,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cda  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ae1 #bjba,mr4
 ,williams ( ,texas 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 make 
p]man5t c]ta9 teleheal? flexibilities   
e/abli%$ 9 response to ,,covid-#ai4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,ensur+ ,teleheal? ,expansion ,act (    
#bjba4  #b4 ,mak+ p]man5t c]ta9         
teleheal? flexibilities e/abli%$ 9      
response to ,,covid-#ai  7a7 ,exemption 
= teleheal? s]vices  7#a7 ,9 g5]al      
,subp>agraph 7,e7 ( section #bbc7;c77#b7
 ( ! ,int]nal ,rev5ue ,code ( #aihf is  
am5d$ by /rik+ ,9 ! case ( plan ye>s    
beg9n+ on or be=e ,decemb] #ca1 #bjba1 a
 plan & ins]t+ ,a plan4  7#b7 ,c]ta9    
cov]age disreg>d$ ,clause 7ii7 ( section

 #bbc7;c77#a77;,b7 ( ! ,int]nal ,rev5ue 
,code ( #aihf is am5d$ by /rik+ 79 !    
case ( plan ye>s beg9n+ on or be=e      
,decemb] #ca1 #bjba74  7b7 ,increas+    
,m$ic>e teleheal? flexibilities ,section
 #ahcd7m7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciem7m77 is am5d$ by   
add+ at ! end ! foll[+ new p>agraph3    
7#i7 ,waiv] au?ority ,! ,secret>y may   
waive any requirem5t ( ?is subsection if
 det]m9$ appropriate by ! ,secret>y4  4 
7c7 ,enhanc+ ,m$ic>e teleheal? s]vices =
 f$]ally qualifi$ heal? c5t]s & rural   
heal? cl9ics2 ,elim9at+ special paym5t  
rule = su* s]vices  7#a7 ,9 g5]al       
,p>agraph 7#h7 ( section #ahcd7m7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$ to read z foll[s3   
7#h7 ,enhanc+ teleheal? s]vices =       
f$]ally qualifi$ heal? c5t]s & rural    
heal? cl9ics  7,a7 ,9 g5]al ,) respect  
to s]vices furni%$ on or aft] ! fir/ day
 ( ! em]g5cy p]iod describ$ 9 section   
#aace7;g77#a77;,b71 ! ,secret>y %all pay
 = teleheal? s]vices t are furni%$ via a

 telecommunications sy/em by a ,f$]ally 
qualifi$ heal? c5t] or a rural heal?    
cl9ic to an eligible teleheal?          
individual enroll$ "u ?is "p not)/&+ t !
 ,f$]ally qualifi$ heal? c5t] or rural  
cl9ic provid+ ! teleheal? s]vice is n at
 ! same location z ! b5efici>y4  7,b7   
,paym5t  7i7 ,9 g5]al ,a teleheal?      
s]vice furni%$ by a rural heal? cl9ic or
 a ,f$]ally qualifi$ heal? c5t] s]v+ z a
 di/ant site to an individual %all be   
deem$ to be s furni%$ to su* individual 
z an outpati5t ( su* cl9ic or c5t] 7z   
applicable7 = purposes ( section        
#ahfa7;aa7 & payable z a rural heal?    
cl9ic s]vice or ,f$]ally qualifi$ heal? 
c5t] s]vice 7z applicable7 "u section   
#ahcc7;a77#c7 or "u ! prospective paym5t
 sy/em e/abli%$ "u section #ahcd7o7 7z  
applicable74  7ii7 ,treatm5t ( co/s =   
,,fqhc ,,pps calculations & ,,rhc ,,air 
calculations ,co/s associat$ ) ! deliv]y
 ( teleheal? s]vices by a ,f$]ally      
qualifi$ heal? c5t] or rural heal? cl9ic
 s]v+ z a di/ant site pursuant to ?is   

p>agraph %all be consid]$ all[able co/s 
= purposes ( ! prospective paym5t sy/em 
e/abli%$ "u section #ahcd7o7 & any      
paym5t me?odologies develop$ "u section 
#ahcc7;a77#c71 z applicable4  7,c7      
,def9itions ,= purposes ( ?is           
subsection-- 7i7 ! t]m di/ant site      
includes a ,f$]ally qualifi$ heal? c5t] 
or rural heal? cl9ic t furni%es a       
teleheal? s]vice to an eligible         
teleheal? individual2 &  7ii7 ! t]m     
teleheal? s]vices includes a rural heal?
 cl9ic s]vice or ,f$]ally qualifi$ heal?
 c5t] s]vice t is furni%$ us+ teleheal? 
to ! ext5t t paym5t codes correspond+ to
 s]vices id5tifi$ by ! ,secret>y "u     
clause 7i7 or 7ii7 ( p>agraph 7#d77;,f7 
are li/$ on ! correspond+ claim = su*   
rural heal? cl9ic s]vice or ,f$]ally    
qualifi$ heal? c5t] s]vice4  4  7#b7    
,con=m+ am5dm5t ,section                
#ahcd7m77#b77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#b77;,a77 
is am5d$ by /rik+ ,subject to p>agraph  
7#h71 ! & ins]t+ ,!4  7#c7 ,effective   

date ,! am5dm5ts made by ?is subsection 
%all take effect z if includ$ 9 !       
enactm5t ( ! ,,c>es ,act 7,public ,law  
#aaf-acf74  7d7 ,waiv] ( requirem5ts =  
face-to-,face visits betwe5 home        
dialysis pati5ts & physicians ,section  
#ahha7;b77#c77;,b77iii7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acierr7b77#c77;,b77iii77 is am5d$ by   
/rik+ dur+ ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b7 & ins]t+ dur+
 any p]iod beg9n+ on or aft] ! fir/ day 
( ! em]g5cy p]iod describ$ 9 section    
#aace7;g77#a77;,b74  7e7 ,use (         
teleheal? ,to conduct face-to-,face     
enc\nt] prior to rec]tification (       
eligibility = hospice c>e ,section      
#ahad7;a77#g77;,d77i77,,ii7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acie;f7a77#g7;,d77i77,,ii77 is am5d$ by
 /rik+ dur+ ! em]g5cy p]iod describ$ 9  
section #aace7;g77#a77;,b7 & ins]t+ dur+
 any p]iod beg9n+ on or aft] ! fir/ day 
( ! em]g5cy p]iod describ$ 9 section    
#aace7;g77#a77;,b74  7f7 ,enc\rag+ use (

 telecommunications sy/ems = home heal? 
s]vices ,section #cgjg ( ! ,,c>es ,act  
7,public ,law #aaf-acf7 is am5d$ by     
/rik+ dur+ ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b7 ( su* ,act   
7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b77 
& ins]t+ on or aft] ! fir/ day ( !      
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 ( su* ,act 7#db      
,u4,s4,c4 #acbj;b-#e7;g77#a77;,b774  #c4
 ,nonapplication ( orig9at+ site        
requirem5ts ) respect to teleheal?      
s]vices "u ,m$ic>e program ,section     
#ahcd7m77#d77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#d77;,c77 
is am5d$-- 7#a7 9 clause 7i71 by ins]t+ 
be=e p>agraphs 7#e71 7#f71 & 7#g7 !     
foll[+3 clause 7iii7 &2 &  7#b7 by add+ 
at ! end ! foll[+ new clause3  7iii7    
,nonapplication ( orig9at+ site         
requirem5ts ,beg9n+ on ! fir/ day ( !   
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b71 ! t]m orig9at+ site 
means any site at :i* ! eligible        
teleheal? individual is locat$ at ! "t !

 s]vice is furni%$ via a                
telecommunications sy/em4  4  #d4       
,report by ,comptroll] ,g5]al ,n lat]   
?an #e ye>s aft] ! date ( ! enactm5t (  
?is ,act1 ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all submit to ,congress a
 report on ! successes & limitations (  
implem5t+ ! /atutory provisions am5d$ by
 sections #b & #c1 includ+-- 7#a7       
details ( any sav+s or co/s to ! ,f$]al 
,gov]nm5t t are attributable to !       
implem5tation ( su* provisions2 &  7#b7 
an analysis ( h[ ! implem5tation ( su*  
provisions h impact$ rural hospitals4