,,ii  #aai? ,,congress  #a/ ,session    
,s4 #aece  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #cj1 #bjbe,mrs4 
,blackburn 7= h]self & ,mr4 ,w>n]7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to ensure          
high-quality remote physiologic monitor+
 s]vices = ,m$ic>e b5efici>ies & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,rural ,pati5t ,monitor+   
7,,rpm7 ,access ,act4  #b4 ,f9d+s       
,congress f9ds ! foll[+3 7#a7 ,remote   
physiologic monitor+ 7ref]r$ to 9 ?is   
section z ,,rpm7 supports highly        
coord9at$ c>e1 improves pati5t outcomes1
 & c l[] co/s to ! ,m$ic>e program4     
7#b7 ,?ree out ( five f$]ally designat$ 
heal? pr(essional %ortage areas are 9   
rural regions1 & rural resid5ts g5]ally 
mu/ travel f>!r ?an urban c\nt]p>ts to  
access heal? c>e s]vices4  7#c7 ,m$ic>e 
reimbursem5t = ,,rpm is l[e/ 9 ,/ates   
:]e ! preval5ce ( he>t failure1         
hyp]t5sion1 & diabetes are well above ! 

national av]age4  7#d7 ,! practice      
exp5ses & malpractice exp5ses incurr$ 9 
! deliv]y ( ,,rpm are n l[] 9 rural     
areas & d n widely v>y by ,/ate4  #c4   
,practice exp5se index floor ,section   
#ahdh7;e77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;e77#a77 is   
am5d$ by add+ at ! end ! foll[+  7,j7   
,floor = practice exp5se & malpractice  
geographic indices = remote physiologic 
monitor+ s]vices  7i7 ,9 g5]al ,=       
purposes ( paym5t = remote physiologic  
monitor+ s]vices furni%$ on or aft]     
,janu>y #a1 #bjbf1 aft] calculat+ !     
practice exp5se & malpractice geographic
 indices1 ! ,secret>y %all increase any 
su* index to #a4jj if su* index w\ld    
o!rwise be less ?an #a4jj4  7ii7        
,non-budget neutrality ,clause 7i7 %all 
n be appli$ 9 a budget neutral mann]4  4
  #d4 ,ensur+ high-quality s]vices =    
,m$ic>e b5efici>ies  7a7 ,9 g5]al       
,section #ahdh ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$ 
by add+ at ! end ! foll[+3  7u7 ,ensur+ 

high-,quality s]vices = ,m$ic>e         
b5efici>ies  7#a7 ,9 g5]al ,! ,secret>y 
%all ensure t remote physiologic        
monitor+ s]vices furni%$ "u ?is title   
meet ! foll[+ requirem5ts3 7,a7         
,provid]s ( remote physiologic monitor+ 
mu/ be capable ( respond+ to data       
anomalies detect$ by ! monitor+ s]vice  
?r\gh cl9ical support4 ,?is capability  
may be (f]$ directly or ?r\gh a         
contract$ p>tn]4  7,b7 ,provid]s (      
remote physiologic monitor+ mu/ be      
capable ( transmitt+ all relevant       
captur$ vitals & treatm5t managem5t     
notes to ! electronic heal? record ( !  
sup]vis+ provid] z ne$$ = effective c>e 
managem5t4  7,c7 ,provid]s ( remote     
physiologic monitor+ mu/ collect &      
report data requir$ by ! ,secret>y 9    
ord] to facilitate ! evaluation ( co/   
sav+s to ! ,m$ic>e program g5]at$ by !  
prolif]ation ( remote physiologic       
monitor+ s]vices4  7#b7 ,exceptions =   
small practices ,! ,secret>y %all       
e/abli% exceptions to ! requirem5ts "u  

p>agraph 7#a7 = small m$ical practices z
 ! ,secret>y det]m9es appropriate4  7#c7
 ,def9ition ( remote physiologic        
monitor+ ,= purposes ( ?is section1 !   
t]m remote physiologic monitor+ means   
non-face-to-face monitor+ & analysis (  
physiologic factors us$ to und]/& a     
pati5t's heal? /atus1 includ+ !         
collection & analysis ( pati5t          
physiologic data t are us$ to develop & 
manage a treatm5t plan relat$ to *ronic 
or acute conditions4  4  7b7 ,report ,n 
lat] ?an #b ye>s aft] ! date ( !        
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all submit to 
,congress a report t includes ! foll[+3 
7#a7 ,an analysis ( ! e/imat$ sav+s to !
 ,m$ic>e program "u title ,,xviii ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 result+ f e>li]          
int]v5tions & few] days (               
hospitalizations among b5efici>ies      
furni%$ remote physiologic monitor+     
s]vices4  7#b7 ,an analysis ( ! e/imat$ 
sav+s to ! ,m$ic>e program result+ f    

great] m$ication adh]5ce among          
b5efici>ies furni%$ remote physiologic  
monitor+ s]vices4  7#c7 ,an analysis (  
practice exp5ses relat$ to ! furni%+ (  
remote physiologic monitor+ s]vices1    
includ+ cellul> connectivity & o!r      
te*nology plat=m ma9t5ance4