,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dbcj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bj1     
#bjbj,mr4 ,wyden 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    
access to mental health services and    
certain evaluation and management       
services furnished through telehealth   
under the ,medicare program4  #a4 ,short
 title ,this ,act may be cited as the   
,telehealth ,expansion ,act of #bjbj4   
#b4 ,expanding access to mental health  
services and certain evaluation and     
management services furnished through   
telehealth  7a7 ,treatment of mental    
health services furnished through       
telehealth ,paragraph 7#g7 of section   
#ahcd7m7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7m77 is amended--  
7#a7 in the paragraph heading1 by       
inserting and mental health services    
after disorder services2 and  7#b7 by   

inserting or1 on or after the first day 
after the end of the public health      
emergency described in section          
#aace7;g77#a77;,b71 to an eligible      
telehealth individual for purposes of   
diagnosis1 evaluation1 or treatment of a
 mental health disorder1 as determined  
by the ,secretary1 after as determined  
by the ,secretary14  7b7 ,treatment of  
certain evaluation and management       
services furnished through telehealth   
,such section #ahcd7m71 as amended by   
subsection 7a71 is amended-- 7#a7 in    
paragraph 7#d77;,c7-- 7,a7 in clause    
7i71 by striking and 7#g7 and inserting 
7#g71 and 7#i72 and  7,b7 in clause     
7ii77,x71 by inserting or paragraph     
7#i77;,a7 before the period2 and  7#b7  
by adding at the end the following new  
paragraph3  7#i7 ,treatment of certain  
evaluation and management services      
furnished through telehealth  7,a7 ,in  
general ,the geographic requirements    
described in paragraph #d7;,c77i7 shall 
not apply with respect to a telehealth  

service that is a medical visit that is 
in the category of ,,hcpcs evaluation   
and management services for office and  
other outpatient services and that is   
furnished on or after the first day     
after the end of the public health      
emergency described in section          
#aace7;g77#a77;,b71 to an eligible      
telehealth individual by a qualified    
provider1 at an originating site        
described in paragraph #d7;,c77ii7      
7other than an originating site         
described in subclause 7,,ix7 of such   
paragraph74  7,b7 ,definition of        
qualified provider ,for purposes of this
 paragraph1 the term qualified provider 
means1 with respect to a telehealth     
service described in subparagraph 7,a7  
that is furnished to an eligible        
telehealth individual1 a physician or   
practitioner who-- 7i7 furnished to such
 individual1 during the #ah-month period
 ending on the date the telehealth      
service was furnished1 an item or       
service in person for which-- 7,i7      

payment was made under this title2 or   
7,,ii7 such payment would have been made
 if such individual were entitled to1 or
 enrolled for1 benefits under this title
 at the time such item or service was   
furnished2 or  7ii7 is in the same      
practice 7as determined by tax          
identification number7 as a physician or
 practitioner who furnished such an item
 or service in person to such individual
 during such period4  4  7c7            
,implementation ,notwithstanding any    
other provision of law1 the ,secretary  
may implement the provisions of1 or     
amendments made by1 this section by     
interim final rule1 program instruction1
 or otherwise4