,i #aafth ,,congress #b;d ,session ,h4 ,r4 #hebh ,,in ,,the ,,house ,,of ,,representatives ,october #b1 #bjbj,mr4 ,williams introduced the following bill2 which was referred to the ,committee on ,ways and ,means1 and in addition to the ,committee on ,energy and ,commerce1 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 extend certain provisions relating to telehealth services1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,ensuring ,telehealth ,expansion ,act of #bjbj4 #b4 ,extension of certain provisions relating to telehealth services 7a7 ,exemption for telehealth services 7#a7 ,in general ,subparagraph 7,e7 of section #bbc7;c77#b7 of the ,internal ,revenue ,code of #aihf is amended by striking ,december #ca1 #bjba and inserting ,december #ca1 #bjbe4 7#b7 ,certain coverage disregarded ,clause 7ii7 of section #bbc7;c77#a77;,b7 of the ,internal ,revenue ,code of #aihf is amended by striking ,december #ca1 #bjba and inserting ,december #ca1 #bjbe4 7#c7 ,effective date ,the amendments made by this subsection shall take effect on the date of the enactment of this ,act4 7b7 ,increasing ,medicare telehealth flexibilities during limited period ,section #aace7;b77#h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;b77#h77 is amended by striking during any portion of any emergency period and inserting during any portion of the period beginning on the first day of the emergency period described in subsection 7g77#a77;,b7 and ending on ,december #ca1 #bjbe4 7c7 ,enhancing ,medicare telehealth services for federally qualified health centers and rural health clinics during limited period2 ,eliminating special payment rule for such services 7#a7 ,in general ,paragraph 7#h7 of section #ahcd7m7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is amended to read as follows3 7#h7 ,enhancing telehealth services for federally qualified health centers and rural health clinics during limited period ,during the period beginning on the first day of the emergency period described in section #aace7;g77#a77;,b7 and ending on ,december #ca1 #bjbe-- 7,a7 the ,secretary shall pay for telehealth services that are furnished via a telecommunications system by a ,federally qualified health center or a rural health clinic to an eligible telehealth individual enrolled under this part notwithstanding that the ,federally qualified health center or rural clinic providing the telehealth service is not at the same location as the beneficiary2 and 7,b7 for purposes of this subsection-- 7i7 the term distant site includes a ,federally qualified health center or rural health clinic that furnishes a telehealth service to an eligible telehealth individual2 and 7ii7 the term telehealth services includes a rural health clinic service or ,federally qualified health center service that is furnished using telehealth to the extent that payment codes corresponding to services identified by the ,secretary under clause 7i7 or 7ii7 of paragraph 7#d77;,f7 are listed on the corresponding claim for such rural health clinic service or ,federally qualified health center service4 4 7#b7 ,conforming amendment ,section #ahcd7m77#b77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#b77;,a77 is amended by striking ,subject to paragraph 7#h71 the and inserting ,the4 7#c7 ,effective date ,the amendments made by this subsection shall take effect as if included in the enactment of the ,,cares ,act 7,public ,law #aaf-acf74 7d7 ,temporary waiver of requirements for face-to-,face visits between home dialysis patients and physicians ,section #ahha7;b77#c77;,b77iii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acierr7b77#c77;,b77iii77 is amended by striking during the emergency period described in section #aace7;g77#a77;,b7 and inserting during the period beginning on the first day of the emergency period described in section #aace7;g77#a77;,b7 and ending on ,december #ca1 #bjbe4 7e7 ,use of telehealth ,to conduct face-to-,face encounter prior to recertification of eligibility for hospice care during limited period ,section #ahad7;a77#g77;,d77i77,,ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;f7a77#g7;,d77i77,,ii77 is amended by striking during the emergency period described in section #aace7;g77#a77;,b7 and inserting during the period beginning on the first day of the emergency period described in section #aace7;g77#a77;,b7 and ending on ,december #ca1 #bjbe4 7f7 ,encouraging use of telecommunications systems for home health services furnished during limited period ,section #cgjg of the ,,cares ,act 7,public ,law #aaf-acf7 is amended by striking during the emergency period described in section #aace7;g77#a77;,b7 of such ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b77 and inserting during the period beginning on the first day of the emergency period described in section #aace7;g77#a77;,b7 of such ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b77 and ending on ,december #ca1 #bjbe4 #c4 ,temporary nonapplication of originating site requirements with respect to telehealth services under ,medicare program ,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 inserting before paragraphs 7#e71 7#f71 and 7#g7 the following3 clause 7iii7 and2 and 7#b7 by adding at the end the following new clause3 7iii7 ,temporary nonapplication of originating site requirements ,for the period beginning on the first day of the emergency period described in section #aace7;g77#a77;,b7 and ending on ,december #ca1 #bjbe1 the term originating site means any site at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system4 4 #d4 ,report by ,comptroller ,general ,the ,comptroller ,general of the ,united ,states shall submit to ,congress-- 7#a7 not later than ,december #ca1 #bjbc1 a report on the success and limitations of implementing the statutory provisions amended by sections #b and #c1 including-- 7,a7 details of any savings or costs to the ,federal ,government that are attributable to the implementation of such provisions2 and 7,b7 an analysis of how the implementation of such provisions have impacted rural hospitals2 and 7#b7 not later than ,december #ca1 #bjbe1 updates regarding the report described in paragraph 7#a74