,,ii  #aag? ,,congress  #b;d ,session   
,s4 #cgib  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #aj 7legislative  
day1 ,m>* #g71 #bjbb,mr4 ,c>p] 7=       
himself1 ,mr4 ,scott ( ,s\? ,c>ol9a1    
,mr4 ,tillis1 & ,ms4 ,smi?7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to ext5d acute hospital  
c>e at home waiv] flexibilities4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,hospital ,inpati5t ,s]vices            
,mod]nization ,act4  #b4 ,ext5d+ acute  
hospital c>e at home waiv] flexibilities
 ,section #ahab ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acie;d7 is am5d$-- 
7#a7 by r$esignat+ subsection 7g7 z     
subsection 7h72 &  7#b7 by ins]t+ aft]  
subsection 7f7 ! foll[+ new subsection3 
7g7 7#a7 ,dur+ ! p]iod beg9n+ on ! date 
( ! enactm5t ( ?is subsection & end+ on 
! date t is #b ye>s aft] ! end ( !      
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b71 inpati5t hospital   

s]vices or inpati5t critical access     
hospital s]vices describ$ 9 subsection  
7a77#a7 %all include s]vices 7includ+   
teleheal? s]vices z def9$ 9 section     
#ahcd7m77 furni%$ to an individual by an
 ,acute ,hospital ,c>e at ,home ,program
 7z def9$ by ! ,secret>y74  7#b7 ,)     
respect to teleheal? s]vices furni%$ by 
an ,acute ,hospital ,c>e at ,home       
,program dur+ ! p]iod describ$ 9        
p>agraph 7#a71 ! requirem5ts describ$ 9 
section #ahcd7m77#d77;,c77i7 %all n     
apply & ! sites describ$ 9 section      
#ahcd7m77#d77;,c77ii7 %all include !    
home or tempor>y resid5ce ( !           
individual4  7#c7 ,) respect to s]vices 
furni%$ 9 ! home or tempor>y resid5ce ( 
! individual ?r\gh an ,acute ,hospital  
,c>e at ,home ,program dur+ su* p]iod1 !
 requirem5t = provid+ #bd-;h\r nurs+    
s]vices & imm$iate availability ( nurs+ 
s]vices z conditions ( p>ticipation %all
 also be satisfi$ by provid+ virtual    
access to nurses1 advanc$ practice      
provid]s1 or physicians #bd h\rs p] day4

  7#d7 ,) respect to s]vices furni%$ 9 !
 home or tempor>y resid5ce ( !          
individual ?r\gh an ,acute ,hospital    
,c>e at ,home ,program dur+ su* p]iod1  
life safety code requirem5ts %all be    
deem$ satisfi$ = homes or tempor>y      
resid5ces det]m9$ to be safe &          
appropriate = ?is c>e by ! ,acute       
,hospital ,c>e at ,home ,program4  7#e7 
,n lat] ?an #ab mon?s aft] ! date ( !   
enactm5t ( ?is subsection1 ! ,secret>y  
%all issue regulations e/abli%+ heal? & 
safety requirem5ts = ,acute ,hospital   
,c>e at ,home ,programs4  4  #c4        
,evaluation & report on acute hospital  
c>e at home & hospital )\t walls waiv]s 
7a7 ,evaluation ,! ,secret>y ( ,heal? & 
,human ,s]vices %all conduct an         
evaluation ( ! ,acute ,hospital ,c>e at 
,home & ,hospital ,)\t ,walls waiv]s    
issu$ pursuant to ! au?ority "u section 
#aace7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acbj;b-#e7;b774 ,su*    
evaluation %all include an analysis (-- 
7#a7 relevant data collect$ by ! ,c5t]s 

= ,m$ic>e  ,m$icaid ,s]vices relat$ to  
su* waiv]s2 &  7#b7 ! quality ( c>e     
provid$1 pati5t outcomes1 b5efici>y     
access1 heal? disp>ities1 pati5t safety1
 co/1 & utilization4  7b7 ,report ,n    
lat] ?an #ij days aft] ! date ( !       
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all submit to 
,congress a report on ! evaluation      
conduct$ "u subsection 7a71 toge!r )    
recomm5dations = su* legislation &      
adm9i/rative action z ! ,secret>y       
det]m9es to be appropriate4