,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #aghe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #c1 #bjbe,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 title      
,,xviii ( ! ,social ,security ,act to   
e/abli% requirem5ts = ! provision (     
c]ta9 high-co/ durable m$ical equipm5t &
 laboratory te/+1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,prev5t+ ,m$ic>e ,telefraud ,act4  #b4  
,requirem5t = provision ( high-co/      
durable m$ical equipm5t & laboratory    
te/s  7a7 ,high-,co/ durable m$ical     
equipm5t ,section #ahcd7;a77#a77;,e7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciem7a77#a77;,e77 is am5d$ by add+ at 
! end ! foll[+ new clause3  7vi7 ,/&>ds 
= high-co/ durable m$ical equipm5t  7,i7

 ,limitation on paym5t = high-co/       
durable m$ical equipm5t ,paym5t may n be
 made "u ?is subsection = a high-co/    
durable m$ical equipm5t ord]$ by a      
physician or o!r practition] describ$ 9 
clause 7ii7 via teleheal? = an          
individual on or aft] ! date t is #ahj  
days aft] ! date ( ! enactm5t ( ?is     
clause1 unless su* physician or         
practition] furni%$ to su* individual a 
s]vice 9-p]son at lea/ once dur+ ! #f   
mon? p]iod prior to ord]+ su* high-co/  
durable m$ical equipm5t4  7,,ii7        
,high-co/ durable m$ical equipm5t       
det]m9ation ,= purposes ( ?is clause1 ! 
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices %all def9e ! t]m      
high-co/ durable m$ical equipm5t &      
specify ! durable m$ical equipm5t = :i* 
su* def9ition %all apply4  7vii7 ,audit 
( provid]s & practition]s furni%+ a high
 volume ( durable m$ical equipm5t via   
teleheal?  7,i7 ,id5tification (        
provid]s ,beg9n+ #f mon?s aft] ! date ( 
! enactm5t ( ?is clause1 ,m$ic>e        

adm9i/rative contractors %all conduct   
reviews on a s*$ule det]m9$ by !        
,secret>y1 ( claims = durable m$ical    
equipm5t prescrib$ by a physician or o!r
 practition] describ$ 9 clause 7ii7 dur+
 ! #ab mon? p]iod prec$+ su* review to  
id5tify physicians or o!r practition]s )
 respect to :om at lea/ #ij p]c5t ( all 
durable m$ical equipm5t prescrib$ by su*
 physician or practition] dur+ su* p]iod
 0 prescrib$ pursuant to a teleheal?    
visit4  7,,ii7 ,audit ,9 ! case ( a     
physician or practition] id5tifi$ "u    
subclause 7,i71 ) respect to a p]iod    
describ$ 9 su* subclause1 ! ,m$ic>e     
adm9i/rative contractors %all conduct   
audits ( all claims = durable m$ical    
equipm5t prescrib$ by su* physicians or 
practition]s to det]m9e :e!r su* claims 
comply ) ! requirem5ts = cov]age "u ?is 
title4  4  7b7 ,high-,co/ laboratory    
te/s ,section #ahcd;,a7b7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#aciem-#a7;b77 is am5d$ by add+ at ! end
 ! foll[+ new p>agraph3  7#f7           

,requirem5t = high-co/ laboratory te/s  
7,a7 ,limitation on paym5t = high-co/   
laboratory te/s ,paym5t may n be made "u
 ?is subsection = a high-co/ laboratory 
te/ ord]$ by a physician or practition] 
via teleheal? = an individual on or aft]
 ! date t is #ahj days aft] ! date ( !  
enactm5t ( ?is p>agraph1 unless su*     
physician or practition] furni%$ to su* 
individual a s]vice 9-p]son at lea/ once
 dur+ ! #f mon? p]iod prior to ord]+ su*
 high-co/ laboratory te/4  7,b7         
,high-co/ laboratory te/ def9$ ,=       
purposes ( ?is p>agraph1 ! ,adm9i/rator 
= ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices 
%all def9e ! t]m high-co/ laboratory te/
 & specify :i* laboratory te/s su*      
def9ition %all apply to4  7#g7 ,audit ( 
laboratory te/+ ord]$ pursuant to       
teleheal? visit  7,a7 ,id5tification (  
provid]s ,beg9n+ #f mon?s aft] ! date ( 
! enactm5t ( ?is p>agraph1 ,m$ic>e      
adm9i/rative contractors %all conduct   
p]iodic reviews on a s*$ule det]m9$ by !
 ,secret>y1 ( claims = laboratory te/s  

prescrib$ by a physician or practition] 
dur+ ! #ab mon? p]iod prec$+ su* review 
to id5tify physicians or o!r            
practition]s ) respect to :om at lea/   
#ij p]c5t ( all laboratory te/s         
prescrib$ by su* physician or           
practition] dur+ su* p]iod 0 prescrib$  
pursuant to a teleheal? visit4  7,b7    
,audit ,9 ! case ( a physician or       
practition] id5tifi$ "u subp>agraph     
7,a71 ) respect to a p]iod describ$ 9   
su* subp>agraph1 ! ,m$ic>e adm9i/rative 
contractors %all conduct audits ( all   
claims = laboratory te/s prescrib$ by   
su* physicians or practition]s dur+ su* 
p]iod beg9n+ to det]m9e :e!r su* claims 
comply ) ! requirem5ts = cov]age "u ?is 
title4  4  #c4 ,requirem5t to submit    
,,npi numb] = sep>ately billable        
teleheal? s]vices ,section #ahcd7m7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$ by add+ at ! end !  
foll[+ new p>agraph3  7#aj7 ,requirem5t 
to submit ,,npi numb] = sep>ately       
billable teleheal? s]vices ,paym5t may n

 be made "u ?is subsection = sep>ately  
billable teleheal? s]vices furni%$ on or
 aft] ! date t is #ahj days aft] ! date 
( ! enactm5t ( ?is p>agraph by a        
physician or practition] unless su*     
physician or practition] submits a claim
 = paym5t "u ! national provid]         
id5tification numb] assign$ to su*      
physician or practition]4  4