,i #aah? ,,congress #a/ ,session ,h4 ,r4 #agde ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #bc1 #bjbc,mr4 ,doggett introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = 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 am5d titles ,,xi & ,,xviii ( ! ,social ,security ,act to /r5g!n heal? c>e wa/e1 fraud1 & abuse provisions4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,m$ic>e ,fraud ,detection & ,det]r5ce ,act ( #bjbc4 #b4 ,/r5g!n+ heal? c>e wa/e1 fraud1 & abuse provisions 7a7 ,deactivation ( national provid] id5tifi] = c]ta9 exclud$ entities ,section #aagc7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#b7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,m&atory deactivation ( c]ta9 id5tifi]s 7,a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is p>agraph1 ! ,secret>y %all revise ! /&>ds adopt$ "u p>agraph 7#a7 to provide =-- 7i7 ! deactivation ( a /&>d unique heal? id5tifi] ( entity type #a 7z def9$ = purposes ( su* /&>ds7 assign$ to an entity if su* entity is exclud$ f p>ticipation 9 any ,f$]al heal? c>e program "u section #aabh or #aabh;,a2 7ii7 ! deactivation ( a /&>d unique heal? id5tifi] ( entity type #b 7z def9$ = purposes ( su* /&>ds7 assign$ to an entity if su* entity is s exclud$1 b only if-- 7,i7 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices submits to ! ,secret>y a reque/ = su* deactivation2 & 7,,ii7 ! ,secret>y det]m9es su* deactivation to be appropriate2 & 7iii7 ! reactivation ( a /&>d unique heal? id5tifi] deactivat$ pursuant to clause 7i7 or 7ii7 at ! end ( su* deactivation 7z describ$ 9 subp>agraph 7,b774 7,b7 ,t]m ( deactivation ,a deactivation describ$ 9 subp>agraph 7,a7 made ) respect to an entity exclud$ f p>ticipation 9 any ,f$]al heal? c>e program "u section #aabh or #aabh;,a %all beg9 on ! date ( su* exclusion & %all end on ! date su* exclusion is t]m9at$4 7,c7 ,nonapplication ( deactivation ,not)/&+ subp>agraph 7,a71 no deactivation ( a /&>d unique heal? id5tifi] assign$ to an entity exclud$ f p>ticipation 9 any ,f$]al heal? c>e program "u section #aabh or #aabh;,a %all be made pursuant to su* subp>agraph if ! ,secret>y has waiv$ su* exclusion ) respect to any ,f$]al heal? c>e program pursuant to section #aabh7;c77#c77;,b74 7,d7 ,annual review ( exclusion li/ ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is p>agraph & n less frequ5tly ?an annually !reaft]1 ! ,secret>y %all comp>e ! li/ ( individuals & entities exclud$ f p>ticipation 9 any ,f$]al heal? c>e program "u section #aabh or #aabh;,a ma9ta9$ by ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7or a successor li/7 ) a li/ ( active /&>d unique heal? id5tifi]s describ$ 9 subp>agraph 7,a7 to ensure compliance ) su* subp>agraph4 4 7b7 ,m$ic>e ,advantage plan provision ( national provid] id5tifi] = c]ta9 items & s]vices ,section #ahei ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7j7 ,provision ( national provid] id5tifi] = c]ta9 items & s]vices 7#a7 ,9 g5]al ,9 ! case ( any enc\nt] data submitt$ by a ,m$ic>e ,advantage plan ) respect to a designat$ item or s]vice furni%$ to an individual "u su* plan on or aft] ! date ( ! enactm5t ( ?is subsection1 ! ,secret>y %all require t su* data include ! /&>d unique heal? id5tifi] e/abli%$ pursuant to /&>ds describ$ 9 section #aagc7;b7 ( ! provid] ( s]vices or suppli] t ord]$ su* item or s]vice or ref]r$ su* individual = su* item or s]vice4 7#b7 ,rejection ( data ,! ,secret>y %all reject any enc\nt] data submitt$ by a ,m$ic>e ,advantage plan if-- 7,a7 su* data does n comply ) ! requirem5t describ$ 9 p>agraph 7#a72 or 7,b7 ! ,secret>y det]m9es t a /&>d unique heal? id5tifi] includ$ 9 su* data 9 accordance ) su* requirem5t is n active or is o!rwise invalid4 7#c7 ,def9ition ( designat$ item or s]vice ,= purposes ( ?is subsection1 ! t]m designat$ item or s]vice means any ( ! foll[+3 7,a7 ,an item ( durable m$ical equipm5t4 7,b7 ,a pro/hetic or or?otic device4 7,c7 ,a cl9ical diagno/ic laboratory te/4 7,d7 ,a diagno/ic imag+ te/ 7z specifi$ by ! ,secret>y74 7,e7 ,a home heal? s]vice 7z specifi$ by ! ,secret>y74 4 7c7 ,id5tification ( relation%ips betwe5 teleheal? suppli]s & teleheal? companies "u ,m$ic>e ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#aj7 ,id5tification ( relation%ips betwe5 teleheal? suppli]s & teleheal? companies 7,a7 ,9 g5]al ,9 ! case ( a teleheal? s]vice furni%$ on or aft] ! date ( ! enactm5t ( ?is p>agraph by a specifi$ entity1 no paym5t may be made "u ?is section = su* s]vice unless ! claim = su* s]vice includes ! modifi] e/abli%$ pursuant to subp>agraph 7,b74 7,b7 ,e/abli%m5t ( modifi] ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is p>agraph1 ! ,secret>y %all e/abli% a claims modifi] = purposes ( id5tify+ teleheal? s]vices payable "u ?is section furni%$ by a specifi$ entity 7z def9$ 9 subp>agraph 7,c774 7,c7 ,def9itions ,9 ?is section3 7i7 ,specifi$ entity ,! t]m specifi$ entity means a physician or practition] 7z su* t]ms are def9$ 9 p>agraph 7#d77 t has an employm5t or o!r contractual relation%ip 9 effect ) a teleheal? company relat+ to ! furni%+ teleheal? s]vices4 7ii7 ,teleheal? company ,! t]m teleheal? company means an entity-- 7,i7 t employs or o!rwise contracts ) physicians or practition]s to furni% teleheal? s]vices2 & 7,,ii7 t does n employ or o!rwise contract ) any physician or practition] to furni% items & s]vices 9-p]son 7or t employs or o!rwise contracts ) physicians or practition]s to furni% su* 9-p]son items & s]vices 9 a de m9imis mann] comp>$ to ! am\nt ( teleheal? s]vices furni%$ by su* physicians or practition]s1 z specifi$ by ! ,secret>y74 4