,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #fbif  ,,in ,,the ,,house ,,of  
,,representatives  ,november #be1       
#bjbe,mrs4 ,dingell 7for herself and    
,mr4 ,bergman7 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       
program4  #a4 ,short title ,this ,act   
may be cited as the ,advancing ,access  
to ,telehealth ,act4  #b4 ,making       
permanent certain telehealth            
flexibilities under ,medicare  7a7      
,expanded access to telehealth services 
,section #ahcd7m7 of the ,social        
,security ,act 7#db ,u4,s4,c4 #aciem7m77

 is amended-- 7#a7 in paragraph         
7#b77;,b77iii71 by striking ,in the case
 that and all that follows through      
ending ,september #cj1 #bjbe1 and       
inserting ,with respect to telehealth   
services that are furnished on or after 
the first day of the emergency period   
described in section                    
#aace7;g77#a77;,b712 and  7#b7 in       
paragraph 7#d77;,c77iii71 by striking   
,in the case that and all that follows  
through ending on ,september #cj1 #bjbe1
 and inserting ,with respect to         
telehealth services that are furnished  
on or after the first day of the        
emergency period described in section   
#aace7;g77#a77;,b714  7b7 ,expansion of 
practitioners eligible ,to furnish      
telehealth services ,section            
#ahcd7m77#d77;,e7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,e77 is amended by       
striking in the case that and all that  
follows through ending on ,september    
#cj1 #bjbe1 and inserting beginning on  

the first day of the emergency period   
described in section                    
#aace7;g77#a77;,b714  7c7 ,extension of 
telehealth services furnished by        
,federally qualified health centers and 
rural health clinics ,section           
#ahcd7m77#h77;,a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#h77;,a77 is amended by       
striking ,during the emergency and all  
that follows through ending on          
,september #cj1 #bjbe and inserting     
,beginning on the first day of the      
emergency period described in section   
#aace7;g77#a77;,b74  7d7 ,treatment of  
telehealth services furnished using     
audio-,only telecommunications          
technology ,section #ahcd7m77#i7 of the 
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#i77 is amended-- 7#a7 by     
striking ,in the case that and all that 
follows through the ,secretary shall    
continue to and inserting ,the          
,secretary shall2  7#b7 by striking     
identified in paragraph 7#d77;,f77i7 as 

of the date of the enactment of this    
paragraph2 and  7#c7 by striking during 
the period and all that follows through 
the period at the end and inserting on  
or after the first day of the emergency 
period described in section             
#aace7;g77#a77;,b744  7e7 ,elimination  
of in-,person requirements under        
,medicare for certain services furnished
 through telehealth  7#a7 ,home dialysis
 monthly ,,esrd-related visit2 stroke   
telehealth services2 substance use      
disorder services and mental health     
services  7,a7 ,in general ,section     
#ahcd7m7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7m77 is amended by 
striking paragraphs 7#e7 through 7#g7   
and redesignating paragraphs 7#h7 and   
7#i7 as paragraphs 7#e7 and 7#f71       
accordingly4  7,b7 ,conforming changes  
,section #ahcd7m7 of the ,social        
,security ,act 7#db ,u4,s4,c4 #aciem7m77
 is amended-- 7i7 in paragraph 7#a71 by 
striking ,subject to paragraphs 7#h7 and
 7#i7 and inserting ,subject to         

paragraphs 7#e7 and 7#f72  7ii7 in      
paragraph 7#b7-- 7,i7 in subparagraph   
7,a71 by striking ,subject to paragraph 
7#h7 and inserting ,subject to paragraph
 7#e72 and  7,,ii7 in subparagraph 7,b71
 by striking and paragraph 7#f77;,c72   
and  7iii7 in paragraph 7#d7-- 7,i7 in  
subparagraph 7,a71 by striking ,subject 
to paragraph 7#h7 and inserting ,subject
 to paragraph 7#e72  7,,ii7 in          
subparagraph 7,c7-- 7aa7 in clause 7i71 
by striking and paragraphs 7#e71 7#f71  
and 7#g72 and  7bb7 in clause 7ii77,x71 
by striking or telehealth services      
described in paragraph 7#g72 and        
7,,iii7 in subparagraph 7,f71 by        
striking ,subject to paragraph 7#h7 and 
inserting ,subject to paragraph 7#e74   
7#b7 ,mental health visits furnished by 
,federally qualified health centers     
,section #ahcd7o77#d77;,b7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7o77#d77;,b77 is amended by       
striking prior to ,october #a1 #bjbe4   
7#c7 ,mental health visits furnished by 

rural health clinics ,section           
#ahcd7y77#b7 of the ,social ,security   
,act 7#db ,u4,s4,c4 #aciem7y77#b77 is   
amended by striking prior to ,october   
#a1 #bjbe4