Sec. 105. Additional sites to be considered originating sites for purposes of payments for telehealth services under Medicare
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Section 1834(m)(4) of the Social Security Act ( 42 U.S.C. 1395m(m)(4) ) is amended— in subparagraph (C)— in clause (i), by striking The term and inserting Subject to clause (iii), the term ; and by adding at the end the following new clause: The term originating site also includes the following sites, whether or not they are located in an area described in clause (i), insofar as such sites are not otherwise included in the definition of originating site under such clause: A critical access hospital (as described in clause (ii)(II)). A sole community hospital (as defined in section 1886(d)(5)(D)(iii)). A home telehealth site (as defined in subparagraph (G)(i)). A site described in clause
(ii)that is located in a county with a population of less than 25,000, according to the most recent decennial census or in an area that was not included in a Metropolitan Statistical Area on any date in 2000. A site described in clause
(ii)with respect to services related to the evaluation or treatment of an acute stroke. ; and by adding at the end the following new subparagraph: The term home telehealth site means, with respect to a telehealth service described in clause
(ii)furnished to an individual, in a place of residence used as the home of such individual. A telehealth service described in this clause is a telehealth service that is— related to the provision of hospice care or home dialysis; or furnished to an individual who is determined to be homebound (as defined for purposes of sections 1814(a)(2)(C) and 1835(a)(2)(A)(i)), including such an individual for whom a certification or recertification described in such section is in effect with respect to home health services. . Section 1834(m)(2)(B) of the Social Security Act ( 42 U.S.C. 1395m(m)(2)(B) ) is amended by inserting after the originating site the following: (other than an additional originating site described in paragraph (4)(C)(iii)) . The second sentence of section 1834(m)(1) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended by inserting any telehealth services furnished or received at a critical access hospital (as described in paragraph (4)(C)(ii)(II)) or a sole community hospital (as defined in section 1886(d)(5)(D)(iii)) or of after in the case of . Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended by adding at the end the following new paragraph: For purposes of determining health care liability with respect to telehealth services for which payment is made under this subsection, such service shall be considered to be furnished at the distant site. . Except as provided in paragraph (2), the amendments made by this section shall apply to services furnished on or after January 1, 2014. The amendment made by subsection (a)(1)(B)(ii) shall apply with respect to telehealth services furnished on or after February 28, 2013.
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Sec. 105
Additional sites to be considered originating sites for purposes of payments for telehealth services under Medicare
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