Sec. 102. Expanding access to home dialysis therapy
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Section 1881(b)(3) of the Social Security Act ( 42 U.S.C. 1395rr(b)(3) ) is amended— by redesignating subparagraphs
(A)and
(B)as clauses
(i)and (ii), respectively; in clause (ii), as redesignated by subparagraph (A), strike on a comprehensive and insert subject to subparagraph (B), on a comprehensive ; by striking With respect to and inserting
(A)With respect to ; and by adding at the end the following new subparagraph: For purposes of subparagraph (A)(ii), an individual determined to have end stage renal disease receiving home dialysis may choose to receive the monthly end stage renal disease-related visits furnished on or after January 1, 2019, via telehealth if the individual receives a face-to-face visit, without the use of telehealth, at least once every three consecutive months. . Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended— in paragraph (4)(C)(ii), by adding at the end the following new subclauses: A renal dialysis facility, but only for purposes of section 1881(b)(3)(B). The home of an individual, but only for purposes of section 1881(b)(3)(B). ; and by adding at the end the following new paragraph: The geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to telehealth services furnished on or after January 1, 2019, for purposes of section 1881(b)(3)(B), at an originating site described in subclause (VI), (IX), or
(X)of paragraph (4)(C)(ii). . Section 1834(m)(2)(B) of the Social Security ( 42 U.S.C. 1395m(m)(2)(B) ) is amended— by redesignating clauses
(i)and
(ii)as subclauses
(I)and (II), and indenting appropriately; in subclause (II), as redesignated by subparagraph (A), by striking clause
(i)or this clause and inserting subclause
(I)or this subclause ; by striking and inserting “ site .—With respect to site .— Subject to clause (ii), with respect to ; and by adding at the end the following new clause: No facility fee shall be paid under this subparagraph to an originating site described in paragraph (4)(C)(ii)(X). . Section 1881(b)(1) of the Social Security Act ( 42 U.S.C. 1395rr(b)(1) ) is amended by striking paragraph (3)(A) and inserting paragraph (3)(A)(i) .
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