,,ii  #aadth ,,congress  #ast ,session  
,s4 #adfe  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1 #bjae
 ,mr4 ,kirk introduced the following    
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to expand access to     
stroke telehealth services under the    
,medicare program4  #a4 ,short title    
,this ,act may be cited as the          
,furthering ,access to ,stroke          
,telemedicine ,act or the ,,fast ,act4  
#b4 ,expanding access to stroke         
telehealth services under the ,medicare 
program  7a7 ,in general ,section       
#ahcd7m77#d77;,c7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c7 is amended-- 7#a7 in 
clause 7i71 by striking ,the term and   
inserting ,subject to clause 7iii71 the 
term2 and  7#b7 by adding at the end the
 following new clause3  7iii7 ,stroke   
telehealth services ,with respect to    
services related to the evaluation or   

treatment of an acute stroke that are   
provided within the evidence-based      
window of treatment1 the term           
originating site means any site at which
 the eligible telehealth individual is  
located at the time the service is      
furnished via a telecommunications      
system1 regardless of where the site is 
located4  4  7b7 ,no originating site   
facility fee for new sites ,section     
#ahcd7m77#b77;,b7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#b77;,b77 is amended1 in the  
matter preceding clause 7i71 by         
inserting 7other than an originating    
site that is only described in clause   
7iii7 of paragraph 7#d77;,c71 and does  
not meet the requirement for an         
originating site under clause 7i7 of    
such paragraph7 after the originating   
site4  7c7 ,effective date ,the         
amendments made by this section shall   
apply to services furnished on or after 
the date that is #a year after the date 
of the enactment of this ,act4