,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bija  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1      
#bjah,mr4 ,thune 7for himself1 ,mr4     
,warner1 ,mr4 ,cardin1 ,mr4 ,cornyn1    
,mr4 ,whitehouse1 ,mr4 ,grassley1 ,mr4  
,schatz1 ,mr4 ,wicker1 and ,mrs4        
,hyde-,smith7 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 the use of    
telehealth services for the treatment of
 opioid use disorder and other substance
 use disorders4  #a4 ,short title ,this 
,act may be cited as the ,expanding     
,telehealth ,response to ,ensure        
,addiction ,treatment ,act or the       
e,t,r,e,a,t ,act4  #b4 ,expanding the   
use of telehealth services for the      
treatment of opioid use disorder and    
other substance use disorders ,section  
#ahcd7m7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7m77 is amended--  
7#a7 in paragraph 7#d77;,c77i71 by      

striking paragraph 7#f7 and inserting   
paragraphs 7#f7 and 7#g72 and  7#b7 by  
adding at the end the following new     
paragraph3  7#g7 ,treatment of substance
 use disorder services furnished through
 telehealth  7,a7 ,non-application of   
originating site requirements ,the      
requirements described in paragraph     
7#d77;,c7 shall not apply with respect  
to telehealth services furnished on or  
after ,january #a1 #bjai1 for purposes  
of treatment of substance use disorder1 
as determined by the ,secretary4  7,b7  
,no originating site facility fee for   
new sites ,no facility fee shall be paid
 under paragraph 7#b77;,b7 to an        
originating site with respect to a      
telehealth service described in         
subparagraph 7,a7 if the originating    
site does not otherwise meet the        
requirements for an originating site    
under paragraph 7#d77;,c74  7,c7 ,report
 ,not later than #e years after the date
 of the enactment of this paragraph1 the
 ,secretary shall submit to ,congress a 

report on the impact of this paragraph  
with respect to telehealth services on--
 7i7 the utilization of health care     
items and services related to substance 
use disorders1 including emergency      
department visits2 and  7ii7 health     
outcomes related to substance use       
disorders1 such as opioid overdose      
deaths4  4