,,ii #aagth ,,congress #b;d ,session ,s4 #cgic ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #aj 7legislative day1 ,march #g71 #bjbb,mr4 ,scott of ,south ,carolina 7for himself and ,mr4 ,warnock7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xi of the ,social ,security ,act to recommend that the ,center for ,medicare and ,medicaid ,innovation test the effect of technology-enabled care interventions in the home to coordinate care over time and across settings1 improve quality1 and lower costs for certain ,medicare ,advantage beneficiaries1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,technology-,enabled ,care in the ,home 7,,tech7 ,act4 #b4 ,center for ,medicare and ,medicaid innovation testing of ,medicare ,advantage telehealth1 remote patient monitoring1 and other technology-enabled care interventions in the home demonstration project ,section #aaae;,a of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7 is amended-- 7#a7 in subsection 7b77#b77;,b71 by adding at the end the following new clause3 7xxviii7 ,furnishing telehealth1 remote patient monitoring1 and other technology-enabled care interventions in the home to eligible individuals as described in subsection 7h74 2 and 7#b7 by adding at the end the following new subsection3 7h7 ,medicare ,advantage telehealth1 remote patient monitoring1 and other technology-,enabled care interventions in the home demonstration project 7,,tech demonstration project7 7#a7 ,description of demonstration project and requirements 7,a7 ,in general ,the demonstration project described in this subsection 7referred to in this subsection as the ,,tech demonstration project7 is a demonstration project to test the use of telehealth services1 remote patient monitoring1 and other technology-enabled care interventions in the home for eligible enrollees authorized under ,medicare ,advantage organizations under part ,c of title ,,xviii and restricted to such organizations that are participating in the ,,cmi's ,value-,based ,insurance ,design model in #bjbc4 ,the demonstration project will test the effectiveness of these technology-enabled interventions on-- 7i7 the provision of care in homes and congregate care settings for the management of disease progression1 patient health1 care quality1 patient care experience1 and caregiver well-being2 and 7ii7 reducing spending under part ,c of title ,,xviii without reducing quality of care4 7,b7 ,voluntary participation ,participation under the ,,tech demonstration project shall be voluntary with respect to both eligible enrollees and ,medicare ,advantage organizations4 7#b7 ,duration ,the ,,tech demonstration project shall be implemented for a #c-year period1 beginning not later than #ah months after the date of the enactment of this subsection4 7#c7 ,enrollment ,the ,,tech demonstration project shall establish a comparison group and enroll sufficient numbers of eligible enrollees to achieve statistically significant findings on quality and cost for the demonstration project and for specific sub-populations1 including those based on geography1 socioeconomic status1 age1 race1 and ethnicity4 7#d7 ,definitions ,in this subsection3 7,a7 ,eligible enrollee ,the term eligible enrollee means a chronically ill enrollee 7as defined in section #aheb7;a77#c77;,d77iii774 7,b7 ,remote patient monitoring ,the term remote patient monitoring means connected digital technologies and mobile medical devices that collect clinical grade1 patient-generated health data from individuals in one location and electronically transmit that information securely to a care team in a different location for assessment and intervention4 7,c7 ,telehealth services ,the term telehealth services means telehealth services 7as defined in subparagraph 7,f7 of section #ahcd7m77#d71 but without regard to geographic or other originating site requirements described in subparagraph 7,c7 of such section74 7,d7 ,other technology-enabled care interventions ,the term technology-enabled care interventions means mobile1 digital1 or electronic health services and systems that enable the remote1 secure exchange of information primarily between a health or care provider and a patient in a home or congregate care setting for the purpose of diagnosing or managing a health condition4 7#e7 ,funding ,out of amounts appropriated under subsection 7f77#a77;,c7 for the #aj-year fiscal period beginning with fiscal year #bjbj1 #be1jjj1jjj shall be made available to carry out this subsection4 4 #c4 ,changes to the administrative finality policy of the ,social ,security ,administration 7a7 ,in general ,section #bje7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #dja7;c77 is amended-- 7#a7 by striking paragraphs 7#d7 and 7#e7 and inserting the following3 7#d7 ,the ,commissioner of ,social ,security may1 if it is brought to the ,commissioner's attention that any entry of wages or self-employment income in the ,commissioner's records for a year is erroneous or that any item of wages or self-employment income for such year has been omitted from such records1 correct such entry or include such omitted item in the individual's records1 as the case may be4 ,after the expiration of the time limitation following any year-- 7,a7 the ,commissioner's records 7with changes1 if any1 made pursuant to such regulations as the ,commissioner shall establish7 of the amounts of wages paid to1 and self-employment income derived by1 an individual during any period in such year shall be conclusive for the purposes of this title2 7,b7 the absence of an entry in the ,commissioner's records as to the wages alleged to have been paid by an employer to an individual during any period in such year shall be presumptive evidence for the purposes of this title that no such alleged wages were paid to such individual in such period2 and 7,c7 the absence of an entry in the ,commissioner's records as to the self-employment income alleged to have been derived by an individual in such year shall be conclusive for the purposes of this title that no such alleged self-employment income was derived by such individual in such year unless it is shown that the individual filed a tax return of the individual's self-employment income for such year before the expiration of the time limitation following such year1 in which case the ,commissioner of ,social ,security shall include in the ,commissioner's records the self-employment income of such individual for such year4 2 7#b7 by redesignating paragraphs 7#f7 through 7#i7 as paragraphs 7#e7 through 7#h71 respectively2 and 7#c7 in paragraph 7#e71 as so redesignated1 by striking under paragraph 7#d7 or 7#e7 and inserting made by the ,commissioner of ,social ,security in accordance with such regulations as the ,commissioner shall establish4 7b7 ,requiring ,,ssa ,to adjust administrative finality policy ,not later than #f months after the date of enactment1 the ,commissioner of ,social ,security shall promulgate regulations establishing processes and criteria for correcting the ,commissioner's records of the wages and self-employment income of individuals for purposes of title ,,ii of the ,social ,security ,act 7#db ,u4,s4,c4 #dja et seq47 in accordance with section #bje7;c77#d7 of such ,act1 as amended by subsection 7a74