u2014The Secretary shall conduct<\/li>\n<\/ul>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0 audits of randomly selected claims under the demonstra-<\/p>\n<ul>\n<li>1 tion waiver program under this section to ensure that<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 waivers under the program are being used as intended to<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0 furnish telehealth or remote patient monitoring services.<\/p>\n<ul>\n<li>4 \u2018\u2018(f) IMPLEMENTATION.\u2014<\/li>\n<\/ul>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(1) \u00a0SUNSET.\u2014Except \u00a0as \u00a0provided \u00a0in \u00a0para-<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 graph (2), the authority to carry out the demonstra-<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion waiver program under this section shall expire<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 on December 31, 2019.<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(2) EXPANSION.\u2014Taking into account the re-<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 port\u00a0\u00a0\u00a0 under\u00a0\u00a0\u00a0 subsection\u00a0\u00a0\u00a0\u00a0 (g),\u00a0\u00a0\u00a0 the\u00a0\u00a0\u00a0 Secretary\u00a0\u00a0\u00a0\u00a0 may,<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 through rulemaking, expand (including implementa-<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion on a nationwide basis) the duration and the<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 scope of the demonstration waiver program under<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 this section, to the extent determined appropriate by<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the Secretary, if\u2014<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(A) the Secretary determines that such<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 expansion is expected to\u2014<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(i) reduce spending under this title<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 without reducing the quality of care; or<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(ii) improve the quality of patient<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 care without increasing spending;<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(B) the Chief Actuary of the Centers for<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Medicare\u00a0\u00a0\u00a0 &amp;\u00a0\u00a0 Medicaid\u00a0\u00a0\u00a0 Services\u00a0\u00a0\u00a0\u00a0 certifies\u00a0\u00a0\u00a0 that<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 such expansion would reduce (or would not re-<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 sult in any increase in) net program spending<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 under this title; and<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(C) the Secretary determines that such<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 expansion would not deny or limit the coverage<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 or provision of benefits under this title for indi-<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 viduals.<\/p>\n<ul>\n<li>7 \u2018\u2018(g) REPORT TO CONGRESS.\u2014Not later than Decem-<\/li>\n<\/ul>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0 ber 31, 2020, the Chief Actuary of the Centers for Medi-<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0 care &amp; Medicaid Services shall submit to Congress a report<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 containing an evaluation of the impact of telehealth and<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 remote patient monitoring services under the demonstra-<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0 tion waiver program on\u2014<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(1) spending under this title; and<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(2) achieving the additional MIPS adjustment<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 factors for exceptional performance described in sec-<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion 1848(q)(6)(C) and incentive payments for par-<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ticipation in eligible alternative payment models de-<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 scribed in section 1833(z)(1).\u2019\u2019.<\/p>\n<h1>1\u00a0\u00a0\u00a0\u00a0\u00a0 TITLE II\u2014TELEHEALTH AND RE-<\/h1>\n<ul>\n<li>2 <strong>MOTE\u00a0\u00a0 <\/strong><strong>PATIENT\u00a0 MONITORING<\/strong><\/li>\n<li>3 <strong>SERVICES\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><strong>FURNISHED\u00a0\u00a0\u00a0\u00a0 BY<\/strong><\/li>\n<li>4 <strong>QUALIFYING\u00a0\u00a0\u00a0 APM\u00a0\u00a0\u00a0 PARTICI-<\/strong><\/li>\n<li>5 <strong>PANTS<\/strong><\/li>\n<li>6 <strong> \u00a0201.\u00a0 \u00a0TELEHEALTH\u00a0 \u00a0AND\u00a0 \u00a0REMOTE\u00a0 \u00a0PATIENT\u00a0 \u00a0MONI-<\/strong><\/li>\n<li>7 <strong>TORING\u00a0 SERVICES\u00a0 \u00a0FURNISHED\u00a0 \u00a0BY\u00a0 \u00a0QUALI-<\/strong><\/li>\n<li>8 <strong>FYING APM <\/strong><\/li>\n<\/ul>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (a) IN GENERAL.\u2014Title XVIII of the Social Security<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 Act (42 U.S.C. 1395 et seq.), as amended by section 101,<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 is amended by adding at the end the following new section:<\/p>\n<ul>\n<li>12 <strong>\u2018\u2018SEC. \u00a0TELEHEALTH \u00a0AND \u00a0REMOTE \u00a0PATIENT \u00a0MONI-<\/strong><\/li>\n<li>13 <strong>TORING\u00a0 SERVICES\u00a0 \u00a0FURNISHED\u00a0 \u00a0BY\u00a0 \u00a0QUALI-<\/strong><\/li>\n<li>14 <strong>FYING APM <\/strong><\/li>\n<\/ul>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(a) IN \u00a0GENERAL.\u2014The Secretary shall waive cer-<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 tain applicable provisions of section 1834(m) and section<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0 1861(iii) as a condition of payment for telehealth or re-<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0 mote patient monitoring services for a qualifying APM<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 participant (as defined in section 1833(z)(2)). The provi-<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0 sions to be waived under the preceding sentence include<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0 any limitation on what qualifies as an originating site, any<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0 geographic limitation (subject to State licensing require-<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0 ments), any limitation on the use of store-and-forward<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0 technologies, or any limitation on the type of health care<\/p>\n<ul>\n<li>1 provider who may furnish such services (provided the pro-<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 vider is a Medicare enrolled provider).<\/p>\n<ul>\n<li>3 \u2018\u2018(b) ANNUAL \u00a0SUBMISSION \u00a0OF \u00a0DATA.\u2014A \u00a0qualifying<\/li>\n<\/ul>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0 APM participant (as so defined) who furnishes telehealth<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0 or remote patient monitoring services under this section<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0 shall, on an annual basis, submit to the Secretary informa-<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0 tion requested by the Secretary for evaluation of the im-<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0 plementation of this section, including information on uti-<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0 lization and expenditures for telehealth or remote patient<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 monitoring services under this section during the pre-<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 ceding year and data on any applicable quality measures,<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0 consistent with sections 1848 and 1833(z).<\/p>\n<ul>\n<li>13 \u2018\u2018(c) NO \u00a0INCREASE \u00a0IN \u00a0EXPENDITURES.\u2014If \u00a0the \u00a0Sec-<\/li>\n<\/ul>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0 retary determines payments for telehealth or remote pa-<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0 tient monitoring services under this section will increase<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 expenditures under this title, the Secretary shall make ad-<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0 justments to such payments to eliminate such increased<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0 expenditures.\u2019\u2019.<\/p>\n<ul>\n<li>19 (b) EFFECTIVE \u00a0DATE.\u2014The \u00a0amendment \u00a0made \u00a0by<\/li>\n<\/ul>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0 this section shall apply with respect to services furnished<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0 on or after January 1, 2017.<\/p>\n<h1>1\u00a0\u00a0\u00a0\u00a0\u00a0 TITLE\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 III\u2014MEDICARE\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 COV-<\/h1>\n<ul>\n<li>2 <strong>ERAGE OF TELEHEALTH AND<\/strong><\/li>\n<li>3 <strong>REMOTE\u00a0\u00a0\u00a0\u00a0\u00a0 PATIENT\u00a0\u00a0\u00a0\u00a0\u00a0 MONI-<\/strong><\/li>\n<li>4 <strong>TORING SERVICES<\/strong><\/li>\n<li>5 <strong> 301. \u00a0REMOTE \u00a0PATIENT \u00a0MONITORING \u00a0SERVICES \u00a0FOR<\/strong><\/li>\n<li>6 <strong>INDIVIDUALS\u00a0\u00a0\u00a0\u00a0 WITH\u00a0\u00a0\u00a0\u00a0 CERTAIN\u00a0\u00a0\u00a0\u00a0 CHRONIC<\/strong><\/li>\n<li>7 <strong>HEALTH <\/strong><\/li>\n<li>8 (a) COVERAGE.\u2014<\/li>\n<li>9 (1) IN\u00a0 \u00a0GENERAL.\u2014Section \u00a01861(s)(2) \u00a0of \u00a0the<\/li>\n<\/ul>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Social\u00a0\u00a0\u00a0 Security\u00a0\u00a0\u00a0\u00a0 Act\u00a0\u00a0\u00a0 (42\u00a0\u00a0\u00a0 U.S.C.\u00a0\u00a0\u00a0 1395x(s)(2))\u00a0\u00a0\u00a0 is<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 amended\u2014<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (A)\u00a0\u00a0 in\u00a0\u00a0 subparagraph\u00a0\u00a0\u00a0\u00a0 (EE),\u00a0\u00a0 by\u00a0\u00a0 striking<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018and\u2019\u2019 at the end;<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (B) in subparagraph (FF), by inserting<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018and\u2019\u2019 at the end; and<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (C) by inserting after subparagraph (FF)<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the following new subparagraph:<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(GG)\u00a0\u00a0\u00a0 applicable\u00a0\u00a0\u00a0 remote\u00a0\u00a0\u00a0 patient\u00a0\u00a0\u00a0 monitoring<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 services for individuals with certain chronic health<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 conditions (as defined in subsection (iii));\u2019\u2019.<\/p>\n<ul>\n<li>21 (2) COVERAGE AS RURAL HEALTH CLINIC SERV-<\/li>\n<li>22 ICES AND \u00a0FEDERALLY \u00a0QUALIFIED \u00a0HEALTH \u00a0CENTER<\/li>\n<\/ul>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 SERVICES.\u2014Section 1861(aa) of the Social Security<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Act (42 U.S.C. 1395x(aa)) is amended\u2014<\/p>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (A) in paragraph (1)\u2014<\/p>\n<ul>\n<li>1 (i) in subparagraph (B), by striking \u2018\u2018,<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 and\u2019\u2019 and inserting a comma;<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (ii) in subparagraph (C), by inserting<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018and\u2019\u2019 after the comma at the end; and<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (iii) by inserting after subparagraph<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (C) the following new subparagraph:<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(D) applicable remote patient monitoring serv-<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ices for individuals with certain chronic health condi-<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tions (as defined in subsection (iii)),\u2019\u2019; and<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (B) in paragraph (3)\u2014<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (i) in subparagraph (A), by striking \u2018\u2018;<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 and\u2019\u2019 and inserting a semicolon;<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (ii) in subparagraph (B), by striking<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the comma and inserting \u2018\u2018; and\u2019\u2019; and<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (iii) by inserting after subparagraph<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (B) the following new subparagraph:<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(C) applicable remote patient monitoring<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 services\u00a0\u00a0\u00a0 for\u00a0\u00a0 individuals\u00a0\u00a0\u00a0 with\u00a0\u00a0\u00a0 certain\u00a0\u00a0\u00a0 chronic<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 health\u00a0\u00a0\u00a0 conditions\u00a0\u00a0\u00a0 (as\u00a0\u00a0\u00a0 defined\u00a0\u00a0\u00a0 in\u00a0\u00a0 subsection<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (iii)),\u2019\u2019.<\/p>\n<ul>\n<li>21 (b) SERVICES DESCRIBED.\u2014Section 1861 of the So-<\/li>\n<\/ul>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0 cial Security Act (42 U.S.C. 1395x) is amended by adding<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0 at the end the following new subsection:<\/p>\n<ul>\n<li>24 \u2018\u2018(iii)\u00a0 REMOTE PATIENT \u00a0MONITORING \u00a0SERVICES \u00a0FOR<\/li>\n<li>25 INDIVIDUALS WITH CERTAIN CHRONIC HEALTH CONDI-<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 TIONS.\u2014(1)(A) The term \u2018applicable remote patient moni-<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 toring services for individuals with certain chronic health<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0 conditions\u2019 means remote patient monitoring services (as<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0 defined in subparagraph (B)) furnished to an applicable<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0 individual (as defined in subparagraph (C)) under general<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0 supervision of the provider, with the exception of those<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0 services covered under subsection (s)(1).<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(B) The term \u2018remote patient monitoring services\u2019<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0 means personal medical data transmitted from an applica-<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 ble individual in one location via electronic communica-<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 tions technologies to an eligible provider (as defined in<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0 subparagraph (D)) in a different location and used by the<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0 eligible provider in furnishing remote patient monitoring<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0 services to such individual that complies with the Federal<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0 regulations (concerning the privacy and security of indi-<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 vidually\u00a0\u00a0\u00a0 identifiable\u00a0\u00a0\u00a0 health\u00a0\u00a0\u00a0 information)\u00a0\u00a0\u00a0\u00a0 promulgated<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0 under section 264(c) of the Health Insurance Portability<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0 and Accountability Act of 1996, as part of an established<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 plan of care for that individual that includes the review<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0 and interpretation of that data by an eligible provider.<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0 Such term includes those services furnished in a Federally<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0 qualified health center or a rural health clinic<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(C) The term \u2018applicable individual\u2019 means an indi-<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0 vidual\u2014<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 \u2018\u2018(i) with 2 or more covered chronic conditions<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (as defined in paragraph (2)); and<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(ii) who has a history of 2 or more hospitaliza-<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tions or emergency room visits related to such cov-<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ered chronic conditions of the individual in the pre-<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ceding 12 months.<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(D) The term \u2018eligible provider\u2019 means a physician<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0 (as defined in section 1861(r)) or a practitioner described<\/p>\n<p>9 in section 1842(b)(18)(C).<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(E) The Secretary shall establish procedures under<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 which eligible providers who furnish remote patient moni-<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0 toring services are required to annually submit data on<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0 applicable quality measures under sections 1848 and<\/p>\n<p>14 \u00a01833(z).<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(2)(A) For purposes of paragraph (1)(C), subject to<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 subparagraph (B), the term \u2018covered chronic condition\u2019<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0 means\u2014<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(i) a condition that qualifies an individual for<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 chronic\u00a0\u00a0\u00a0 care\u00a0\u00a0\u00a0 management\u00a0\u00a0\u00a0 services\u00a0\u00a0\u00a0 under\u00a0\u00a0\u00a0 section<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1848(b)(8); and<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(ii) any other condition the Secretary may<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 specify.<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(B) If the Chief Actuary of the Centers for Medicare<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0 &amp; Medicaid Services determines that the inclusion of a<\/p>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0 condition described in subparagraph (A) in the definition<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 of the term \u2018covered chronic condition\u2019 under such sub-<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 paragraph will result in increased expenditures under this<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0 title, the Secretary shall make adjustments to such defini-<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0 tion to eliminate such increased expenditures.<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(3)(A) Payment may be made under this part for<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0 applicable remote patient monitoring services for individ-<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0 uals with certain chronic health conditions furnished to<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0 an applicable individual during a period of up to 90 days<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0 (beginning with the commencement of such services) and<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 such additional period as provided for under subparagraph<\/p>\n<p>11 \u00a0(B).<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(B) The 90-day period described in subparagraph<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0 (A), with respect to an applicable individual, may be re-<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0 newed by the eligible provider who provides chronic care<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0 management services to such individual if the individual<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 has had one or more hospitalizations, not including emer-<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0 gency room visits, related to the covered chronic conditions<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0 of the individual described in paragraph (1)(C) since the<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 beginning of such period.\u2019\u2019.<\/p>\n<ul>\n<li>20 (c) PAYMENT.\u2014<\/li>\n<li>21 (1) IN\u00a0 \u00a0GENERAL.\u2014Section \u00a01848(j)(3) \u00a0of \u00a0the<\/li>\n<\/ul>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Social Security Act (42 U.S.C. 1395w\u20134(j)(3)) is<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 amended by inserting \u2018\u2018(2)(GG),\u2019\u2019 after \u2018\u2018health risk<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 assessment),\u2019\u2019.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 (2) RURAL HEALTH CLINIC SERVICES AND FED-<\/li>\n<li>2 ERALLY QUALIFIED \u00a0HEALTH \u00a0CENTER \u00a0SERVICES.\u2014<\/li>\n<\/ul>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Section 1833 of the Social Security Act (42 U.S.C.<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1395l) is amended by adding at the end the fol-<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 lowing new subsection:<\/p>\n<ul>\n<li>6 \u2018\u2018(aa) PAYMENT FOR APPLICABLE REMOTE PATIENT<\/li>\n<li>7 MONITORING SERVICES FOR INDIVIDUALS WITH CERTAIN<\/li>\n<li>8 CHRONIC HEALTH CONDITIONS FURNISHED BY A RURAL<\/li>\n<li>9 HEALTH CLINIC \u00a0OR \u00a0A \u00a0FEDERALLY \u00a0QUALIFIED \u00a0HEALTH<\/li>\n<\/ul>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 CENTER.\u2014Notwithstanding any other provision of law, in<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 the case of applicable remote patient monitoring services<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0 for individuals with certain chronic health conditions (as<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0 defined in section 1861(iii)) furnished by a rural health<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0 clinic or a Federally qualified health center under para-<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0 graphs (1) and (3), respectively, of section 1861(aa), pay-<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 ment shall be made in an amount equal to the national<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0 average payment amount for such service, as determined<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0 by the Secretary, in accordance with section 1848 (without<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 regard to any adjustment under subsections (a)(5), (a)(7),<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0 (a)(8), (p), or (q) of such section).\u2019\u2019.<\/p>\n<ul>\n<li>21 (d) EFFECTIVE DATE.\u2014The amendments made by<\/li>\n<\/ul>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0 this section shall apply to services furnished on or after<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0 January 1, 2017.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 <strong> 302. ALLOWING TELEHEALTH TO MEET MONTHLY CLI-<\/strong><\/li>\n<li>2 <strong>NICIAN IN-PERSON VISIT REQUIREMENT FOR<\/strong><\/li>\n<li>3 <strong>CERTAIN HOME <\/strong><\/li>\n<\/ul>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (a) IN GENERAL.\u2014Section 1881(b)(3) of the Social<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0 Security Act (42 U.S.C. 1395rr(b)(3)) is amended\u2014<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (1) by redesignating subparagraphs (A) and<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (B) as clauses (i) and (ii), respectively;<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (2) in clause (ii), as redesignated by subpara-<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 graph (A), strike \u2018\u2018on a comprehensive\u2019\u2019 and insert<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018subject to subparagraph (B), on a comprehensive\u2019\u2019;<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (3) by striking \u2018\u2018With respect to\u2019\u2019 and inserting<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(A) With respect to\u2019\u2019; and<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (4) by adding at the end the following new sub-<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 paragraph:<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(B) For purposes of subparagraph (A)(ii), an<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 individual determined to have end stage renal dis-<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ease receiving home dialysis may elect to receive the<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 monthly end stage renal disease-related visits via<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 telehealth if the individual receives an in-person ex-<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 amination\u00a0\u00a0\u00a0 at\u00a0\u00a0 least\u00a0\u00a0\u00a0 once\u00a0\u00a0\u00a0 every\u00a0\u00a0\u00a0 three\u00a0\u00a0\u00a0 consecutive<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 months. For purposes of the preceding sentence, a<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dialysis facility shall be the originating site at which<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the individual is located at the time the service is<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 furnished via telehealth.\u2019\u2019.<\/p>\n<ul>\n<li>25 (b) CONFORMING AMENDMENT.\u2014Section 1881(b)(1)<\/li>\n<\/ul>\n<p>26\u00a0\u00a0\u00a0\u00a0\u00a0 of such Act (42 U.S.C. 1395rr(b)(1)) is amended by strik-<\/p>\n<p>&nbsp;<\/p>\n<p>1 \u00a0ing\u00a0\u00a0\u00a0 \u2018\u2018paragraph\u00a0\u00a0\u00a0\u00a0\u00a0 (3)(A)\u2019\u2019\u00a0\u00a0\u00a0\u00a0 and\u00a0\u00a0\u00a0 inserting\u00a0\u00a0\u00a0\u00a0 \u2018\u2018paragraph<\/p>\n<p>2 \u00a0(3)(A)(i)\u2019\u2019.<\/p>\n<ul>\n<li>3 (c) EFFECTIVE DATE.\u2014The amendments made by<\/li>\n<\/ul>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0 this subsection shall apply with respect to the monthly fee<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0 or other basis of payment for home dialysis services fur-<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0 nished on or after January 1, 2017.<\/p>\n<ul>\n<li>7 <strong> 303. ALLOWING STROKE EVALUATION SITES AND NA-<\/strong><\/li>\n<li>8 <strong>TIVE AMERICAN \u00a0HEALTH \u00a0SERVICE \u00a0FACILI-<\/strong><\/li>\n<li>9 <strong>TIES AS \u00a0SITES \u00a0ELIGIBLE \u00a0FOR \u00a0TELEHEALTH<\/strong><\/li>\n<li>10<\/li>\n<li>11 (a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 STROKE\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EVALUATION\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 SITES.\u2014Section<\/li>\n<\/ul>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0 1834(m)(4)(C) of the Social Security Act (42 U.S.C.<\/p>\n<p>13 1395m(m)(4)(C)) is amended\u2014<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (1) in clause (i), by striking \u2018\u2018The term\u2019\u2019 and<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 inserting \u2018\u2018Subject to clause (iii), the term\u2019\u2019; and<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (2) by adding at the end the following new<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 clause:<\/p>\n<ul>\n<li>18 \u2018\u2018(iii)\u00a0\u00a0\u00a0 STROKE\u00a0\u00a0\u00a0\u00a0\u00a0 TELEHEALTH\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 SERV-<\/li>\n<\/ul>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ICES.\u2014The originating site requirements<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 described in clauses (i) and (ii) shall not<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 apply with respect to services related to the<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 evaluation\u00a0\u00a0\u00a0 or\u00a0\u00a0 management\u00a0\u00a0\u00a0\u00a0 of\u00a0\u00a0 an\u00a0\u00a0 acute<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 stroke for the purpose of determining opti-<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mal acute stroke therapy.\u2019\u2019.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 (b) NATIVE \u00a0AMERICAN \u00a0HEALTH \u00a0SERVICE \u00a0FACILI-<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 TIES.\u2014Section 1834(m)(4)(C) of the Social Security Act<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0 (42 U.S.C. 1395m(m)(4)(C)), as amended by subsection<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0 (a), is amended\u2014<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (1) in clause (i), by striking \u2018\u2018clause (iii)\u2019\u2019 and<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 inserting \u2018\u2018clauses (iii) and (iv)\u2019\u2019; and<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (2) by adding at the end the following new<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 clause:<\/p>\n<ul>\n<li>9 \u2018\u2018(iv)\u00a0\u00a0\u00a0\u00a0 NATIVE\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 AMERICAN\u00a0\u00a0\u00a0\u00a0\u00a0 HEALTH<\/li>\n<li>10 SERVICE FACILITIES.\u2014The originating site<\/li>\n<\/ul>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 requirements described in clauses (i) and<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (ii) shall not apply with respect to a facil-<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ity of the Indian Health Service, whether<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 operated by such Service, or by an Indian<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tribe (as that term is defined in section 4<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 of the Indian Health Care Improvement<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Act (25 U.S.C. 1603)) or a tribal organiza-<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tion (as that term is defined in section 4<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 of the Indian Self-Determination and Edu-<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 cation Assistance Act (25 U.S.C. 450b)),<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 or a facility of the Native Hawaiian health<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 care systems authorized under the Native<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hawaiian Health Care Improvement Act<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (42 U.S.C. 11701 et seq.).\u2019\u2019.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 (c) NO ORIGINATING SITE FACILITY FEE FOR NEW<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 SITES.\u2014Section 1834(m)(2)(B) of the Social Security Act<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0 (42 U.S.C. 1395m(m)(2)(B)) is amended, in the matter<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0 preceding clause (i), by inserting \u2018\u2018(other than an origi-<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0 nating site that is only described in clause (iii) or (iv) of<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0 paragraph (4)(C), and does not meet the requirement for<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0 an originating site under clause (i) of such paragraph)\u2019\u2019<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0 after \u2018\u2018the originating site\u2019\u2019.<\/p>\n<ul>\n<li>9 (d) EFFECTIVE DATE.\u2014The amendments made by<\/li>\n<\/ul>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 this section shall apply to services furnished on or after<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 January 1, 2017.<\/p>\n<ul>\n<li>12 <strong> 304. RURAL HEALTH CLINICS AND FEDERALLY QUALI-<\/strong><\/li>\n<li>13 <strong>FIED HEALTH CENTERS AUTHORIZED TO BE<\/strong><\/li>\n<li>14 <strong>DISTANT <\/strong><\/li>\n<\/ul>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (a) IN GENERAL.\u2014Section 1834(m) of the Social Se-<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 curity Act (42 U.S.C. 1395m(m)) is amended\u2014<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (1) in the first sentence of paragraph (1)\u2014<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (A) \u00a0by \u00a0striking \u00a0\u2018\u2018or \u00a0a \u00a0practitioner \u00a0(de-<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 scribed in section 1842(b)(18)(C))\u2019\u2019 and insert-<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ing\u00a0\u00a0\u00a0 \u2018\u2018,\u00a0\u00a0\u00a0 a\u00a0\u00a0 practitioner\u00a0\u00a0\u00a0\u00a0 (described\u00a0\u00a0\u00a0\u00a0 in\u00a0\u00a0 section<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1842(b)(18)(C)), a Federally qualified health<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 center, or a rural health clinic\u2019\u2019; and<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (B) by striking \u2018\u2018or practitioner\u2019\u2019 and in-<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 serting\u00a0\u00a0\u00a0\u00a0 \u2018\u2018,\u00a0\u00a0\u00a0 practitioner,\u00a0\u00a0\u00a0\u00a0\u00a0 Federally\u00a0\u00a0\u00a0\u00a0\u00a0 qualified<\/p>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 health center, or rural health clinic\u2019\u2019;<\/p>\n<ul>\n<li>1 (2) in paragraph (2)(A)\u2014<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (A) by inserting the following after \u2018\u2018eligi-<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ble telehealth individual\u2019\u2019: \u2018\u2018or to a Federally<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 qualified health center or rural health clinic<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 that serves as a distant site and whose clinician<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 furnishes a telehealth service to an eligible tele-<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 health individual\u2019\u2019; and<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (B) by striking \u2018\u2018such physician or practi-<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tioner\u2019\u2019 and inserting \u2018\u2018such physician, practi-<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tioner,\u00a0\u00a0\u00a0 Federally\u00a0\u00a0\u00a0\u00a0 qualified\u00a0\u00a0\u00a0 health\u00a0\u00a0\u00a0 center,\u00a0\u00a0\u00a0 or<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 rural health clinic\u2019\u2019; and<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (3) in paragraph (4)(A), by inserting the fol-<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 lowing before the period at the end: \u2018\u2018and includes<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 a Federally qualified health center or rural health<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 clinic whose clinician furnishes a telehealth service to<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 an eligible individual\u2019\u2019.<\/p>\n<ul>\n<li>17 (b) EFFECTIVE DATE.\u2014The amendments made by<\/li>\n<\/ul>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0 this section shall apply to services furnished on or after<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 January 1, 2017.<\/p>\n<ul>\n<li>20 <strong> 305. ADDRESSING GAPS IN QUALITY MEASURES FOR<\/strong><\/li>\n<li>21 <strong>TELEHEALTH AND \u00a0REMOTE \u00a0PATIENT \u00a0MONI-<\/strong><\/li>\n<li>22 <strong>TORING <\/strong><\/li>\n<\/ul>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Section 1848(s)(1)(C) of the Social Security Act (42<\/p>\n<p>24 U.S.C. 1395w\u20134(s)(1)(C)) is amended\u2014<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 (1) by redesignating clauses (i) through (iv) as<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 subclauses (I) through (IV), respectively, and in-<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 denting appropriately;<\/p>\n<ul>\n<li>4 (2) by \u00a0striking \u00a0\u2018\u2018CONSIDERATION.\u2014In \u00a0devel-<\/li>\n<li>5 oping\u2019\u2019 and inserting \u2018\u2018CONSIDERATION.\u2014<\/li>\n<li>6 \u2018\u2018(i) IN GENERAL.\u2014Subject to clause<\/li>\n<\/ul>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (ii), in developing\u2019\u2019; and<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (3) by adding at the end the following new<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 clause:<\/p>\n<ul>\n<li>10 \u2018\u2018(ii) ADDRESSING GAPS IN MEASURES<\/li>\n<li>11 FOR TELEHEALTH \u00a0AND \u00a0REMOTE \u00a0PATIENT<\/li>\n<li>12 MONITORING\u00a0\u00a0\u00a0 SERVICES.\u2014Consistent\u00a0\u00a0\u00a0\u00a0\u00a0 with<\/li>\n<\/ul>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 this subsection, the Secretary shall ensure<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 that the plan identifying measure develop-<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ment\u00a0\u00a0\u00a0 priorities\u00a0\u00a0\u00a0 and\u00a0\u00a0 timelines\u00a0\u00a0\u00a0 developed<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 under this subsection addresses relevant<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 gaps in measures with respect to telehealth<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 services, remote patient monitoring serv-<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ices, and the use of such services to ad-<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dress health disparities (as described in<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 section 1890(b)(1)(B)(ii)) that are not oth-<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 erwise addressed through existing quality<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 measures.\u2019\u2019.<\/p>\n<h1>1\u00a0\u00a0\u00a0\u00a0\u00a0 TITLE IV\u2014USE OF TELEHEALTH<\/h1>\n<ul>\n<li>2 <strong>AND REMOTE PATIENT MONI-<\/strong><\/li>\n<li>3 <strong>TORING\u00a0\u00a0 SERVICES\u00a0\u00a0\u00a0 TO\u00a0\u00a0 PRO-<\/strong><\/li>\n<li>4 <strong>VIDE BASIC BENEFITS UNDER<\/strong><\/li>\n<li>5 <strong>MEDICARE PART C<\/strong><\/li>\n<li>6 <strong> 401. \u00a0USE \u00a0OF \u00a0TELEHEALTH \u00a0AND \u00a0REMOTE \u00a0PATIENT<\/strong><\/li>\n<li>7 <strong>MONITORING SERVICES \u00a0TO \u00a0PROVIDE \u00a0BASIC<\/strong><\/li>\n<li>8 <strong>BENEFITS UNDER MEDICARE PART <\/strong><\/li>\n<\/ul>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (a) IN GENERAL.\u2014Section 1852 of the Social Secu-<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0 rity Act (42 U.S.C. 1395w\u201322) is amended\u2014<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (1) in subsection (a)(1)(B)(i), by striking \u2018\u2018part,<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the term\u2019\u2019 and inserting \u2018\u2018part, subject to subsection<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (m), the term\u2019\u2019; and<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (2) by adding at the end the following new sub-<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 section:<\/p>\n<ul>\n<li>16 \u2018\u2018(m) USE OF TELEHEALTH AND REMOTE PATIENT<\/li>\n<li>17 MONITORING SERVICES TO PROVIDE BASIC BENEFITS.\u2014<\/li>\n<\/ul>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0 For plan year 2017 and subsequent plan years, the fol-<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 lowing shall apply:<\/p>\n<ul>\n<li>20 \u2018\u2018(1) IN GENERAL.\u2014An MA plan may elect to<\/li>\n<\/ul>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 use telehealth or remote patient monitoring services<\/p>\n<p>22\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 to provide benefits under the original medicare fee-<\/p>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 for-service program option, including items or serv-<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ices furnished to treat medical or behavioral health<\/p>\n<p>25\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 conditions.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>1 \u2018\u2018(2)\u00a0\u00a0\u00a0\u00a0 WAIVER\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 OF\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LIMITATIONS.\u2014Notwith-<\/li>\n<\/ul>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 standing any other provision of law, in the case<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 where an MA plan elects to use telehealth or remote<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 patient monitoring services to provide such benefits,<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 with respect to enrollees, such services may be fur-<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nished without application of any provision under<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 section 1834(m) or any other provision of this Act<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 that applies a limitation on what qualifies as an<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 originating site, any geographic limitation (subject<\/p>\n<p>10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 to State licensing requirements), any limitation on<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the use of store-and-forward technologies, or any<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 limitation on the type of health care provider who<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 may furnish such services (provided the provider is<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 a Medicare enrolled provider).<\/p>\n<ul>\n<li>15 \u2018\u2018(3) TREATMENT AS \u00a0BASIC \u00a0BENEFITS.\u2014In the<\/li>\n<\/ul>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 case where an MA plan makes such election under<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 paragraph (1), the use of such telehealth or remote<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 patient monitoring services shall be considered part<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 of the provision of benefits under the original medi-<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 care fee-for-service program option for purpose of<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 this part.<\/p>\n<ul>\n<li>22 \u2018\u2018(4) AVAILABILITY OF \u00a0BENEFITS \u00a0IN \u00a0PERSON.\u2014<\/li>\n<\/ul>\n<p>23\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 In the case where an MA plan makes such election<\/p>\n<p>24\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 under paragraph (1), any benefits provided using<\/p>\n<p>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 such telehealth services shall continue to be made<\/p>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 available in person to enrollees under the plan.<\/p>\n<ul>\n<li>3 \u2018\u2018(5) PROVISION \u00a0OF \u00a0DATA.\u2014An \u00a0MA \u00a0plan \u00a0that<\/li>\n<\/ul>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 makes such an election under paragraph (1) with re-<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 spect to a plan year shall provide to the Secretary<\/p>\n<p>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (at such time and in such manner as the Secretary<\/p>\n<p>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 may specify) data on expenditures and utilization for<\/p>\n<p>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 telehealth\u00a0\u00a0\u00a0 or\u00a0\u00a0 remote\u00a0\u00a0\u00a0 patient\u00a0\u00a0\u00a0 monitoring\u00a0\u00a0\u00a0 services<\/p>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 under the plan for enrollees during that plan year.\u2019\u2019.<\/p>\n<ul>\n<li>10 (b) CLARIFICATION REGARDING \u00a0INCLUSION \u00a0IN \u00a0BID<\/li>\n<\/ul>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0 AMOUNT.\u2014Section 1854(a)(6)(A)(ii)(I) of the Social Se-<\/p>\n<p>12 \u00a0curity\u00a0\u00a0 Act\u00a0\u00a0\u00a0 (42\u00a0\u00a0\u00a0 U.\u00a0\u00a0 S.C.\u00a0\u00a0 1395w\u201324(a)(6)(A)(ii)(I))\u00a0\u00a0\u00a0\u00a0\u00a0 is<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0 amended by inserting \u2018\u2018, including, for plan year 2017 and<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0 subsequent plan years, the use of telehealth or remote pa-<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0 tient monitoring services to provide such benefits as de-<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0 scribed in section 1852(m)\u2019\u2019 before the semicolon at the<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0 end.<\/p>\n<ul>\n<li>18 (c) RULE OF \u00a0CONSTRUCTION.\u2014Nothing in this sec-<\/li>\n<\/ul>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0 tion shall be construed as affecting the furnishing of items<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0 or services under the original Medicare fee-for-service pro-<\/p>\n<p>21\u00a0\u00a0\u00a0\u00a0\u00a0 gram.<\/p>\n<h1>1\u00a0\u00a0\u00a0\u00a0\u00a0 TITLE\u00a0\u00a0\u00a0 V\u2014CLARIFICATION\u00a0\u00a0\u00a0 RE-<\/h1>\n<ul>\n<li>2 <strong>GARDING\u00a0\u00a0 TELEHEALTH\u00a0\u00a0 AND<\/strong><\/li>\n<li>3 <strong>REMOTE\u00a0\u00a0\u00a0\u00a0\u00a0 PATIENT\u00a0\u00a0\u00a0\u00a0\u00a0 MONI-<\/strong><\/li>\n<li>4 <strong>TORING TECHNOLOGIES PRO-<\/strong><\/li>\n<li>5 <strong>VIDED TO BENEFICIARIES<\/strong><\/li>\n<li>6 <strong> 501. \u00a0CLARIFICATION \u00a0REGARDING \u00a0TELEHEALTH \u00a0AND<\/strong><\/li>\n<li>7 <strong>REMOTE\u00a0\u00a0\u00a0\u00a0 PATIENT\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 MONITORING\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TECH-<\/strong><\/li>\n<li>8 <strong>NOLOGIES PROVIDED TO <\/strong><\/li>\n<\/ul>\n<p>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Section 1128A(i)(6) of the Social Security Act (42<\/p>\n<p>10 U.S.C. 1320a\u20137a(i)(6)) is amended\u2014<\/p>\n<p>11\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (1) in subparagraph (H), by striking \u2018\u2018; or\u2019\u2019 and<\/p>\n<p>12\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 inserting a semicolon;<\/p>\n<p>13\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (2) in subparagraph (I), by striking the period<\/p>\n<p>14\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 at the end and inserting \u2018\u2018; or\u2019\u2019; and<\/p>\n<p>15\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (3) by adding at the end the following new sub-<\/p>\n<p>16\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 paragraph:<\/p>\n<p>17\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2018\u2018(J) the provision of telehealth or remote<\/p>\n<p>18\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 patient monitoring technologies to individuals<\/p>\n<p>19\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 under title XVIII by a health care provider for<\/p>\n<p>20\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 the purpose of furnishing telehealth or remote<\/p>\n<p>patient monitoring services.\u2019\u2019.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The new CONNECT for Health Act bill is seeking to lift the several barriers providers [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":3119,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[14,159],"tags":[],"class_list":["post-3110","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-telehealth"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>To amend titles XVIII and XI of the Social Security Act to promote cost savings and quality care under the Medicare program through the use of telehealth and remote patient monitoring services, and for other purposes. &#183; Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"The new CONNECT for Health Act bill is seeking to lift the several barriers providers experience when trying to use remote monitoring technologies to\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drmiltie.com\/at-home-testing\/to-amend-titles-xviii-and-xi-of-the-social-security-act-to-promote-cost-savings-and-quality-care-under-the-medicare-program-through-the-use-of-telehealth-and-remote-patient-monitoring-services-and-fo\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"To amend titles XVIII and XI of the Social Security Act to promote cost savings and quality care under the Medicare program through the use of telehealth and remote patient monitoring services, and for other purposes. &#183; Dr. Miltie, LLC - At-Home Testing\" \/>\n<meta property=\"og:description\" content=\"The new CONNECT for Health Act bill is seeking to lift the several barriers providers experience when trying to use 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