,,ii  #aadth ,,congress  #b;d ,session  
,s4 #bdhd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,february #b1  
#bjaf,mr4 ,schatz 7for himself1 ,mr4    
,wicker1 ,mr4 ,cochran1 ,mr4 ,cardin1   
,mr4 ,thune1 and ,mr4 ,warner7          
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,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
 services1 and for other purposes4  #a4 
,short title2 table of contents  7a7    
,short title ,this ,act may be cited as 
the ,creating ,opportunities ,now for   
,necessary and ,effective ,care         
,technologies 7,,connect7 for ,health   
,act or the ,,connect for ,health ,act4 
7b7 ,table of contents ,the table of    
contents of this ,act is as follows3    
,sec4 #a4 ,short title2 table of        
contents4 ,,title ,i--,telehealth and   

remote patient monitoring services      
bridge demonstration waivers ,sec4 #aja4
 ,telehealth and remote patient         
monitoring services bridge demonstration
 waivers4 ,,title ,,ii--,telehealth and 
remote patient monitoring services      
furnished by qualifying ,,apm           
participants ,sec4 #bja4 ,telehealth and
 remote patient monitoring services     
furnished by qualifying ,,apm           
participants4 ,,title ,,iii--,medicare  
coverage of telehealth and remote       
patient monitoring services ,sec4 #cja4 
,remote patient monitoring services for 
individuals with certain chronic health 
conditions4 ,sec4 #cjb4 ,allowing       
telehealth to meet monthly clinician    
in-person visit requirement for certain 
home dialysis4 ,sec4 #cjc4 ,allowing    
stroke evaluation sites and ,native     
,american health service facilities as  
sites eligible for telehealth payment4  
,sec4 #cjd4 ,rural health clinics and   
,federally qualified health centers     
authorized to be distant sites4 ,sec4   

#cje4 ,addressing gaps in quality       
measures for telehealth and remote      
patient monitoring services4 ,,title    
,,iv--,use of telehealth and remote     
patient monitoring services to provide  
basic benefits under ,medicare part ,c  
,sec4 #dja4 ,use of telehealth and      
remote patient monitoring services to   
provide basic benefits under ,medicare  
part ,c4 ,,title ,v--,clarification     
regarding telehealth and remote patient 
monitoring technologies provided to     
beneficiaries ,sec4 #eja4 ,clarification
 regarding telehealth and remote patient
 monitoring technologies provided to    
beneficiaries4  ,i ,telehealth and      
remote patient monitoring services      
bridge demonstration waivers  #aja4     
,telehealth and remote patient          
monitoring services bridge demonstration
 waivers ,title ,,xviii of the ,social  
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 is amended by adding at the end   
the following new section3  #ahii;,c4   
,telehealth and remote patient          

monitoring services bridge demonstration
 waivers  7a7 ,implementation  7#a7 ,in 
general ,subject to the succeeding      
provisions of this subsection1 the      
,secretary shall solicit proposals from1
 and issue telehealth or remote patient 
monitoring services bridge demonstration
 waivers under this title to1 eligible  
applicants who1 for the duration of time
 for which the demonstration waiver     
would apply1 are furnishing telehealth  
or remote patient monitoring services   
7as defined in section #ahfa7;iii77 to  
individuals under this title in a manner
 that is consistent with the goals of   
the ,merit-based ,incentive ,payment    
,system under section #ahdh7q71         
including the goals of quality1 resource
 utilization1 and clinical practice     
improvement 7including care coordination
 and patient engagement71 or the        
incentive payments for participation in 
eligible alternative payment models     
under section #ahcc7z74  7#b7 ,eligible 
applicant defined ,in this section1 the 

term eligible applicant means the       
following3 7,a7 ,a professional         
described in section                    
#ahdh7q77#a77;,c77i77,i74  7,b7 ,a      
qualifying ,,apm participant 7as defined
 in section #ahcc7z77#b774  7,c7 ,any   
other provider1 including a professional
 described in section                   
#ahdh7q77#a77;,c77i77,,ii71 determined  
appropriate by the ,secretary1 and a    
group that includes such providers4  7b7
 ,demonstration waiver application      
requirements  ,an eligible applicant    
seeking a demonstration waiver under    
this section shall submit an application
 to the ,secretary on an annual basis   
that includes the following3  7#a7 ,an  
attestation of the intent of the        
applicant to use telehealth or remote   
patient monitoring services to meet the 
goals described in subsection 7a77#a71  
and details 7as specified by the        
,secretary7 on how the eligible         
applicant will use those services to    
meet such goals4  7#b7 ,an agreement by 

the applicant to-- 7,a7 submit the      
information described in subsection 7d7 
in accordance with such subsection2 and 
7,b7 cooperate in any audit conducted   
under subsection 7e7 with respect to    
claims for telehealth or remote patient 
monitoring services furnished by the    
applicant under the waiver4  7c7 ,waiver
 of limitations for telehealth or remote
 patient monitoring services  7#a7 ,in  
general ,the ,secretary shall waive     
certain applicable provisions of        
sections #ahcd7m7 and #ahfa7;iii7 as a  
condition of payment for telehealth or  
remote patient monitoring services for  
eligible applicants whose application   
for a demonstration waiver was approved 
under this section4 ,the provisions to  
be waived under the preceding sentence  
include any limitation on what qualifies
 as an originating site1 any geographic 
limitation 7subject to ,state licensing 
requirements71 any limitation on the use
 of store-and-forward technologies1 or  
any limitation on the type of health    

care provider who may furnish such      
services 7provided the provider is a    
,medicare enrolled provider74  7#b7     
,general supervision ,the ,secretary    
shall permit an eligible applicant whose
 application for a demonstration waiver 
was approved under this section to      
furnish telehealth or remote patient    
monitoring services under the general   
supervision of the applicant4  7d7      
,annual submission of data ,an eligible 
applicant whose application for a       
demonstration waiver under this section 
was approved shall1 on an annual basis1 
submit to the ,secretary--  7#a7        
information requested by the ,secretary 
for evaluation of the demonstration1    
including information on utilization and
 expenditures for telehealth or remote  
patient monitoring services under the   
demonstration waiver during the         
preceding year2  7#b7 data on applicable
 quality measures during the preceding  
year1 consistent with sections #ahdh and
 #ahcc7z72 and  7#c7 such other         

information as the ,secretary determines
 is necessary to complete the report    
under subsection 7g74  7e7 ,random      
audits ,the ,secretary shall conduct    
audits of randomly selected claims under
 the demonstration waiver program under 
this section to ensure that waivers     
under the program are being used as     
intended to furnish telehealth or remote
 patient monitoring services4  7f7      
,implementation  7#a7 ,sunset ,except as
 provided in paragraph 7#b71 the        
authority to carry out the demonstration
 waiver program under this section shall
 expire on ,december #ca1 #bjai4  7#b7  
,expansion ,taking into account the     
report under subsection 7g71 the        
,secretary may1 through rulemaking1     
expand 7including implementation on a   
nationwide basis7 the duration and the  
scope of the demonstration waiver       
program under this section1 to the      
extent determined appropriate by the    
,secretary1 if--  7,a7 the ,secretary   
determines that such expansion is       

expected to-- 7i7 reduce spending under 
this title without reducing the quality 
of care2 or  7ii7 improve the quality of
 patient care without increasing        
spending2  7,b7 the ,chief ,actuary of  
the ,centers for ,medicare  ,medicaid   
,services certifies that such expansion 
would reduce 7or would not result in any
 increase in7 net program spending under
 this title2 and  7,c7 the ,secretary   
determines that such expansion would not
 deny or limit the coverage or provision
 of benefits under this title for       
individuals4  7g7 ,report to congress   
,not later than ,december #ca1 #bjbj1   
the ,chief ,actuary of the ,centers for 
,medicare  ,medicaid ,services shall    
submit to ,congress a report containing 
an evaluation of the impact of          
telehealth and remote patient monitoring
 services under the demonstration waiver
 program on--  7#a7 spending under this 
title2 and  7#b7 achieving the          
additional ,,mips adjustment factors for
 exceptional performance described in   

section #ahdh7q77#f77;,c7 and incentive 
payments for participation in eligible  
alternative payment models described in 
section #ahcc7z77#a74  4  ,,ii          
,telehealth and remote patient          
monitoring services furnished by        
qualifying ,,apm participants  #bja4    
,telehealth and remote patient          
monitoring services furnished by        
qualifying ,,apm participants  7a7 ,in  
general ,title ,,xviii of the ,social   
,security ,act 7#db ,u4,s4,c4 #acie et  
seq471 as amended by section #aja1 is   
amended by adding at the end the        
following new section3  #ahii;,d4       
,telehealth and remote patient          
monitoring services furnished by        
qualifying ,,apm participants  7a7 ,in  
general ,the ,secretary shall waive     
certain applicable provisions of section
 #ahcd7m7 and section #ahfa7;iii7 as a  
condition of payment for telehealth or  
remote patient monitoring services for a
 qualifying ,,apm participant 7as       
defined in section #ahcc7z77#b774 ,the  

provisions to be waived under the       
preceding sentence include any          
limitation on what qualifies as an      
originating site1 any geographic        
limitation 7subject to ,state licensing 
requirements71 any limitation on the use
 of store-and-forward technologies1 or  
any limitation on the type of health    
care provider who may furnish such      
services 7provided the provider is a    
,medicare enrolled provider74  7b7      
,annual submission of data ,a qualifying
 ,,apm participant 7as so defined7 who  
furnishes telehealth or remote patient  
monitoring services under this section  
shall1 on an annual basis1 submit to the
 ,secretary information requested by the
 ,secretary for evaluation of the       
implementation of this section1         
including information on utilization and
 expenditures for telehealth or remote  
patient monitoring services under this  
section during the preceding year and   
data on any applicable quality measures1
 consistent with sections #ahdh and     

#ahcc7z74  7c7 ,no increase in          
expenditures ,if the ,secretary         
determines payments for telehealth or   
remote patient monitoring services under
 this section will increase expenditures
 under this title1 the ,secretary shall 
make adjustments to such payments to    
eliminate such increased expenditures4  
4  7b7 ,effective date ,the amendment   
made by this section shall apply with   
respect to services furnished on or     
after ,january #a1 #bjag4  ,,iii        
,medicare coverage of telehealth and    
remote patient monitoring services      
#cja4 ,remote patient monitoring        
services for individuals with certain   
chronic health conditions  7a7 ,coverage
  7#a7 ,in general ,section #ahfa7s77#b7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #aciex7s77#b77 is amended--   
7,a7 in subparagraph 7,,ee71 by striking
 and at the end2  7,b7 in subparagraph  
7,,ff71 by inserting and at the end2 and
  7,c7 by inserting after subparagraph  
7,,ff7 the following new subparagraph3  

7,,gg7 applicable remote patient        
monitoring services for individuals with
 certain chronic health conditions 7as  
defined in subsection 7iii772 4  7#b7   
,coverage as rural health clinic        
services and ,federally qualified health
 center services ,section #ahfa7;aa7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciex7aa77 is amended-- 7,a7 
in paragraph 7#a7--  7i7 in subparagraph
 7,b71 by striking 1 and and inserting a
 comma2  7ii7 in subparagraph 7,c71 by  
inserting and after the comma at the    
end2 and  7iii7 by inserting after      
subparagraph 7,c7 the following new     
subparagraph3  7,d7 applicable remote   
patient monitoring services for         
individuals with certain chronic health 
conditions 7as defined in subsection    
7iii771  2 and  7,b7 in paragraph 7#c7--
 7i7 in subparagraph 7,a71 by striking 2
 and and inserting a semicolon2  7ii7 in
 subparagraph 7,b71 by striking the     
comma and inserting 2 and2 and  7iii7 by
 inserting after subparagraph 7,b7 the  

following new subparagraph3  7,c7       
applicable remote patient monitoring    
services for individuals with certain   
chronic health conditions 7as defined in
 subsection 7iii771  4  7b7 ,services   
described ,section #ahfa of the ,social 
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 amended by adding at the end the       
following new subsection3  7iii7 ,remote
 patient monitoring services for        
individuals with certain chronic health 
conditions  7#a7 7,a7 ,the term         
applicable remote patient monitoring    
services for individuals with certain   
chronic health conditions means remote  
patient monitoring services 7as defined 
in subparagraph 7,b77 furnished to an   
applicable individual 7as defined in    
subparagraph 7,c77 under general        
supervision of the provider1 with the   
exception of those services covered     
under subsection 7s77#a74  7,b7 ,the    
term remote patient monitoring services 
means personal medical data transmitted 
from an applicable individual in one    

location via electronic communications  
technologies to an eligible provider 7as
 defined in subparagraph 7,d77 in a     
different location and used by the      
eligible provider in furnishing remote  
patient monitoring services to such     
individual that complies with the       
,federal regulations 7concerning the    
privacy and security of individually    
identifiable health information7        
promulgated under section #bfd7;c7 of   
the ,health ,insurance ,portability and 
,accountability ,act of #aiif1 as part  
of an established plan of care for that 
individual that includes the review and 
interpretation of that data by an       
eligible provider4 ,such term includes  
those services furnished in a ,federally
 qualified health center or a rural     
health clinic  7,c7 ,the term applicable
 individual means an individual-- 7i7   
with #b or more covered chronic         
conditions 7as defined in paragraph     
7#b772 and  7ii7 who has a history of #b
 or more hospitalizations or emergency  

room visits related to such covered     
chronic conditions of the individual in 
the preceding #ab months4  7,d7 ,the    
term eligible provider means a physician
 7as defined in section #ahfa7r77 or a  
practitioner described in section       
#ahdb7;b77#ah77;,c74  7,e7 ,the         
,secretary shall establish procedures   
under which eligible providers who      
furnish remote patient monitoring       
services are required to annually submit
 data on applicable quality measures    
under sections #ahdh and #ahcc7z74  7#b7
 7,a7 ,for purposes of paragraph        
7#a77;,c71 subject to subparagraph 7,b71
 the term covered chronic condition     
means-- 7i7 a condition that qualifies  
an individual for chronic care          
management services under section       
#ahdh7;b77#h72 and  7ii7 any other      
condition the ,secretary may specify4   
7,b7 ,if the ,chief ,actuary of the     
,centers for ,medicare  ,medicaid       
,services determines that the inclusion 
of a condition described in subparagraph

 7,a7 in the definition of the term     
covered chronic condition under such    
subparagraph will result in increased   
expenditures under this title1 the      
,secretary shall make adjustments to    
such definition to eliminate such       
increased expenditures4  7#c7 7,a7      
,payment may be made under this part for
 applicable remote patient monitoring   
services for individuals with certain   
chronic health conditions furnished to  
an applicable individual during a period
 of up to #ij days 7beginning with the  
commencement of such services7 and such 
additional period as provided for under 
subparagraph 7,b74  7,b7 ,the #ij-;day  
period described in subparagraph 7,a71  
with respect to an applicable           
individual1 may be renewed by the       
eligible provider who provides chronic  
care management services to such        
individual if the individual has had one
 or more hospitalizations1 not including
 emergency room visits1 related to the  
covered chronic conditions of the       

individual described in paragraph       
7#a77;,c7 since the beginning of such   
period4  4  7c7 ,payment  7#a7 ,in      
general ,section #ahdh7;j77#c7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7;j77#c77 is amended by        
inserting 7#b77;,,gg71 after health risk
 assessment714  7#b7 ,rural health      
clinic services and ,federally qualified
 health center services ,section #ahcc  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciel7 is amended by adding  
at the end the following new subsection3
  7aa7 ,payment for applicable remote   
patient monitoring services for         
individuals with certain chronic health 
conditions furnished by a rural health  
clinic or a ,federally qualified health 
center ,notwithstanding any other       
provision of law1 in the case of        
applicable remote patient monitoring    
services for individuals with certain   
chronic health conditions 7as defined in
 section #ahfa7;iii77 furnished by a    
rural health clinic or a ,federally     

qualified health center under paragraphs
 7#a7 and 7#c71 respectively1 of section
 #ahfa7;aa71 payment shall be made in an
 amount equal to the national average   
payment amount for such service1 as     
determined by the ,secretary1 in        
accordance with section #ahdh 7without  
regard to any adjustment under          
subsections 7a77#e71 7a77#g71 7a77#h71  
7p71 or 7q7 of such section74  4  7d7   
,effective date ,the amendments made by 
this section shall apply to services    
furnished on or after ,january #a1      
#bjag4  #cjb4 ,allowing telehealth to   
meet monthly clinician in-person visit  
requirement for certain home dialysis   
7a7 ,in general ,section #ahha7;b77#c7  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acierr7b77#c77 is amended--  
7#a7 by redesignating subparagraphs 7,a7
 and 7,b7 as clauses 7i7 and 7ii71      
respectively2  7#b7 in clause 7ii71 as  
redesignated by subparagraph 7,a71      
strike on a comprehensive and insert    
subject to subparagraph 7,b71 on a      

comprehensive2  7#c7 by striking ,with  
respect to and inserting 7,a7 ,with     
respect to2 and  7#d7 by adding at the  
end the following new subparagraph3     
7,b7 ,for purposes of subparagraph      
7,a77ii71 an individual determined to   
have end stage renal disease receiving  
home dialysis may elect to receive the  
monthly end stage renal disease-related 
visits via telehealth if the individual 
receives an in-person examination at    
least once every three consecutive      
months4 ,for purposes of the preceding  
sentence1 a dialysis facility shall be  
the originating site at which the       
individual is located at the time the   
service is furnished via telehealth4  4 
7b7 ,conforming amendment ,section      
#ahha7;b77#a7 of such ,act 7#db         
,u4,s4,c4 #acierr7b77#a77 is amended by 
striking paragraph 7#c77;,a7 and        
inserting paragraph 7#c77;,a77i74  7c7  
,effective date ,the amendments made by 
this subsection shall apply with respect
 to the monthly fee or other basis of   

payment for home dialysis services      
furnished on or after ,january #a1      
#bjag4  #cjc4 ,allowing stroke          
evaluation sites and ,native ,american  
health service facilities as sites      
eligible for telehealth payment  7a7    
,stroke evaluation sites ,section       
#ahcd7m77#d77;,c7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c77 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 ,the originating    
site requirements described in clauses  
7i7 and 7ii7 shall not apply with       
respect to services related to the      
evaluation or management of an acute    
stroke for the purpose of determining   
optimal acute stroke therapy4  4  7b7   
,native ,american health service        
facilities ,section #ahcd7m77#d77;,c7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #aciem7m77#d77;,c771 as       

amended by subsection 7a71 is amended-- 
7#a7 in clause 7i71 by striking clause  
7iii7 and inserting clauses 7iii7 and   
7iv72 and  7#b7 by adding at the end the
 following new clause3  7iv7 ,native    
,american health service facilities ,the
 originating site requirements described
 in clauses 7i7 and 7ii7 shall not apply
 with respect to a facility of the      
,indian ,health ,service1 whether       
operated by such ,service1 or by an     
,indian tribe 7as that term is defined  
in section #d of the ,indian ,health    
,care ,improvement ,act 7#be ,u4,s4,c4  
#afjc77 or a tribal organization 7as    
that term is defined in section #d of   
the ,indian ,self-,determination and    
,education ,assistance ,act 7#be        
,u4,s4,c4 #dej;b771 or a facility of the
 ,native ,hawaiian health care systems  
authorized under the ,native ,hawaiian  
,health ,care ,improvement ,act 7#db    
,u4,s4,c4 #aagja et seq474  4  7c7 ,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 or 7iv7 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  7d7 ,effective date ,the         
amendments made by this section shall   
apply to services furnished on or after 
,january #a1 #bjag4  #cjd4 ,rural health
 clinics and ,federally qualified health
 centers authorized to be distant sites 
7a7 ,in general ,section #ahcd7m7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciem7m77 is amended--  7#a7 in the    
first sentence of paragraph 7#a7-- 7,a7 
by striking or a practitioner 7described
 in section #ahdb7;b77#ah77;,c77 and    
inserting 1 a practitioner 7described in
 section #ahdb7;b77#ah77;,c771 a        
,federally qualified health center1 or a
 rural health clinic2 and  7,b7 by      

striking or practitioner and inserting 1
 practitioner1 ,federally qualified     
health center1 or rural health clinic2  
7#b7 in paragraph 7#b77;,a7--  7,a7 by  
inserting the following after eligible  
telehealth individual3 or to a          
,federally qualified health center or   
rural health clinic that serves as a    
distant site and whose clinician        
furnishes a telehealth service to an    
eligible telehealth individual2 and     
7,b7 by striking such physician or      
practitioner and inserting such         
physician1 practitioner1 ,federally     
qualified health center1 or rural health
 clinic2 and  7#c7 in paragraph         
7#d77;,a71 by inserting the following   
before the period at the end3 and       
includes a ,federally qualified health  
center or rural health clinic whose     
clinician furnishes a telehealth service
 to an eligible individual4  7b7        
,effective date ,the amendments made by 
this section shall apply to services    
furnished on or after ,january #a1      

#bjag4  #cje4 ,addressing gaps in       
quality measures for telehealth and     
remote patient monitoring services      
,section #ahdh7s77#a77;,c7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7s77#a77;,c77 is amended--     
7#a7 by redesignating clauses 7i7       
through 7iv7 as subclauses 7,i7 through 
7,,iv71 respectively1 and indenting     
appropriately2  7#b7 by striking        
,consideration4--,in developing and     
inserting 8,consideration4--  7i7 ,in   
general ,subject to clause 7ii71 in     
developing  2 and  7#c7 by adding at the
 end the following new clause3  7ii7    
,addressing gaps in measures for        
telehealth and remote patient monitoring
 services ,consistent with this         
subsection1 the ,secretary shall ensure 
that the plan identifying measure       
development priorities and timelines    
developed under this subsection         
addresses relevant gaps in measures with
 respect to telehealth services1 remote 
patient monitoring services1 and the use

 of such services to address health     
disparities 7as described in section    
#ahij7;b77#a77;,b77ii77 that are not    
otherwise addressed through existing    
quality measures4  4  ,,iv ,use of      
telehealth and remote patient monitoring
 services to provide basic benefits     
under ,medicare part ,c  #dja4 ,use of  
telehealth and remote patient monitoring
 services to provide basic benefits     
under ,medicare part ,c  7a7 ,in general
 ,section #aheb of the ,social ,security
 ,act 7#db ,u4,s4,c4 #aciew-#bb7 is     
amended-- 7#a7 in subsection            
7a77#a77;,b77i71 by striking part1 the  
term and inserting part1 subject to     
subsection 7m71 the term2 and  7#b7 by  
adding at the end the following new     
subsection3  7m7 ,use of telehealth and 
remote patient monitoring services ,to  
provide basic benefits ,for plan year   
#bjag and subsequent plan years1 the    
following shall apply3  7#a7 ,in general
 ,an ,,ma plan may elect to use         
telehealth or remote patient monitoring 

services to provide benefits under the  
original medicare fee-for-service       
program option1 including items or      
services furnished to treat medical or  
behavioral health conditions4  7#b7     
,waiver of limitations ,notwithstanding 
any other provision of law1 in the case 
where an ,,ma plan elects to use        
telehealth or remote patient monitoring 
services to provide such benefits1 with 
respect to enrollees1 such services may 
be furnished without application of any 
provision under section #ahcd7m7 or any 
other provision of this ,act that       
applies a limitation on what qualifies  
as an originating site1 any geographic  
limitation 7subject to ,state licensing 
requirements71 any limitation on the use
 of store-and-forward technologies1 or  
any limitation on the type of health    
care provider who may furnish such      
services 7provided the provider is a    
,medicare enrolled provider74  7#c7     
,treatment as basic benefits ,in the    
case where an ,,ma plan makes such      

election under paragraph 7#a71 the use  
of such telehealth or remote patient    
monitoring services shall be considered 
part of the provision of benefits under 
the original medicare fee-for-service   
program option for purpose of this part4
  7#d7 ,availability of benefits in     
person ,in the case where an ,,ma plan  
makes such election under paragraph     
7#a71 any benefits provided using such  
telehealth services shall continue to be
 made available in person to enrollees  
under the plan4  7#e7 ,provision of data
 ,an ,,ma plan that makes such an       
election under paragraph 7#a7 with      
respect to a plan year shall provide to 
the ,secretary 7at such time and in such
 manner as the ,secretary may specify7  
data on expenditures and utilization for
 telehealth or remote patient monitoring
 services under the plan for enrollees  
during that plan year4  4  7b7          
,clarification regarding inclusion in   
bid amount ,section                     
#ahed7;a77#f77;,a77ii77,i7 of the       

,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#bd7;a77#f77;,a77ii77,i77 is     
amended by inserting 1 including1 for   
plan year #bjag and subsequent plan     
years1 the use of telehealth or remote  
patient monitoring services to provide  
such benefits as described in section   
#aheb7m7 before the semicolon at the    
end4  7c7 ,rule of construction ,nothing
 in this section shall be construed as  
affecting the furnishing of items or    
services under the original ,medicare   
fee-for-service program4  ,v            
,clarification regarding telehealth and 
remote patient monitoring technologies  
provided to beneficiaries  #eja4        
,clarification regarding telehealth and 
remote patient monitoring technologies  
provided to beneficiaries ,section      
#aabh;,a7i77#f7 of the ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;a-#g;a7i77#f77 is amended-- 7#a7  
in subparagraph 7,h71 by striking 2 or  
and inserting a semicolon2  7#b7 in     
subparagraph 7,i71 by striking the      

period at the end and inserting 2 or2   
and  7#c7 by adding at the end the      
following new subparagraph3  7,j7 the   
provision of telehealth or remote       
patient monitoring technologies to      
individuals under title ,,xviii by a    
health care provider for the purpose of 
furnishing telehealth or remote patient 
monitoring services4  4