,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #bfci  ,,in ,,the ,,house ,,of  
,,representatives  ,april #c1 #bjbe,ms4 
,leger ,fernandez 7for herself1 ,ms4    
,stansbury1 ,mr4 ,ruiz1 ,mr4 ,obernolte1
 and ,ms4 ,norton7 introduced the       
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to make      
permanent certain telehealth            
flexibilities under the ,medicare       
program for telehealth services         
furnished by ,indian health programs4   
#a4 ,short title ,this ,act may be cited
 as the ,telehealth ,access for ,tribal 
,communities ,act of #bjbe4  #b4 ,making
 permanent certain telehealth           
flexibilities under the ,medicare       

program for telehealth services         
furnished by ,indian health programs    
,section #ahcd7m7 of the ,social        
,security ,act 7#db ,u4,s4,c4 #aciem7m77
 is amended-- 7#a7 in paragraph         
7#d77;,c77iii7-- 7,a7 by striking ,in   
the case and inserting the following3   
7,i7 ,in general ,in the case  2 and    
7,b7 by adding at the end the following 
new subclause3  7,,ii7 ,special rule for
 services furnished by ,indian health   
programs ,with respect to telehealth    
services identified in subparagraph     
7,f77i7 as of the date of the enactment 
of this clause furnished on or after    
,april #a1 #bjbe1 by an ,indian health  
program 7as defined in section #d of the
 ,indian ,health ,care ,improvement     
,act7 or by an urban ,indian            
organization 7as so defined71 or by a   
physician or practitioner employed by or
 under contract with such a program or  
organization1 to an eligible telehealth 
individual1 the term originating site   
means any site in the ,united ,states at

 which the eligible telehealth          
individual is located at the time the   
service is furnished via a              
telecommunications system1 including the
 home of an individual4  2 and  7#b7 in 
paragraph 7#i7-- 7,a7 by striking ,in   
the case and inserting the following3   
7,a7 ,in general ,in the case  2 and    
7,b7 by adding at the end the following 
new subparagraph3  7,b7 ,special rule   
for services furnished by ,indian health
 programs ,the ,secretary shall provide 
coverage and payment under this part for
 telehealth services identified in      
subparagraph 7,f77i7 as of the date of  
the enactment of this paragraph that are
 furnished on or after ,april #a1 #bjbe1
 via an audio-only communications system
 by an ,indian health program 7as       
defined in section #d of the ,indian    
,health ,care ,improvement ,act7 or by  
an urban ,indian organization 7as so    
defined71 or by a physician or          
practitioner employed by or under       
contract with such a program or         

organization1 to an eligible telehealth 
individual4 ,for purposes of the        
previous sentence1 the term telehealth  
service means a telehealth service      
identified as of the date of the        
enactment of this paragraph by a ,,hcpcs
 code 7and any succeeding codes7 for    
which the ,secretary has not applied the
 requirements of paragraph 7#a7 and the 
first sentence of section               
#daj4gh7;a77#c7 of title #db1 ,code of  
,federal ,regulations1 during the       
emergency period described in           
subparagraph 7,a74  4