,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #baff  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #bc1 #bjba,ms4   
,sewell 7= h]self1 ,mr4 ,bilirakis1 ,mr4
 ,crd5as1 ,mrs4 ,walorski1 ,mr4 ,k9d1   
,mr4 ,smi? ( ,miss\ri1 ,ms4 ,h\lahan1 & 
,mr4 ,fitzpatrick7 introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means1 & 9 addition to !       
,committee on ,en]gy & ,comm]ce1 = a    
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,a ,,bill  ,to am5d 
title ,,xviii ( ! ,social ,security ,act
 to require ! inclusion ( c]ta9         
audio-only diagnoses 9 ! det]m9ation (  
risk adju/m5t = ,m$ic>e ,advantage plans
 & ,,pace programs1 & = o!r purposes4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,ensur+ ,p>ity 9 ,,ma & ,,pace =      
,audio-,only ,teleheal? ,act ( #bjba4   
#b4 ,requir+ ! inclusion ( c]ta9        
audio-only diagnoses 9 ! det]m9ation (  
risk adju/m5t = ,m$ic>e ,advantage plans

 & ,,pace programs  7a7 ,9 g5]al        
,section #ahec7;a77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#bc7;a77#a77 is am5d$ by add+ at 
! end ! foll[+ new subp>agraph3  7,j7   
,inclusion ( c]ta9 audio-only diagnoses 
= purposes ( risk adju/m5t  7i7 ,9 g5]al
 ,= purposes ( det]m9+ ! appropriate    
adju/m5t = heal? /atus "u subp>agraph   
7,c77i7 = plan ye>s #bjbj & #bjba 7& =  
su* o!r plan ye>s det]m9$ appropriate by
 ! ,secret>y71 ! ,secret>y1 9 det]m9+ ! 
diseases or conditions ( an individual1 
%all take into acc\nt diagnoses obta9$  
?r\gh a teleheal? enc\nt]1 & 9 ! case ( 
a qualifi$ diagnosis 7z def9$ 9 clause  
7ii77 made ) respect to su* individual  
by a qualifi$ provid] 7z s def9$71 %all 
n require ! use ( video communications )
 respect to su* teleheal? enc\nt]4  7ii7
 ,def9itions ,= purposes ( ?is          
subp>agraph3  7,i7 ,qualifi$ diagnosis  
,! t]m qualifi$ diagnosis means a       
diagnosis made ) respect to a *ronic    
disease or condition ( an individual    

dur+ a plan ye> if su* diagnosis 0 also 
made ) respect to su* individual 9 "o ( 
! la/ ( ! #c plan ye>s prec$+ su* plan  
ye>4  7,,ii7 ,qualifi$ provid] ,! t]m   
qualifi$ provid] means1 ) respect to a  
qualifi$ diagnosis made ) respect to an 
individual dur+ a plan ye>1 a provid] ( 
s]vices1 cl9ician or suppli] t--  7aa7  
furni%$ an item or s]vice to su*        
individual dur+ ! #c-ye> p]iod end+ on !
 date su* diagnosis 0 s made2 or  7bb7  
is 9 ! same practice 7z det]m9$ by tax  
id5tification numb]7 ( a provid] (      
s]vices or suppli] :o furni%$ su* an    
item or s]vice to su* individual dur+   
su* p]iod4  4  7b7 ,,pace program con=m+
 am5dm5t ,section #ahid7;d77#b7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acie;eee7d77#b77 is am5d$ by add+ at ! 
end ! foll[+ new s5t5ce3 ,= purposes (  
apply+ ! adju/m5t "u subp>agraph 7,c77i7
 ( section #ahec7;a77#a7 to su* am\nts1 
subp>agraph 7,j7 ( su* section %all be  
appli$ z if ea* ref]5ce to plan ye> &   
plan ye>s #bjbj & #bjba 7 in/ead a      

ref]5ce to ye> & #bjbj & #bjba1         
respectively44  #c4 ,requir+ p>ity 9    
teleheal? paym5ts dur+ ! ,,covid-#ai    
em]g5cy ,section #ahcd7m7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #aciem7m77
 is am5d$ by add+ at ! end ! foll[+ new 
p>agraph3  7#i7 ,special rule =         
teleheal? paym5t p>ity dur+ !           
,,covid-#ai em]g5cy ,9 ! case ( a       
teleheal? s]vice furni%$ dur+ ! em]g5cy 
p]iod describ$ 9 section                
#aace7;g77#a77;,b7 = :i* paym5t may be  
made "u ?is subsection 7includ+ any     
s]vice = :i* paym5t may be s made due to
 application ( a waiv] made "u section  
#aace7;b771 ! am\nt ( su* paym5t %all be
 equal to ! am\nt t w\ld h be5 paid =   
su* s]vice _h su* s]vice be5 furni%$    
9-p]son4  4