Sec. 3021. Telehealth services under the Medicare program
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Not later than one year after the date of the enactment of this Act, the Administrator of the Centers for Medicare & Medicaid Services shall provide to the committees of jurisdiction of the House of Representatives and the Senate information on the following: The populations of Medicare beneficiaries, such as those who are dually eligible for the Medicare program under title XVIII of the Social Security Act and the Medicaid program under title XIX of such Act and those with chronic conditions, whose care may be improved most in terms of quality and efficiency by the expansion, in a manner that meets or exceeds the existing in-person standard of care under the Medicare program under title XVIII of such Act, of telehealth services under section 1834(m)(4) of such Act ( 42 U.S.C. 1395m(m)(4) ).
Activities by the Center for Medicare and Medicaid Innovation which examine the use of telehealth services in models, projects, or initiatives funded through section 1115A of the Social Security Act ( 42 U.S.C. 1315a ). The types of high volume procedures codes or diagnoses under such title XVIII which might be suitable to the furnishing of services via telehealth. Barriers that might prevent the expansion of telehealth services under section 1834(m)(4) of the Social Security Act ( 42 U.S.C. 1395m(m)(4) ) beyond such services that are in effect as of the date of the enactment of this Act.
Not later than one year after the date of the enactment of this Act, the Medicare Payment Advisory Commission established under section 1805 of the Social Security Act ( 42 U.S.C. 1395b–6 ) shall, using data from the Medicare Advantage program under part C of title XVIII of such Act, provide information to the committees of jurisdiction of the House of Representatives and the Senate that identifies— services— for which payment could not be made, as of the date of the enactment of this Act, under the fee-for-service program under parts A and B of such title by reason of any limitation imposed under section 1834(m) of such Act ( 42 U.S.C. 1395m(m) ); and that are services that are recommended by the Commission to be included as telehealth services for which payment may be made under the fee-for-service program under parts A and B of such title; and barriers to furnishing telehealth services for which payment may be made under such title XVIII and solutions to address such barriers.
It is the sense of Congress that— States should collaborate, through the use of State health board compacts or other mechanisms, to create common licensure requirements services in order to facilitate multistate practices and allow for health care providers to provide such services across State lines; health care providers should be appropriately licensed in the physical location where the patient is receiving services; eligible originating sites should be expanded beyond those originating sites described in section 1834(m)(4)(C) of the Social Security Act ( 42 U.S.C. 1395m(m)(4)(C) ); and any expansion of telehealth services under the Medicare program should— recognize that telemedicine is the delivery of safe, effective, quality health care services, by a health care provider, using technology as the mode of care delivery; meet or exceed the conditions of coverage and payment with respect to the Medicare program under title XVIII unless specifically address in subsequent statute, of such Act if the service were furnished in person, including standards of care; and involve clinically appropriate means to furnish such services.
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- 42 USC 1395b–6
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