,,ib ,union ,calendar ,no4 #cbh #aaeth ,,congress #ast ,session ,h4 ,r4 #aadh ,report ,no4 #aae-ddd1 ,part ,i ,,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 ,december #f1 #bjag ,additional sponsors3 ,mr4 ,graves of ,georgia1 ,mr4 ,flores1 ,mr4 ,lipinski1 ,mr4 ,pascrell1 ,mrs4 ,walorski1 ,mr4 ,sensenbrenner1 ,mr4 ,harris1 ,ms4 ,mc,collum1 ,mr4 ,clay1 ,ms4 ,mc,sally1 ,mr4 ,mooney of ,west ,virginia1 ,mr4 ,tonko1 ,mr4 ,wenstrup1 ,mr4 ,hudson1 ,mr4 ,o',rourke1 ,mr4 ,meehan1 ,mr4 ,harper1 ,mr4 ,joyce of ,ohio1 ,mr4 ,barr1 ,mr4 ,cole1 ,mr4 ,polis1 ,mr4 ,rothfus1 ,ms4 ,rosen1 ,mr4 ,pocan1 ,mr4 ,loudermilk1 ,mr4 ,david ,scott of ,georgia1 ,mr4 ,nunes1 ,mr4 ,schweikert1 ,ms4 ,lofgren1 ,mr4 ,coffman1 ,mr4 ,murphy of ,pennsylvania1 ,mr4 ,amodei1 ,mr4 ,long1 ,ms4 ,schakowsky1 ,mr4 ,rutherford1 ,mr4 ,ruppersberger1 ,ms4 ,del,bene1 ,mr4 ,wilson of ,south ,carolina1 ,mrs4 ,blackburn1 ,ms4 ,brownley of ,california1 ,mr4 ,schrader1 ,mr4 ,crdenas1 ,mrs4 ,davis of ,california1 ,mr4 ,engel1 ,mr4 ,blumenauer1 ,ms4 ,sewell of ,alabama1 ,mr4 ,upton1 ,mr4 ,ben ,ray ,lujn of ,new ,mexico1 ,ms4 ,roybal-,allard1 ,mr4 ,kilmer1 ,mr4 ,kind1 ,mr4 ,michael ,f4 ,doyle of ,pennsylvania1 ,mr4 ,cummings1 ,mr4 ,heck1 ,mr4 ,welch1 ,ms4 ,michelle ,lujan ,grisham of ,new ,mexico1 ,mr4 ,crist1 ,mr4 ,costa1 ,ms4 ,jenkins of ,kansas1 ,mr4 ,emmer1 ,ms4 ,eshoo1 ,mr4 ,bera1 ,ms4 ,matsui1 ,mr4 ,walz1 ,mr4 ,gallego1 ,mr4 ,cartwright1 ,mr4 ,dunn1 ,ms4 ,wasserman ,schultz1 ,mr4 ,mc,kinley1 ,mr4 ,mullin1 ,ms4 ,barragn1 ,mr4 ,bucshon1 ,mr4 ,brendan ,f4 ,boyle of ,pennsylvania1 ,mr4 ,marshall1 ,mr4 ,paulsen1 ,mr4 ,soto1 ,mr4 ,takano1 ,mr4 ,ellison1 ,mrs4 ,mc,morris ,rodgers1 ,mr4 ,himes1 ,mr4 ,poliquin1 ,mr4 ,stivers1 ,mr4 ,rice of ,south ,carolina1 ,mr4 ,lowenthal1 ,mr4 ,stewart1 ,ms4 ,judy ,chu of ,california1 ,mr4 ,raskin1 ,mr4 ,knight1 ,mr4 ,kinzinger1 ,ms4 ,de,gette1 ,mr4 ,cicilline1 ,mr4 ,smith of ,new ,jersey1 ,mr4 ,jody ,b4 ,hice of ,georgia1 ,ms4 ,esty of ,connecticut1 ,mr4 ,young of ,iowa1 ,mr4 ,cook1 ,mr4 ,cuellar1 ,mr4 ,king of ,iowa1 ,mr4 ,cohen1 ,mr4 ,ruiz1 ,mr4 ,goodlatte1 ,mr4 ,thompson of ,california1 ,mr4 ,curbelo of ,florida1 ,mr4 ,roskam1 ,mr4 ,bishop of ,georgia1 ,mr4 ,yarmuth1 ,mr4 ,vela1 ,mr4 ,loebsack1 ,mr4 ,foster1 ,mr4 ,perlmutter1 ,mr4 ,gottheimer1 ,mr4 ,fortenberry1 ,mr4 ,ferguson1 ,mrs4 ,napolitano1 ,ms4 ,shea-,porter1 ,mr4 ,fitzpatrick1 ,mr4 ,barton1 ,mr4 ,farenthold1 ,mr4 ,smucker1 ,mr4 ,peters1 ,mr4 ,norman1 ,mr4 ,chabot1 ,mr4 ,guthrie1 ,mr4 ,hastings1 ,ms4 ,clarke of ,new ,york1 ,mr4 ,donovan1 ,mr4 ,higgins of ,new ,york1 ,mr4 ,posey1 ,mr4 ,lance1 ,mr4 ,crowley1 ,mr4 ,kennedy1 ,mr4 ,dent1 ,mrs4 ,brooks of ,indiana1 ,mr4 ,shimkus1 ,mr4 ,panetta1 ,mr4 ,barletta1 ,mr4 ,reed1 ,ms4 ,sinema1 ,mr4 ,sessions1 ,mr4 ,cramer1 ,mr4 ,mc,govern1 ,ms4 ,moore1 ,mr4 ,hollingsworth1 ,mr4 ,nolan1 ,mr4 ,doggett1 ,mr4 ,costello of ,pennsylvania1 ,mr4 ,khanna1 ,mr4 ,brady of ,pennsylvania1 ,ms4 ,pingree1 ,mr4 ,young of ,alaska1 ,mr4 ,kelly of ,pennsylvania1 ,ms4 ,slaughter1 ,mrs4 ,murphy of ,florida1 ,mr4 ,lewis of ,minnesota1 ,mr4 ,blum1 ,mr4 ,burgess1 ,mr4 ,thompson of ,pennsylvania1 ,mr4 ,peterson1 ,mr4 ,lewis of ,georgia1 ,mr4 ,mc,nerney1 ,mr4 ,katko1 ,mr4 ,gonzalez of ,texas1 ,mr4 ,walberg1 ,mr4 ,smith of ,missouri1 ,mr4 ,byrne1 ,mr4 ,la,hood1 and ,mr4 ,larson of ,connecticut ,december #f1 #bjag ,reported from the ,committee on ,energy and ,commerce with an amendment ,strike out all after the enacting clause and insert the part printed in italic ,december #f1 #bjag ,the ,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed ,for text of introduced bill1 see copy of bill as introduced on ,february #af1 #bjag ,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 in the matter preceding subclause 7,i71 by striking ,the term and inserting ,except as provided in 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 hospital 7as defined in section #ahfa7;e77 or critical access hospital 7as defined in section #ahfa7mm77#a771 or any mobile stroke unit1 at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system1 regardless of where the hospital1 critical access hospital1 or mobile stroke 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 of an acute stroke in an individual2 and 7ii7 furnished 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 amended-- 7#a7 by redesignating clauses 7i7 and 7ii7 as subclauses 7,i7 and 7,,ii71 respectively 7and adjusting the margins accordingly72 7#b7 in subclause 7,,ii71 as redesignated by paragraph 7#a71 by striking clause 7i7 or this clause and inserting subclause 7,i7 or this subclause2 7#c7 by striking ,site4--,with respect to and inserting ,site4-- 7i7 ,in general ,with respect to 2 7#d7 by striking subject to section #ahcc7;a77#a77,u7 and inserting subject to clause 7ii7 and section #ahcc7;a77#a77,u72 and 7#e7 by adding at the end the following new clause3 7ii7 ,no originating site facility fee for certain telestroke services ,no facility fee shall be paid under this subparagraph to an originating site that is described in clause 7iii7 of paragraph 7#d77;,c7 and that would not otherwise meet the requirements for an originating site under paragraph 7#d77;,c7 without application of the amendments made by the ,,fast ,act of #bjag4 4 7c7 ,effective date ,the amendments made by this section shall apply to services furnished on or after ,january #a1 #bjba4 ,december #f1 #bjag ,reported from the ,committee on ,energy and ,commerce with an amendment ,december #f1 #bjag ,the ,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed