,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ecid  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ab1        
#bjbc,mr4 ,bald]son 7= himself1 ,ms4    
,port]1 ,mr4 ,dunn ( ,florida1 & ,mr4   
,murphy7 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 ensure          
appropriate access to remote monitor+   
s]vices furni%$ "u ! ,m$ic>e program4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,exp&+ ,remote ,monitor+ ,access ,act4
  #b4 ,f9d+s ,! ,congress f9ds ! foll[+3
 7#a7 ,remote monitor+ is an option t c 
help pati5ts manage _! heal? conditions 
f _! homes ) ov]sight f _! heal? c>e    
provid]s1 :i* c improve pati5t heal?    
outcomes1 r$uce long-t]m heal? co/s1 &  
increase c>e options = pati5ts4  7#b7 ,!
 ,dep>tm5t ( ,vet]ans ,affairs 7,,va7   

saw su* results 9 a #bjai report4       
,vet]ans enroll$ 9 remote pati5t        
monitor+ _h a #ec p]c5t decrease 9 ,,va 
b$ days ( c>e & a #cc p]c5t decrease 9  
,,va hospital admissions4  7#c7         
,provid]s are curr5tly requir$ by       
,m$ic>e to collect #af days ( pati5t    
data ov] a #cj-;day p]iod 9 ord] to bill
 ,m$ic>e = remote monitor+ s]vices1 ev5 
9 cases :]e ?is full duration is n      
m$ically necess>y to ensure ! heal? &   
safety ( ! pati5t4 ,?is c limit ! use ( 
remote monitor+ 9 in/ances :]e x c      
promote pati5t heal? & safety & :]e x c 
r$uce ! ov]all co/ on ! heal? sy/em4    
7#d7 ,9 ! #bjba ,physician ,fee ,s*$ule1
 ! ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices 
7,,cms7 issu$ an int]im policy to l[] ! 
duration requir$ by ,m$ic>e to bill =   
remote monitor+ s]vices f #af days to #b
 days )9 a #cj-;day p]iod1 b only =     
individuals :o _h be5 diagnos$ )1 or 7  
suspect$ ( hav+1 ,,covid-#ai4 ,?is      
%ort-t]m flexibility call$ att5tion to !
 long-t]m ne$ to reassess ! m9imum      

duration requir$ = provid]s to bill =   
remote monitor+4  7#e7 ,z "p ( issu+ !  
#bjba ,physician ,fee ,s*$ule1 ,,cms    
/udi$ comm5ts 9 support ( p]man5tly l[]+
 ! m9imum requir$ duration ( remote     
monitor+ = all pati5ts1 n j ^? )        
,,covid-#ai4  7#f7 ,,cms conclud$ t we  
agree t a full #af days ( monitor+ may n
 always be reasonable & necess>y b did n
 revise ! #af day p] #cj-;day p]iod     
m9imum duration = all pati5ts because   
,,cms did n believe !y _h receiv$       
specific cl9ical examples to all[ =     
und]/&+ "u :at cl9ical circum/ances few]
 days ( monitor+ w\ld be m$ically       
reasonable & necess>y & all[ a          
practition] to e/abli% cl9ically        
mean+ful c>e4  7#g7 ,cl9ical evid5ce %[s
 num]\s in/ances 9 :i* few] ?an sixte5  
days ( monitor+ )9 a #cj-;day p]iod     
e/abli%es cl9ically mean+ful c>e4 ,^!   
include3 7,a7 ,sixte5 days ( monitor+ p]
 #cj-;day p]iod may n be requir$ to     
e/abli% t a pati5t has sleep apnea4     
7,b7 ,a pati5t prescrib$ a n>cotic = pa9

 may require _! brea?+ to be monitor$   
only :ile on ! m$ication4  7,c7 ,a      
pati5t ) a *ronic condition l diabetes1 
conge/ive he>t failure1 or obesity may h
 _! weight monitor$ ov] a long] p]iod ( 
"t1 b x is n cl9ically appropriate to h 
su* pati5t /ep on a scale #af or m times
 9 ea* #cj-;day p]iod4  7,d7 ,a pati5t  
^: blood pressure or oxyg5 levels are   
monitor$ dur+ physical !rapy may n      
necessitate #af days ( monitor+ 9 ea*   
#cj-;day p]iod giv5 physical !rapy is   
(t5 ord]$ twice weekly4  7,e7 ,a pati5t 
:o we>s a he>t monitor to measure       
palpitations may we> ! monitor          
cont9u\sly1 b ! data only ne$s to be    
collect$ :5 ! individual is exp]i5c+    
symptoms4  7,f7 ,a pati5t ) hyp]t5sion  
is (t5 monitor$ = long-t]m managem5t (  
?is condition on m ( a weekly basis1    
only ne$+ m frequ5t data collection =   
active monitor+ ) *anges 9 m$ication or 
dosages4  7,g7 ,a pati5t :o suff]s f    
,muscul> ,scl]osis or ,muscul> ,dy/rophy
 may b5efit f a provid] track+ !        

pati5t's ex]cise betwe5 visits to       
monitor c]ta9 physiologic p>amet]s su* z
 muscle movem5t b may n produce #af days
 ( data 9 a #cj-;day p]iod4  7,h7 ,a    
pati5t :o ne$s a total jo9t replacem5t  
may simply ne$ pre-te/+ = surg]y        
basel9es1 includ+ to e/abli% gait1 =ce1 
activity1 he>t rate & o!r factors & !n  
comp>e pre-surg]y & po/-surg]y function4
  7,i7 ,= a pati5t ) urologic           
dysfunction1 male ur9e fl[ data obta9$ f
 ! pati5t c be collect$ 9 two to f\r    
consecutive days4  7,j7 ,remote monitor+
 may all[ a provid] to assess a pati5t's
 adh]5ce1 range ( motion1 & response to 
physical !rapy & occupational !rapy     
regim5s ev5 ?\gh _m su* regim5s are less
 ?an #af days p] mon?4  7,k7 ,monitor+  
cognitive behavioral !rapy = less ?an   
#af days 9 a #cj-;day p]iod may provide 
cl9ically mean+ful c>e :ile mod]at+ a   
pati5t's anxiety & o!r symptoms4  7,l7  
,a pati5t ) respiratory issues may n    
require a full #af days ( monitor+ (    
inhal] usage to get cl9ical b5efits f   

remote monitor+4  7#h7 ,a two-day m9imum
 duration w\ld p]mit ,m$ic>e cov]age ( !
 full range ( remote monitor+ s]vices t 
c be b5eficial to a pati5t )\t preclud+ 
! diff]5tial reimbursem5t ( individual  
remote monitor+ s]vices bas$ on pati5t  
acuity & co/4  #c4 ,ensur+ appropriate  
access to remote monitor+ s]vices       
furni%$ "u ! m$ic>e program  7a7 ,9     
g5]al ,not)/&+ any o!r provision ( law1 
! ,secret>y ( ,heal? & ,human ,s]vices  
79 ?is section ref]r$ to z ! ,secret>y7 
%all ensure t remote monitor+ s]vices   
furni%$ "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 dur+ ! p]iod beg9n+ on ! date ( ! 
enactm5t ( ?is ,act & end+ on ! date t  
is #b ye>s aft] su* date ( enactm5t are 
payable = a m9imum ( #b days ( data     
collection ov] a #cj-;day p]iod1        
reg>dless ( :e!r ! individual receiv+   
su* s]vices has be5 diagnos$ )1 or is   
suspect$ ( hav+1 ,,covid-#ai4  7b7      
,report  7#a7 ,9 g5]al ,n lat] ?an #a   
ye> aft] ! date ( ! enactm5t ( ?is ,act1

 ! ,secret>y %all1 aft] consult+ )      
entities specifi$ 9 p>agraph 7#b71      
submit to ,congress a report t includes 
! foll[+3 7,a7 ,a summ>y & analysis (   
previ\s exp]i5ce ) su* remote monitor+  
s]vices be+ payable "u su* title = a    
m9imum ( #b days ( data collection ov] a
 #cj-;day p]iod4  7,b7 ,recomm5dations =
 implem5t+ a reimbursem5t model t takes 
into acc\nt pati5t acuity & co/ (       
provid+ remote monitor+ s]vices1 includ+
 pot5tially creat+ diff]5tial           
reimbursem5ts = p]iods ) diff]5t        
durations1 su* z few] ?an & m ?an #af   
days4  7,c7 ,an analysis & ju/ification 
= ! appropriate place ( s]vice &        
sup]vision requirem5ts = non-cl9ical    
/aff review+ & escalat+ pati5t data &   
provide recomm5dations4  7,d7 ,an       
analysis ( ! e/imat$ sav+s result+ f    
e>li] int]v5tions & few] days (         
hospitalizations among pati5ts furni%$  
remote monitor+ s]vices4  7#b7 ,specifi$
 entities ,= purposes ( p>agraph 7#a71 !
 entities specifi$ 9 ?is p>agraph are ! 

foll[+3 7,a7 ,relevant ag5cies )9 !     
,dep>tm5t ( ,heal? & ,human ,s]vices    
7includ+1 ) respect to issues relat+ to 
wa/e1 fraud1 or abuse1 ! ,inspector     
,g5]al ( su* ,dep>tm5t74  7,b7 ,!       
,dep>tm5t ( ,vet]ans ,affairs 7includ+ !
 ,(fice ( ,connect$ ,c>e ( su*          
,dep>tm5t74  7,c7 ,lic5s$ & practic+    
o/eopa?ic & allopa?ic physicians1       
ane/hesiologi/s1 physician assi/ants1 & 
nurse practition]s4  7,d7 ,hospitals1   
heal? sy/ems1 academic m$ical c5t]s1 &  
o!r m$ical facilities1 su* z acute c>e  
hospitals1 canc] hospitals1 psy*iatric  
hospitals1 hospital em]g5cy dep>tm5ts1  
facilities furni%+ urg5t c>e s]vices1   
ambulatory surgical c5t]s1 ,f$]ally     
qualifi$ heal? c5t]s1 rural heal?       
cl9ics1 & po/-acute c>e & long-t]m c>e  
facilities4  7,e7 ,m$ical pr(essional   
organizations & m$ical specialty        
organizations4  7,f7 ,organizations )   
exp]tise 9 ! developm5t ( or op]ation ( 
innovative remote physiologic monitor+  
s]vices te*nologies4  7,g7 ,b5efici>y   

advocacy organizations4  7,h7 ,!        
,am]ican ,m$ical ,association ,curr5t   
,proc$ural ,t]m9ology ,editorial ,panel4
  7,i7 ,comm]cial pay]s4  7,j7 ,any o!r 
entity det]m9$ appropriate by !         
,secret>y4  7c7 ,def9itions ,9 ?is      
section3 7#a7 ,remote monitor+ ,! t]m   
remote monitor+ means remote physiologic
 monitor+ & remote !rapeutic monitor+4  
7#b7 ,remote physiologic monitor+ ,! t]m
 remote physiologic monitor+ means      
non-face-to-face monitor+ & analysis (  
physiologic factors us$ to und]/& a     
pati5t's heal? /atus1 includ+ !         
collection & analysis ( pati5t          
physiologic data t are us$ to develop & 
manage a treatm5t plan relat$ to *ronic 
or acute conditions4  7#c7 ,remote      
!rapeutic monitor+ ,! t]m remote        
!rapeutic monitor+ means ! use ( m$ical 
devices to monitor a pati5t's heal? or  
response to treatm5t us+                
non-physiological data4