,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cjba  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #d1 #bjbc,ms4  
,s9ema 7= h]self1 ,mrs4 ,blackburn1 &   
,ms4 ,klobu*>7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to p]man5tly ext5d c]ta9 9-home   
c>diopulmon>y rehabilitation            
flexibilities e/abli%$ 9 response to    
,,covid-#ai1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,su/a9able ,c>diopulmon>y               
,rehabilitation ,s]vices 9 ! ,home ,act4
  #b4 ,codify+ virtual c>diopulmon>y    
rehabilitation flexibilities e/abli%$ 9 
response to ,,covid-#ai  7a7 ,9 g5]al   
,section #ahfa7;eee77#b7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciex7eee77#b77 is am5d$-- 7#a7 9      
subp>agraph 7,a77ii71 by ins]t+ 1       
includ+ 9 ! home ( an individual :5     
furni%$ z a teleheal? s]vice ?r\gh      
audio-visual real-"t communications     

te*nology1 or :5 su* home is designat$ z
 a provid]-bas$ location ( a hospital   
outpati5t dep>tm5t aft] outpati5t basis2
 &  7#b7 9 subp>agraph 7,b71 by ins]t+ 1
 includ+ ?r\gh ! virtual pres5ce ( su*  
physician1 physician assi/ant1 nurse    
practition]1 or cl9ical nurse speciali/1
 ?r\gh audio-visual real-"t             
communications te*nology aft] "u !      
program4  7b7 ,exp&+ orig9at+ sites     
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is       
am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ &
 7#i7 & all t foll[s ?r\gh 7z def9$ 9   
p>agraph 7#d77;,e77 & ins]t+ 1 7#i71 &  
7#aj71 ! ,secret>y %all pay = teleheal? 
s]vices t are furni%$ via a             
telecommunications sy/em by a physician 
7z def9$ 9 section #ahfa7r77 or a       
practition] 7z def9$ 9 p>agraph         
7#d77;,e771 or by a hospital 7z def9$ 9 
section #ahfa7;e772  7#b7 9 p>agraph    
7#b77;,a71 by /rik+ or practition] ea*  
place t x appe>s & ins]t+ 1 practition]1
 or hospital2  7#c7 9 p>agraph          

7#d77;,a71 by /rik+ or practition] &    
ins]t+ 1 practition]1 or hospital2  7#d7
 9 p>agraph 7#d77;,c7-- 7,a7 9 clause   
7i71 by /rik+ & 7#g7 & ins]t+ 7#g71 &   
7#aj72 &  7,b7 9 clause 7ii77,x71 by    
/rik+ p>agraph 7#g7 & ins]t+ p>agraphs  
7#g7 & 7#aj72  7#e7 9 p>agraph          
7#d77;,f77i71 by /rik+ p>agraph 7#h7 &  
ins]t+ p>agraphs 7#h7 & 7#aj72 &  7#f7  
by add+ at ! end ! foll[+ new p>agraph3 
7#aj7 ,treatm5t ( c>diac rehabilitation 
program1 int5sive c>diac rehabilitation 
program1 & pulmon>y rehabilitation      
program visits furni%$ ?r\gh teleheal?  
,9 ! case ( items & s]vices furni%$ on  
or aft] ,janu>y #a1 #bjbd1 ! geographic 
requirem5ts describ$ 9 p>agraph         
7#d77;,c77i7 %all n apply ) respect to  
teleheal? s]vices = c>diac              
rehabilitation programs & int5sive      
c>diac rehabilitation programs 7z su*   
t]ms are def9$ 9 section #ahfa7;eee77 & 
pulmon>y rehabilitation programs 7z     
def9$ 9 section #ahfa7;fff77 at an      
orig9at+ site describ$ 9 subclauses 7,v7

 & 7,x7 ( p>agraph 7#d77;,c77ii74  4    
7c7 ,au?ority ,to e/abli% /&>ds & all[ =
 c]ta9 programs ,to utilize teleheal?   
s]vices  7#a7 ,9 g5]al ,n lat] ?an #cj  
days aft] ! date ( enactm5t ( ?is       
section1 ! ,secret>y ( ,heal? & ,human  
,s]vices %all-- 7,a7 e/abli% /&>ds = !  
designation ( ! home ( an individual )  
/atus z a provid]-bas$ organization ( a 
hospital consi/5t ) waiv]s issu$ ?r\gh !
 ,hospital ,)\t ,walls program = c>diac 
rehabilitation1 pulmon>y rehabilitation1
 & int5sive c>diac rehabilitation2 &    
7,b7 include items & s]vices furni%$ "u 
c>diac rehabilitation program or "u an  
int5sive c>diac rehabilitation program  
7z su* t]ms are def9$ 9 section         
#ahfa7;eee7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #aciex7eee771 or "u a    
pulmon>y rehabilitation program 7z def9$
 9 section #ahfa7;fff7 ( su* ,act 7#db  
,u4,s4,c4 #aciex7fff77 among teleheal?  
s]vices to be specifi$ "u section       
#ahcd7m77#d77;,f7 ( su* ,act 7#db       
,u4,s4,c4 #aciem7m77#d77;,f774  7#b7    

,effective date ,! /&>ds e/abli%$ "u    
p>agraph 7#a7 %all apply to items &     
s]vices furni%$ on or aft] ,janu>y #a1  
#bjbd4  7d7 ,implem5tation ,not)/&+ any 
o!r provision ( ! law1 ! ,secret>y (    
,heal? & ,human ,s]vices may implem5t ! 
provisions (1 & ! am5dm5ts made by1 ?is 
section by program in/ruction or        
o!rwise4  7e7 ,effective date ,!        
am5dm5ts made by subsections 7a7 & 7b7  
%all apply to items & s]vices furni%$ on
 or aft] ,janu>y #a1 #bjbd4