,,ii  #aag? ,,congress  #b;d ,session   
,s4 #dcjg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #be1 #bjbb,mr4    
,w>n] 7= himself & ,mr4 ,b>rasso7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
exp& ! ability ( r5al dialysis          
facilities to s]ve z orig9at+ sites =   
teleheal? s]vices "u ! ,m$ic>e program4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,kidney ,heal? ,connect ,act4  #b4    
,exp&+ ! ability ( r5al dialysis        
facilities to s]ve z orig9at+ sites =   
teleheal? s]vices "u ! ,m$ic>e program  
7a7 ,9 g5]al ,section                   
#ahcd7m77#d77;,c77ii77,,ix7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c77ii77,,ix77 is am5d$  
by /rik+ 1 b only = purposes ( section  
#ahha7;b77#c77;,b74  7b7 ,removal (     
geographic requirem5ts ,section #ahcd7m7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9  

p>agraph 7#e7-- 7,a7 9 ! head]1 by      
ins]t+ & teleheal? s]vices furni%$ at a 
r5al dialysis facility aft] visit2  7,b7
 by /rik+ subclause 7,,vi71 7,,ix71 or  
7,x7 & ins]t+ subclause 7,,vi7 or 7,x72 
&  7,c7 by ins]t+ 1 or ) respect to     
teleheal? s]vices furni%$ = any purpose 
at an orig9at+ site describ$ 9 subclause
 7,,ix7 ( su* p>agraph be=e ! p]iod at !
 end2 &  7#b7 9 p>agraph 7#g77;,a71 by  
/rik+ 7o!r ?an an orig9at+ site describ$
 9 subclause 7,,ix7 ( su* p>agraph74    
7c7 ,prohibition on facility fee        
,section #ahcd7m77#b77;,b77ii7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#b77;,b77ii77 is am5d$-- 7#a7 
9 ! head]1 by /rik+ if orig9at+ site is 
! home & ins]t+ = c]ta9 orig9at+ sites2 
&  7#b7 by /rik+ describ$ 9 p>agraph    
7#d77;,c77ii77,x7 & ins]t+ describ$ 9   
subclause 7,,ix7 or 7,x7 ( p>agraph     
7#d77;,c77ii74  7d7 ,face-to-,face      
mon?ly requirem5t = c]ta9 s]vices       
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is       

am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+  
,subject to p>agraph 7#h7 & ins]t+      
,subject to p>agraphs 7#e77;,b7 & 7#h72 
&  7#b7 9 p>agraph 7#e71 z am5d$ by     
subsection 7b77#a7-- 7,a7 by /rik+ r5al 
dialysis facility4--,! geographic       
requirem5ts & ins]t+ r5al dialysis      
facility4-- 7,a7 ,waiv] ( geographic    
requirem5ts ,! geographic requirem5ts  2
 &  7,b7 by add+ at ! end ! foll[+ new  
subp>agraph3  7,b7 ,face-to-face mon?ly 
requirem5t ,subp>agraph 7,a7 %all apply 
to an individual1 ) respect to teleheal?
 s]vices furni%$ by a physician or      
practition] = purposes ( section        
#ahha7;b77#c77;,a77ii7 7n includ+       
teleheal? s]vices r5d]$ = purposes (    
section #ahha7;b77#c77;,b77 at an       
orig9at+ site describ$ 9 subclause      
7,,ix7 ( p>agraph 7#d77;,c77ii7 only if 
! individual _h at lea/ "o face-to-face 
visit ) a physician dur+ ! same cal5d>  
mon? su* teleheal? s]vices 7 r5d]$4  4