#aagth ,,congress  #b;d ,session  ,h4   
,r4 #djdj  ,,an ,,act  ,to amend title  
,,xviii of the ,social ,security ,act to
 extend telehealth flexibilities under  
the ,medicare program1 and for other    
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,advancing          
,telehealth ,beyond ,,covid-#ai ,act of 
#bjbb4  #b4 ,removing geographic        
requirements and expanding originating  
sites for telehealth services ,section  
#ahcd7m7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7m77 is amended--  
7#a7 in paragraph 7#b77;,b77iii7-- 7,a7 
by striking ,with and inserting ,in the 
case that the emergency period described
 in section #aace7;g77#a77;,b7 ends     
before ,december #ca1 #bjbd1 with2 and  
7,b7 by striking that are furnished     
during the #aea-;day period beginning on
 the first day after the end of the     
emergency period described in section   
#aace7;g77#a77;,b7 and inserting that   
are furnished during the period         
beginning on the first day after the end

 of such emergency period and ending    
,december #ca1 #bjbd2 and  7#b7 in      
paragraph 7#d77;,c77iii7--  7,a7 by     
striking ,with and inserting ,in the    
case that the emergency period described
 in section #aace7;g77#a77;,b7 ends     
before ,december #ca1 #bjbd1 with2 and  
7,b7 by striking that are furnished     
during the #aea-;day period beginning on
 the first day after the end of the     
emergency period described in section   
#aace7;g77#a77;,b7 and inserting that   
are furnished during the period         
beginning on the first day after the end
 of such emergency period and ending on 
,december #ca1 #bjbd4  #c4 ,expanding   
practitioners eligible to furnish       
telehealth services ,section            
#ahcd7m77#d77;,e7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,e77 is amended by       
striking and1 for the #aea-;day period  
beginning on the first day after the end
 of the emergency period described in   
section #aace7;g77#a77;,b7 and inserting

 and1 in the case that the emergency    
period described in section             
#aace7;g77#a77;,b7 ends before ,december
 #ca1 #bjbd1 for the period beginning on
 the first day after the end of such    
emergency period and ending on ,december
 #ca1 #bjbd4  #d4 ,extending telehealth 
services for federally qualified health 
centers and rural health clinics        
,section #ahcd7m77#h77;,a7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#h77;,a77 is amended by       
striking during the #aea-;day period    
beginning on the first day after the end
 of such emergency period and inserting 
in the case that such emergency period  
ends before ,december #ca1 #bjbd1 during
 the period beginning on the first day  
after the end of such emergency period  
and ending on ,december #ca1 #bjbd4  #e4
 ,delaying the in-person requirements   
under medicare for mental health        
services furnished through telehealth   
and telecommunications technology  7a7  
,delay in requirements for mental health

 services furnished through telehealth  
,section #ahcd7m77#g77;,b77i7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#g77;,b77i77 is amended1 in   
the matter preceding subclause 7,i71 by 
striking on or after the day that is the
 #aebnd day after the end of the period 
at the end of the emergency sentence    
described in section #aace7;g77#a77;,b77
 and inserting on or after ,january #a1 
#bjbe 7or1 if later1 the first day after
 the end of the emergency period        
described in section                    
#aace7;g77#a77;,b774  7b7 ,mental health
 visits furnished by rural health       
clinics ,section #ahcd7y7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciem7y77 is amended--  7#a7 in the    
heading1 by striking to hospice         
patients2 and  7#b7 in paragraph 7#b71  
by striking prior to the day that is the
 #aebnd day after the end of the        
emergency period described in section   
#aace7;g77#a77;,b77 and inserting prior 
to ,january #a1 #bjbe 7or1 if later1 the

 first day after the end of the         
emergency period described in section   
#aace7;g77#a77;,b774  7c7 ,mental health
 visits furnished by federally qualified
 health centers ,section #ahcd7o77#d7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #aciem7o77#d7 is amended--    
7#a7 in the heading1 by striking to     
hospice patients2 and  7#b7 in          
subparagraph 7,b71 by striking prior to 
the day that is the #aebnd day after the
 end of the emergency period described  
in section #aace7;g77#a77;,b77 and      
inserting prior to ,january #a1 #bjbe   
7or1 if later1 the first day after the  
end of the emergency period described in
 section #aace7;g77#a77;,b774  #f4      
,allowing for the furnishing of         
audio-only telehealth services ,section 
#ahcd7m77#i7 of the ,social ,security   
,act 7#db ,u4,s4,c4 #aciem7m77#i77 is   
amended by striking ,the ,secretary     
shall continue to provide coverage and  
payment under this part for telehealth  
services identified in paragraph        

7#d77;,f77i7 as of the date of the      
enactment of this paragraph that are    
furnished via an audio-only             
telecommunications system during the    
#aea-;day period beginning on the first 
day after the end of the emergency      
period described in section             
#aace7;g77#a77;,b7 and inserting ,in the
 case that the emergency period         
described in section #aace7;g77#a77;,b7 
ends before ,december #ca1 #bjbd1 the   
,secretary shall continue to provide    
coverage and payment under this part for
 telehealth services identified in      
paragraph 7#d77;,f77i7 that are         
furnished via an audio-only             
communications system during the period 
beginning on the first day after the end
 of such emergency period and ending on 
,december #ca1 #bjbd4  #g4 ,use of      
telehealth to conduct face-to-face      
encounter prior to recertification of   
eligibility for hospice care during     
emergency period ,section               
#ahad7;a77#g77;,d77i77,,ii7 of the      

,social ,security ,act 7#db ,u4,s4,c4   
#acie;f7a77#g77;,d77i77,,ii77 is amended
 by striking and during the #aea-;day   
period beginning on the first day after 
the end of such emergency period and    
inserting and1 in the case that such    
emergency period ends before ,december  
#ca1 #bjbd1 during the period beginning 
on the first day after the end of such  
emergency period described in such      
section #aace7;g77#a77;,b7 and ending on
 ,december #ca1 #bjbd4  #h4 ,funding    
from medicare improvement fund ,section 
#ahih7;b77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acie;jjj7b77#a77 is
 amended by striking #g1ejj1jjj1jjj and 
inserting #e1aec1jjj1jjj4  #i4 ,program 
instruction authority ,notwithstanding  
any other provision of law1 the         
,secretary of ,health and ,human        
,services may implement the provisions  
of1 including amendments made by1       
sections #b through #g through program  
instruction or otherwise4  #aj4         
,determination of budgetary effects ,the

 budgetary effects of this ,act1 for the
 purpose of complying with the          
,statutory ,pay-,as-,you-,go ,act of    
#bjaj1 shall be determined by reference 
to the latest statement titled          
,budgetary ,effects of ,,paygo          
,legislation for this ,act1 submitted   
for printing in the ,congressional      
,record by the ,chairman of the ,house  
,budget ,committee1 provided that such  
statement has been submitted prior to   
the vote on passage4  ,passed the ,house
 of ,representatives ,july #bg1         
#bjbb4;,clerk4