,i #aafth ,,congress #b;d ,session ,h4 ,r4 #hgbg ,,in ,,the ,,house ,,of ,,representatives ,november #e1 #bjbj,mr4 ,carter of ,georgia 7for himself1 ,ms4 ,blunt ,rochester1 and ,mrs4 ,rodgers of ,washington7 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 make permanent certain telehealth flexibilities under the ,medicare program related to the ,,covid-#ai public health emergency4 #a4 ,short title ,this ,act may be cited as the ,telehealth ,modernization ,act4 #b4 ,extending ,medicare telehealth flexibilities 7a7 ,expanding access to telehealth services 7#a7 ,in general ,section #ahcd7m77#d77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#d77;,c77 is amended by adding at the end the following new clause3 7iii7 ,expanding access to telehealth services ,with respect to telehealth services furnished beginning on the first day after the end of the emergency period described in section #aace7;g77#a77;,b7 of this clause1 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 system1 including the home of an individual4 4 7#b7 ,conforming amendments ,such section is amended-- 7,a7 in paragraph 7#b77;,b7-- 7i7 in clause 7i71 in the matter preceding subclause 7,i71 by striking clause 7ii7 and inserting clauses 7ii7 and 7iii72 and 7ii7 by adding at the end the following new clause3 7iii7 ,no facility fee for new sites ,with respect to telehealth services furnished on or after the date of enactment of this clause1 a facility fee shall only be paid under this subparagraph to an originating site that is described in paragraph 7#d77;,c77ii7 7other than subclause 7,x7 of such paragraph74 2 7,b7 in paragraph 7#d77;,c7-- 7i7 in clause 7i71 in the matter preceding subclause 7,i71 by inserting and clause 7iii7 after and 7#g72 and 7ii7 in clause 7ii77,x71 by inserting prior to the first day after the end of the emergency period described in section #aace7;g77#a77;,b7 before the period2 7,c7 in paragraph 7#e71 by inserting and prior to the first day after the end of the emergency period described in section #aace7;g77#a77;,b7 after ,january #a1 #bjai12 7,d7 in paragraph 7#f77;,a71 by inserting and prior to the first day after the end of the emergency period described in section #aace7;g77#a77;,b71 after ,january #a1 #bjai12 and 7,e7 in paragraph 7#g71 by inserting and prior to the first day after the end of the emergency period described in section #aace7;g77#a77;,b71 after ,july #a1 #bjai14 7b7 ,expanding practitioners eligible ,to furnish telehealth services ,section #ahcd7m7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is amended-- 7#a7 in paragraph 7#a71 by striking 7described in section #ahdb7;b77#ah77;,c77 and inserting 7defined in paragraph 7#d77;,e772 and 7#b7 in paragraph 7#d77;,e7-- 7,a7 by striking practitioner4--,the term and inserting 8practitioner4-- 7,a7 ,in general ,subject to subparagraph 7,b71 the term 2 and 7,b7 by adding at the end the following new subparagraph3 7,b7 ,expansion ,the ,secretary1 after consulting with stakeholders regarding services that are clinically appropriate1 may expand the types of practitioners who may furnish telehealth services to include any health care professional that is eligible to bill the program under this title for their professional services4 4 7c7 ,retention of additional services and subregulatory process for modifications following emergency period ,section #ahcd7m77#d77;,f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#d77;,f77 is amended-- 7#a7 in clause 7i71 by inserting and clause 7iii7 after paragraph 7#h72 7#b7 in clause 7ii71 by striking ,the ,secretary and inserting ,subject to clause 7iii71 the ,secretary2 and 7#c7 by adding at the end the following new clause3 7iii7 ,retention of additional services and subregulatory process for modifications following emergency period ,with respect to telehealth services furnished after the last day of the emergency period described in section #aace7;g77#a77;,b71 the ,secretary may-- 7,i7 retain as appropriate the expanded list of telehealth services specified in clause 7i7 pursuant to the waiver authority under section #aace7;b77#h7 during such emergency period2 and 7,,ii7 retain the subregulatory process used to modify the services included on the list of such telehealth services pursuant to clause 7ii7 during such emergency period4 4 7d7 ,enhancing telehealth services for federally qualified health centers and rural health clinics ,section #ahcd7m77#h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#h77 is amended-- 7#a7 in the paragraph heading by inserting and after after during2 7#b7 in subparagraph 7,a71 in the matter preceding clause 7i71 by inserting and after after ,during2 and 7#c7 in the first sentence of subparagraph 7,b77i71 by inserting and after after during4 7e7 ,use of telehealth1 as clinically appropriate1 ,to conduct face-to-,face encounter for hospice care ,section #ahad7;a77#g77;,d77i77,,ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;f7a77#g77;,d77i77,,ii77 is amended by inserting and after such emergency period as clinically appropriate after #aace7;g77#a77;,b74 7f7 ,use of telehealth1 as clinically appropriate1 ,to conduct face-to-,face clinical assessments for home dialysis ,clause 7iii7 of section #ahha7;b77#c77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acierr7b77#c77;,b77 is amended-- 7#a7 by moving such clause #d ems to the left2 and 7#b7 by inserting and after such emergency period as clinically appropriate before the period4 7g7 ,implementation ,notwithstanding any provision of law1 the ,secretary may implement the provisions of1 and amendments made by1 this section by interim final rule1 program instruction1 or otherwise4