,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #acja  ,,in ,,the ,,house ,,of  
,,representatives  ,february #ae1       
#bjai,ms4 ,del,bene 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 provide   
for coverage under the ,medicare program
 of certain mental health telehealth    
services4  #a4 ,short title ,this ,act  
may be cited as the ,mental ,health     
,telemedicine ,expansion ,act4  #b4     
,medicare coverage of certain mental    
health telehealth services ,section     
#ahcd7m7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7m77 is amended--  
7#a7 in paragraph 7#d77;,f77i71 by      
inserting services identified by ,,cpt  

codes #ijhcd and #ijhcg 7and as         
subsequently modified by the            
,secretary71 before and any additional  
service2 and  7#b7 by adding at the end 
the following new paragraph3  7#h7      
,treatment of mental health telehealth  
services  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 #bjbj1 that are      
mental health telehealth services4      
,nothing in the previous sentence shall 
waive any applicable ,state law         
requirements4  7,b7 ,inclusion of       
certain sites ,with respect to          
telehealth services described in        
subparagraph 7,a71 the term originating 
site shall include the home of the      
eligible telehealth individual at which 
the individual is located at the time   
the service is furnished via a          
telecommunications system4  7,c7 ,no    
originating site facility fee ,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,d7 ,in-person assessments 
required ,payment may not be made for   
mental health telehealth services under 
this paragraph 7if such payment would   
not otherwise be allowed under this     
subsection without application of this  
paragraph7 furnished to an eligible     
telehealth individual unless--  7i7     
prior to the provision of such mental   
health telehealth services1 a physician 
or practitioner furnished an in-person  
assessment of the needs of such         
individual for such services2 and  7ii7 
a physician or practitioner furnishes a 
reassessment of the needs of such       
individual for such services at a       
frequency specified by the ,secretary4  
7,e7 ,mental health telehealth services 

defined ,for purposes of this paragraph1
 the term mental health telehealth      
service means services identified by    
,,cpt codes #ijhcd and #ijhcg 7and as   
subsequently modified by the            
,secretary74  4