,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #aadh  ,,in ,,the ,,house ,,of  
,,representatives  ,february #af1       
#bjag,mr4 ,griffith 7for himself1 ,mrs4 
,beatty1 ,mr4 ,carter of ,georgia1 ,mr4 
,ryan of ,ohio1 ,mr4 ,collins of ,new   
,york1 ,mr4 ,roe of ,tennessee1 ,mr4    
,bilirakis1 ,mr4 ,abraham1 ,mr4 ,babin1 
,mr4 ,turner1 and ,mr4 ,johnson of      
,ohio7 introduced the following bill2   
which was referred to the ,committee on 
,energy and ,commerce1 and in addition  
to the ,committee on ,ways and ,means1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to expand access to      
telehealth-eligible stroke services     
under the ,medicare program4  #a4 ,short
 title ,this ,act may be cited as the   
,furthering ,access to ,stroke          
,telemedicine ,act of #bjag or the      

,,fast ,act of #bjag4  #b4 ,expanding   
access to telehealth-eligible stroke    
services under the ,medicare program    
7a7 ,in general ,section #ahcd7m77#d7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #aciem7m77#d77 is amended--   
7#a7 in subparagraph 7,c7-- 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           
,telehealth-eligible stroke services    
,with respect to telehealth-eligible    
stroke services1 the term originating   
site means any hospital1 or any mobile  
unit equipped with the ability to       
evaluate possible stroke patients while 
being transported to a hospital1 at     
which the eligible telehealth individual
 is located at the time the service is  
furnished via a telecommunications      
system1 regardless of where the hospital
 or mobile unit is located4  2  7#b7 in 
subparagraph 7,f77i7 by inserting       
telehealth-eligible stroke services1    

after ,secretary7712 and  7#c7 by adding
 at the end the following new           
subparagraph3  7,g7 ,telehealth-eligible
 stroke services ,the term              
telehealth-eligible stroke services     
means services that are-- 7i7 related to
 the diagnosis1 evaluation1 or treatment
 of symptoms in an individual of an     
acute stroke2 and  7ii7 provided to such
 individual not later than four and a   
half hours 7or such other clinically    
appropriate amount of time as is        
determined by the ,secretary7 after the 
onset of such symptoms with respect to  
such individual4  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 #ah months after the   
date of the enactment of this ,act4