Sec. 2. Providing accountable care organizations the ability to expand the use of telehealth
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Section 1899 of the Social Security Act ( 42 U.S.C. 1395jjj ) is amended by adding at the end the following new subsection: In the case of telehealth services for which payment would otherwise be made under this title furnished on or after January 1, 2018, for purposes of this subsection only, the restrictions applicable to the coverage of telehealth services under section 1834(m) described in subparagraph
(B)shall not apply with respect to such services furnished to a Medicare fee-for-service beneficiary assigned to an applicable ACO (as defined in paragraph (2)). For purposes of this subsection, restrictions applicable to the coverage of telehealth services under section 1834(m) shall include requirements relating to qualifications for an originating site under paragraph (4)(C)(ii) of such section, any geographic limitations under paragraph (4)(C)(i) of such section (other than applicable State law requirements, including State licensure requirements), any limitation on the use of store-and-forward technologies described in paragraph
(1)of such section, any limitation on the type of health care provider who may furnish such services (other than the requirement that the provider is a Medicare-enrolled provider), or any limitation on specific codes designated as telehealth services that are covered under this title pursuant to such section (provided such codes are clinically appropriate to furnish remotely). In this subsection, the term applicable ACO means an ACO participating in a model tested or expanded under section 1115A or under this section— that operates under a two-sided model— described in section 425.600(a) of title 42, Code of Federal Regulations; or tested or expanded under section 1115A; and for which Medicare fee-for-service beneficiaries are assigned to the ACO using a prospective assignment method, as determined appropriate by the Secretary. The Secretary shall not pay an originating site facility fee (as described in paragraph (2)(B) of section 1834(m)) with respect to telehealth services described in paragraph
(1)if such services would not have been covered under this title as of the date of enactment of this subsection. An applicable ACO that furnishes telehealth services described in paragraph
(1)shall, on an annual basis, submit to the Secretary information requested by the Secretary for evaluation of the implementation of this subsection, including information on utilization and expenditures for telehealth under this subsection during the preceding year and data on any applicable quality measures, consistent with sections 1848 and 1833(z). . The Secretary of Health and Human Services (in this subsection referred to as the Secretary ) shall conduct an evaluation on the implementation of section 1899(l) of the Social Security Act, as added by subsection (a). Such evaluation shall include an analysis of the utilization of, and expenditures for, telehealth services under such section, including a comparison of the utilization of, and expenditures for, the same services provided in the office setting. The Secretary may collect such data as the Secretary determines necessary to carry out the evaluation under this paragraph. Not later than January 1, 2025, the Secretary shall submit to Congress a report containing the results of the evaluation conducted under paragraph (1), together with recommendations for such legislation and administrative action as the Secretary determines appropriate.
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Sec. 2
Providing accountable care organizations the ability to expand the use of telehealth
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