,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dcge  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #cj1 #bjbj,mr4   
,alex&] introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
make p]man5t c]ta9 teleheal?            
flexibilities "u ! ,m$ic>e program      
relat$ to ! ,,covid-#ai public heal?    
em]g5cy4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,teleheal? ,mod]nization    
,act4  #b4 ,ext5d+ ,m$ic>e teleheal?    
flexibilities  7a7 ,exp&+ access to     
teleheal? s]vices  7#a7 ,9 g5]al        
,section #ahcd7m77#d77;,c7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c77 is am5d$ by add+ at 
! end ! foll[+ new clause3  7iii7 ,exp&+
 access to teleheal? s]vices ,) respect 
to teleheal? s]vices furni%$ beg9n+ on !
 fir/ day aft] ! end ( ! em]g5cy p]iod  
describ$ 9 section #aace7;g77#a77;,b7 ( 
?is clause1 ! t]m orig9at+ site means   
any site at :i* ! eligible teleheal?    

individual is locat$ at ! "t ! s]vice is
 furni%$ via a telecommunications sy/em1
 includ+ ! home ( an individual4  4     
7#b7 ,con=m+ am5dm5ts ,su* section is   
am5d$-- 7,a7 9 p>agraph 7#b77;,b7-- 7i7 
9 clause 7i71 9 ! matt] prec$+ subclause
 7,i71 by /rik+ clause 7ii7 & ins]t+    
clauses 7ii7 & 7iii72 &  7ii7 by add+ at
 ! end ! foll[+ new clause3  7iii7 ,no  
facility fee = new sites ,) respect to  
teleheal? s]vices furni%$ on or aft] !  
date ( enactm5t ( ?is clause1 a facility
 fee %all only be paid "u ?is           
subp>agraph to an orig9at+ site t is    
describ$ 9 p>agraph 7#d77;,c77ii7 7o!r  
?an subclause 7,x7 ( su* p>agraph74  4  
7,b7 9 p>agraph 7#d77;,c7-- 7i7 9 clause
 7i71 9 ! matt] prec$+ subclause 7,i71  
by ins]t+ & clause 7iii7 aft] & 7#g72 & 
7ii7 9 clause 7ii77,x71 by ins]t+ prior 
to ! fir/ day aft] ! end ( ! em]g5cy    
p]iod describ$ 9 section                
#aace7;g77#a77;,b7 be=e ! p]iod2  7,c7 9
 p>agraph 7#e71 by ins]t+ & prior to !  
fir/ day aft] ! end ( ! em]g5cy p]iod   

describ$ 9 section #aace7;g77#a77;,b7   
aft] ,janu>y #a1 #bjai12  7,d7 9        
p>agraph 7#f77;,a71 by ins]t+ & prior to
 ! fir/ day aft] ! end ( ! em]g5cy p]iod
 describ$ 9 section #aace7;g77#a77;,b71 
aft] ,janu>y #a1 #bjai12 &  7,e7 9      
p>agraph 7#g71 by ins]t+ & prior to !   
fir/ day aft] ! end ( ! em]g5cy p]iod   
describ$ 9 section #aace7;g77#a77;,b71  
aft] ,july #a1 #bjai14  7b7 ,exp&+      
practition]s eligible ,to furni%        
teleheal? s]vices ,section #ahcd7m7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$-- 7#a7 9 p>agraph   
7#a71 by /rik+ 7describ$ 9 section      
#ahdb7;b77#ah77;,c77 & ins]t+ 7def9$ 9  
p>agraph 7#d77;,e772 &  7#b7 9 p>agraph 
7#d77;,e7-- 7,a7 by /rik+               
practition]4--,! t]m & ins]t+           
8practition]4--  7,a7 ,9 g5]al ,subject 
to subp>agraph 7,b71 ! t]m  2 &  7,b7 by
 add+ at ! end ! foll[+ new subp>agraph3
  7,b7 ,expansion ,! ,secret>y1 aft]    
consult+ ) /akehold]s reg>d+ s]vices t  
are cl9ically appropriate1 may exp& !   

types ( practition]s :o may furni%      
teleheal? s]vices to include any heal?  
c>e pr(essional t is eligible to bill ! 
program "u ?is title = _! pr(essional   
s]vices4  4  7c7 ,ret5tion ( additional 
s]vices & subregulatory process =       
modifications foll[+ em]g5cy p]iod      
,section #ahcd7m77#d77;,f7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,f77 is am5d$-- 7#a7 9   
clause 7i71 by ins]t+ & clause 7iii7    
aft] p>agraph 7#h72  7#b7 9 clause 7ii71
 by /rik+ ,! ,secret>y & ins]t+ ,subject
 to clause 7iii71 ! ,secret>y2 &  7#c7  
by add+ at ! end ! foll[+ new clause3   
7iii7 ,ret5tion ( additional s]vices &  
subregulatory process = modifications   
foll[+ em]g5cy p]iod ,) respect to      
teleheal? s]vices furni%$ aft] ! la/ day
 ( ! em]g5cy p]iod describ$ 9 section   
#aace7;g77#a77;,b71 ! ,secret>y may--   
7,i7 reta9 z appropriate ! exp&$ li/ (  
teleheal? s]vices specifi$ 9 clause 7i7 
pursuant to ! waiv] au?ority "u section 
#aace7;b77#h7 dur+ su* em]g5cy p]iod2 & 

7,,ii7 reta9 ! subregulatory process us$
 to modify ! s]vices includ$ on ! li/ ( 
su* teleheal? s]vices pursuant to clause
 7ii7 dur+ su* em]g5cy p]iod4  4  7d7   
,enhanc+ teleheal? s]vices = f$]ally    
qualifi$ heal? c5t]s & rural heal?      
cl9ics ,section #ahcd7m77#h7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciem7m77#h77 is am5d$-- 7#a7 9 !      
p>agraph head+ by ins]t+ & aft] aft]    
dur+2  7#b7 9 subp>agraph 7,a71 9 !     
matt] prec$+ clause 7i71 by ins]t+ &    
aft] aft] ,dur+2 &  7#c7 9 ! fir/ s5t5ce
 ( subp>agraph 7,b77i71 by ins]t+ & aft]
 aft] dur+4  7e7 ,use ( teleheal?1 z    
cl9ically appropriate1 ,to conduct      
face-to-,face enc\nt] = hospice c>e     
,section #ahad7;a77#g77;,d77i77,,ii7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acie;f7a77#g77;,d77i77,,ii77 is am5d$  
by ins]t+ & aft] su* em]g5cy p]iod z    
cl9ically appropriate aft]              
#aace7;g77#a77;,b74  7f7 ,use (         
teleheal?1 z cl9ically appropriate1 ,to 
conduct face-to-,face cl9ical assessm5ts

 = home dialysis ,clause 7iii7 ( section
 #ahha7;b77#c77;,b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acierr7b77#c77;,b77 is am5d$-- 7#a7 by 
mov+ su* clause #d ems to ! left2 &     
7#b7 by ins]t+ & aft] su* em]g5cy p]iod 
z cl9ically appropriate be=e ! p]iod4   
7g7 ,implem5tation ,not)/&+ any         
provision ( law1 ! ,secret>y may        
implem5t ! provisions (1 & am5dm5ts made
 by1 ?is section by int]im f9al rule1   
program in/ruction1 or o!rwise4