,,ii  #aafth ,,congress  #ast ,session  
,s4 #bjbj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #bg1     
#bjai,mr4 ,casey 7for himself and ,mr4  
,grassley7 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 remote imaging  
for chronic eye disease4  #a4 ,short    
title ,this ,act may be cited as the    
,screenings for ,eye ,evaluation1       
,monitoring1 ,observation1 ,review1 and 
,examination ,act or the ,,see ,,more   
,act4  #b4 ,expanding the use of        
telehealth services for remote imaging  
for chronic eye disease ,section        
#ahcd7m7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7m77 is amended--  
7#a7 in paragraph 7#d77;,c77i71 by      
striking and 7#g7 and inserting 7#g71   
and 7#h72 and  7#b7 by adding at the end
 the following new paragraph3  7#h7     
,treatment of remote imaging for chronic

 eye disease  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 for purposes  
of providing remote imaging for chronic 
eye disease1 as determined by the       
,secretary1 including diabetic eye      
disease and glaucoma4 ,such screenings  
and services shall include the use of   
,,fda-approved ocular imaging techniques
 and technologies1 including artificial 
intelligence technologies1 shown to     
support the accurate diagnosis or       
monitoring or treatment of diabetic     
retinopathy1 glaucoma1 or other chronic 
eye disease1 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 diabetes and        
glaucoma2  7ii7 health outcomes related 
to diabetes and glaucoma2 and  7iii7 the
 rates of specialty referrals and the   
rate for completion of a specialty visit
 within #ij days of referral for        
individuals with diabetic retinopathy or
 glaucoma after receiving telehealth    
services4  4