,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #bbfc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ba1 #bjbe,mr4   
,khanna 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   
make p]man5t c]ta9 teleheal?            
flexibilities "u ! ,m$ic>e program1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,teleheal? ,cov]age    
,act ( #bjbe4  #b4 ,mak+ p]man5t c]ta9  
teleheal? flexibilities "u ,m$ic>e  7a7 
,exp&$ access to teleheal? s]vices      
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is       
am5d$-- 7#a7 9 p>agraph 7#b77;,b77iii71 
by /rik+ ,9 ! case t & all t foll[s     
?r\gh end+ ,m>* #ca1 #bjbe1 & ins]t+ ,) 
respect to teleheal? s]vices t are      

furni%$ on or aft] ! fir/ day ( !       
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b712 &  7#b7 9 p>agraph 
7#d77;,c77iii71 by /rik+ ,9 ! case t &  
all t foll[s ?r\gh end+ on ,m>* #ca1    
#bjbe1 & ins]t+ ,) respect to teleheal? 
s]vices t are furni%$ on or aft] ! fir/ 
day ( ! em]g5cy p]iod describ$ 9 section
 #aace7;g77#a77;,b714  7b7 ,expansion ( 
practition]s eligible ,to furni%        
teleheal? s]vices ,section              
#ahcd7m77#d77;,e7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#d77;,e77 
is am5d$ by /rik+ 9 ! case t & all t    
foll[s ?r\gh end+ on ,m>* #ca1 #bjbe1 & 
ins]t+ beg9n+ on ! fir/ day ( ! em]g5cy 
p]iod describ$ 9 section                
#aace7;g77#a77;,b714  7c7 ,ext5sion (   
teleheal? s]vices furni%$ by ,f$]ally   
qualifi$ heal? c5t]s & rural heal?      
cl9ics ,section #ahcd7m77#h77;,a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#h77;,a77 is am5d$ by /rik+   
,dur+ ! em]g5cy & all t foll[s ?r\gh    
end+ on ,m>* #ca1 #bjbe & ins]t+ ,beg9n+

 on ! fir/ day ( ! em]g5cy p]iod        
describ$ 9 section #aace7;g77#a77;,b74  
7d7 ,treatm5t ( teleheal? s]vices       
furni%$ us+ audio-,only                 
telecommunications te*nology ,section   
#ahcd7m77#i7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7m77#i77 is am5d$--
 7#a7 by /rik+ ,9 ! case t & all t      
foll[s ?r\gh ! ,secret>y %all cont9ue to
 & ins]t+ ,! ,secret>y %all2  7#b7 by   
/rik+ id5tifi$ 9 p>agraph 7#d77;,f77i7 z
 ( ! date ( ! enactm5t ( ?is p>agraph2 &
  7#c7 by /rik+ dur+ ! p]iod & all t    
foll[s ?r\gh ! p]iod at ! end & ins]t+  
on or aft] ! fir/ day ( ! em]g5cy p]iod 
describ$ 9 section #aace7;g77#a77;,b744 
7e7 ,elim9ation ( 9-,p]son requirem5ts  
"u ,m$ic>e = c]ta9 s]vices furni%$ ?r\gh
 teleheal?  7#a7 ,home dialysis mon?ly  
,,esrd-relat$ visit2 /roke teleheal?    
s]vices2 sub/ance use disord] s]vices & 
m5tal heal? s]vices  7,a7 ,9 g5]al      
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$ 
by /rik+ p>agraphs 7#e7 ?r\gh 7#g7 &    

r$esignat+ p>agraphs 7#h7 & 7#i7 z      
p>agraphs 7#e7 & 7#f71 accord+ly4  7,b7 
,con=m+ *anges ,section #ahcd7m7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$-- 7i7 9 p>agraph    
7#a71 by /rik+ ,subject to p>agraphs    
7#h7 & 7#i7 & ins]t+ ,subject to        
p>agraphs 7#e7 & 7#f72  7ii7 9 p>agraph 
7#b7-- 7,i7 9 subp>agraph 7,a71 by /rik+
 ,subject to p>agraph 7#h7 & ins]t+     
,subject to p>agraph 7#e72 &  7,,ii7 9  
subp>agraph 7,b71 by /rik+ & p>agraph   
7#f77;,c72 &  7iii7 9 p>agraph 7#d7--   
7,i7 9 subp>agraph 7,a71 by /rik+       
,subject to p>agraph 7#h7 & ins]t+      
,subject to p>agraph 7#e72  7,,ii7 9    
subp>agraph 7,c7-- 7aa7 9 clause 7i71 by
 /rik+ & p>agraphs 7#e71 7#f71 & 7#g72 &
  7bb7 9 clause 7ii77,x71 by /rik+ or   
teleheal? s]vices describ$ 9 p>agraph   
7#g72 &  7,,iii7 9 subp>agraph 7,f71 by 
/rik+ ,subject to p>agraph 7#h7 & ins]t+
 ,subject to p>agraph 7#e74  7#b7 ,m5tal
 heal? visits furni%$ by ,f$]ally       
qualifi$ heal? c5t]s ,section           

#ahcd7o77#d77;,b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7o77#d77;,b77 
is am5d$ by /rik+ prior to ,april #a1   
#bjbe4  7#c7 ,m5tal heal? visits furni%$
 by rural heal? cl9ics ,section         
#ahcd7y77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7y77#b77 is am5d$  
by /rik+ prior to ,april #a1 #bjbe4  7f7
 ,use ( teleheal? ,to conduct           
face-to-face enc\nt] prior to           
rec]tification ( eligibility = hospice  
c>e ,section #ahad7;a77#g77;,d77i77,,ii7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie;f7a77#g77;,d77i77,,ii77 
is am5d$-- 7#a7 by /rik+ dur+ ! em]g5cy 
p]iod & all t foll[s ?r\gh & end+ on    
,m>* #ca1 #bjbe & ins]t+ beg9n+ on !    
fir/ day ( ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b72 &  7#b7 by  
ins]t+ 1 except t ?is subclause %all n  
apply 9 ! case ( su* an enc\nt] ) an    
individual occurr+ on or aft] ,m>* #ca1 
#bjbe1 if su* individual is locat$ 9 an 
area t is subject to a moratorium on !  
enrollm5t ( hospice programs "u ?is     

title pursuant to section #ahff7;j77#g71
 if su* individual is receiv+ hospice   
c>e f a provid] t is subject to enhanc$ 
ov]sight "u ?is title pursuant to       
section #ahff7;j77#c71 or if su* enc\nt]
 is p]=m$ by a hospice physician or     
nurse practition] :o is n enroll$ "u    
section #ahff7;j7 & is n an opt-out     
physician or practition] 7z def9$ 9     
section #ahjb7;b77#f77;,d77 be=e !      
semicolon4  7g7 ,requir+ modifi]s =     
teleheal? s]vices 9 c]ta9 in/ances      
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$ 
by add+ at ! end ! foll[+ new p>agraph3 
7#aj7 ,requir$ use ( modifi]s 9 c]ta9   
in/ances ,n lat] ?an ,janu>y #a1 #bjbf1 
! ,secret>y %all e/abli% requirem5ts to 
include #a or m codes or modifi]s1 z    
det]m9$ appropriate by ! ,secret>y1 9 ! 
case (-- 7,a7 claims = teleheal? s]vices
 "u ?is subsection t are furni%$ ?r\gh a
 teleheal? virtual plat=m-- 7i7 by a    
physician or practition] t contracts )  
an entity t owns su* virtual plat=m2 or 

7ii7 = :i* a physician or practition]   
has a paym5t arrangem5t ) an entity =   
use ( su* virtual plat=m2 &  7,b7 claims
 = teleheal? s]vices "u ?is subsection t
 are furni%$ incid5t to a physician's or
 practition]'s pr(essional s]vice4  4   
7h7 ,program in/ruction au?ority ,!     
,secret>y ( ,heal? & ,human ,s]vices may
 implem5t ! am5dm5ts made by ?is section
 ?r\gh program in/ruction or o!rwise4   
#c4 ,requir+ modifi] = use ( teleheal?  
to conduct face-to-face enc\nt] prior to
 rec]tification ( eligibility = hospice 
c>e ,section #ahad7;a77#g77;,d77i77,,ii7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie;f7a77#g77;,d77i77,,ii771
 z am5d$ by section #b7;f71 is fur!r    
am5d$ by ins]t+ 1 b only if1 9 ! case ( 
su* an enc\nt] occurr+ on or aft]       
,janu>y #a1 #bjbf1 any hospice claim    
includes #a or m modifi]s or codes 7z   
specifi$ by ! ,secret>y7 to indicate t  
su* enc\nt] 0 conduct$ via teleheal?    
aft] z det]m9$ appropriate by !         
,secret>y4  #d4 ,ext5d+ acute hospital  

c>e at home waiv] flexibilities ,section
 #ahff;,g7a77#a7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acie;cc-#g7;a77#a77
 is am5d$ by /rik+ dur+ ! p]iod & all t 
foll[s ?r\gh ,m>* #ca1 #bjbe & ins]t+ on
 or aft] ! fir/ day aft] ! end ( !      
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b74  #e4 ,guidance on   
furni%+ s]vices via teleheal? to        
individuals ) limit$ ,engli% pr(ici5cy  
7a7 ,9 g5]al ,n lat] ?an #a ye> aft] !  
date ( ! enactm5t ( ?is section1 !      
,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) #a or m entities f ea* ( 
! categories describ$ 9 p>agraphs 7#a7  
?r\gh 7#g7 ( subsection 7b71 %all issue 
& dissem9ate1 or update & revise z      
applicable1 guidance = ! entities       
describ$ 9 su* subsection on ! foll[+3  
7#a7 ,be/ practices on facilitat+ &     
integrat+ use ( int]pret]s dur+ a       
telem$ic9e appo9tm5t4  7#b7 ,be/        
practices on provid+ accessible         
in/ructions on h[ to access             
telecommunications sy/ems 7z su* t]m is 

us$ = purposes ( section #ahcd7m7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 = individuals ) limit$       
,engli% pr(ici5cy4  7#c7 ,be/ practices 
on improv+ access to digital pati5t     
portals = individuals ) limit$ ,engli%  
pr(ici5cy4  7#d7 ,be/ practices on      
integrat+ ! use ( video plat=ms t enable
 multi-p]son video calls furni%$ via a  
telecommunications sy/em = purposes (   
provid+ int]pretation dur+ a telem$ic9e 
appo9tm5t = an individual ) limit$      
,engli% pr(ici5cy4  7#e7 ,be/ practices 
= provid+ pati5t mat]ials1              
communications1 & in/ructions 9 multiple
 languages1 includ+ text message        
appo9tm5t rem9d]s & prescription        
in=mation4  7b7 ,entities describ$ ,=   
purposes ( subsection 7a71 an entity    
describ$ 9 ?is subsection is an entity 9
 #a or m ( ! foll[+ categories3 7#a7    
,heal? in=mation te*nology s]vice       
provid]s1 includ+-- 7,a7 electronic     
m$ical record companies2  7,b7 remote   
pati5t monitor+ companies2 &  7,c7      

teleheal? or mobile heal? v5dors &      
companies4  7#b7 ,heal? c>e provid]s1   
includ+-- 7,a7 physicians2 &  7,b7      
hospitals4  7#c7 ,heal? insur]s4  7#d7  
,language s]vice companies4  7#e7       
,int]pret] or translator pr(essional    
associations4  7#f7 ,heal? & language   
s]vices quality c]tification            
organizations4  7#g7 ,pati5t & consum]  
advocates1 includ+ su* advocates t "w ) 
individuals ) limit$ ,engli% pr(ici5cy4 
#f4 ,9-home c>diopulmon>y rehabilitation
 flexibilities  7a7 ,9 g5]al ,section   
#ahfa7;eee77#b7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex7eee77#b77 is 
am5d$-- 7#a7 9 subp>agraph 7,a77ii71 by 
ins]t+ 7includ+1 ) respect to items &   
s]vices furni%$ ?r\gh audio & video     
real-"t communications te*nology        
7exclud+ audio-only7 on or aft] ,m>*    
#ca1 #bjbe1 9 ! home ( an individual :o 
is an outpati5t ( ! hospital7 aft]      
outpati5t basis2 &  7#b7 9 subp>agraph  
7,b71 by ins]t+ 7includ+1 ) respect to  
items & s]vices furni%$ ?r\gh audio &   

video real-"t communications te*nology  
on or aft] ,m>* #ca1 #bjbe1 ! virtual   
pres5ce ( su* physician1 physician      
assi/ant1 nurse practition]1 or cl9ical 
nurse speciali/7 aft] "u ! program4  7b7
 ,program in/ruction au?ority ,not)/&+  
any o!r provision ( law1 ! ,secret>y (  
,heal? & ,human ,s]vices may implem5t ! 
am5dm5ts made by ?is section by program 
in/ruction or o!rwise4  #g4 ,inclusion (
 virtual diabetes prev5tion program     
suppli]s 9 ,,mdpp ,exp&$ ,model  7a7 ,9 
g5]al ,n lat] ?an ,janu>y #a1 #bjbf1 !  
,secret>y %all revise ! regulations "u  
p>ts #daj & #dbd ( title #db1 ,code (   
,f$]al ,regulations1 to provide t1      
beg9n+ ,janu>y #a1 #bjbf-- 7#a7 an      
entity may p>ticipate 9 ! ,,mdpp by (f]+
 only onl9e ,,mdpp s]vices via syn*ron\s
 or asyn*ron\s te*nology or             
telecommunications if su* entity meets !
 conditions = enrollm5t z an ,,mdpp     
suppli] 7z specifi$ 9 section           
#dbd4bje7;b7 ( title #db1 ,code ( ,f$]al
 ,regulations 7or a successor           

regulation772  7#b7 if an entity        
p>ticipates 9 ! ,,mdpp 9 ! mann]        
describ$ 9 p>agraph 7#a7-- 7,a7 !       
adm9i/rative location ( su* entity %all 
be ! address ( ! entity on file "u !    
,diabetes ,prev5tion ,recognition       
,program2 &  7,b7 9 ! case ( onl9e      
,,mdpp s]vices furni%$ by su* entity to 
an ,,mdpp b5efici>y :o 0 n locat$ 9 !   
same ,/ate z ! entity at ! "t su*       
s]vices 7 furni%$1 ! entity %all n be   
prohibit$ f submitt+ a claim = paym5t = 
su* s]vices solely by reason ( !        
location ( su* b5efici>y at su* "t2 &   
7#c7 no limit is appli$ on ! numb] (    
times an individual may enroll 9 !      
,,mdpp4  7b7 ,def9itions ,9 ?is section3
 7#a7 ,,mdpp ,! t]m ,,mdpp means !      
,m$ic>e ,diabetes ,prev5tion ,program   
conduct$ "u section #aaae;,a ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acae;a71
 z describ$ 9 ! f9al rule publi%$ 9 !   
,f$]al ,regi/] entitl$ ,m$ic>e &        
,m$icaid ,programs2 ,,cy #bjbd ,paym5t  
,policies ,"u ! ,physician ,fee ,s*$ule 

& ,o!r ,*anges to ,"p ,b ,paym5t &      
,cov]age ,policies2 ,m$ic>e ,%>$ ,sav+s 
,program ,requirem5ts2 ,m$ic>e          
,advantage2 ,m$ic>e & ,m$icaid ,provid] 
& ,suppli] ,enrollm5t ,policies2 &      
,basic ,heal? ,program 7#hh ,f$4 ,reg4  
#ghhah 7,novemb] #af1 #bjbc77 7or a     
successor regulation74  7#b7 ,regulatory
 t]ms ,! t]ms ,diabetes ,prev5tion      
,recognition ,program1 full ,,cdc ,,dprp
 recognition1 ,,mdpp b5efici>y1 ,,mdpp  
s]vices1 & ,,mdpp suppli] h ! mean+s    
giv5 ea* su* t]m 9 section #daj4gi7;b7 (
 title #db1 ,code ( ,f$]al ,regulations4
  7#c7 ,secret>y ,! t]m ,secret>y means 
! ,secret>y ( ,heal? & ,human ,s]vices4 
#h4 ,m$ication-induc$ movem5t disord]   
outrea* & education ,n lat] ?an ,janu>y 
#a1 #bjbf1 ! ,secret>y %all use exi/+   
communications me*anisms to provide     
education & outrea* to physicians &     
appropriate non-physician practition]s  
p>ticipat+ "u ! ,m$ic>e program "u title
 ,,xviii ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acie et seq47 ) respect to  

p]iodic scre5+ = m$ication-induc$       
movem5t disord]s t are associat$ ) !    
treatm5t ( m5tal heal? disord]s 9       
at-risk pati5ts1 z well z res\rces      
relat$ to cl9ical guidel9es & be/       
practices = furni%+ su* scre5+ s]vices  
?r\gh teleheal?4 ,su* education &       
outrea* %all include in=mation on h[ to 
acc\nt = su* scre5+ s]vices 9 evaluation
 & managem5t code selection4 ,!         
,secret>y %all1 to ! ext5t practicable1 
seek input f relevant /akehold]s to in=m
 su* education & outrea*4 ,su* education
 & outrea* may also address o!r relevant
 scre5+ s]vices furni%$ ?r\gh teleheal?1
 z ! ,secret>y det]m9es appropriate4