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Code · BILL · 116th Congress · H.R. 7992 (Introduced in House) — To expand access to telehealth services, and for other purposes. · Sec. 401

Sec. 401. Providing for permanent cost-related payments for telehealth services furnished by Federally qualified health centers and rural health clinics under the Medicare program and permanently removing originating site facility and location requirements for distant site telehealth services furnished by such centers and such clinics

478 words·~2 min read·/bill/116/hr/7992/ih/section-401·

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Section 1834(m)(8) of the Social Security Act ( 42 U.S.C. 1395m(m)(8) ) is amended— in the header, by striking ; during emergency period in subparagraph (A), in the matter preceding clause (i), by striking During the emergency period described in section 1135(g)(1)(B) and inserting With respect to telehealth services furnished on or after the date of the beginning of the emergency period described in section 1135(g)(1)(B) ; and by striking subparagraph
(B)and inserting the following new subparagraph: A telehealth service furnished by a rural health clinic or a Federally qualified health center serving as a distant site to an individual shall be deemed to be so furnished to such individual as an outpatient of such clinic or facility (as applicable) for purposes of paragraph
(1)or (3), respectively, of section 1861(aa) and payable as a rural health clinic service or Federally qualified health center service (as applicable) under section 1833(a)(3) or under the prospective payment system established under section 1834(o), respectively. Costs associated with the delivery of telehealth services by a Federally qualified health center or rural health clinic serving as a distant site pursuant to this paragraph shall be considered allowable costs for purposes of the prospective payment system established under section 1834(o) and any payment methodologies developed under section 1833(a)(3), as applicable. . Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ), as amended by subsection
(a)and titles II and III, is further amended— in paragraph (4)(C)(i), by striking (7), and
(10)and inserting (7), (8), and
(10); and by adding at the end the following new subparagraph: The geographic and site requirements described in paragraph (4)(C) shall not apply with respect to telehealth services furnished by a Federally qualified health center or a rural health clinic serving as a distant site. . Section 1834(m)(2)(B) of the Social Security Act ( 42 U.S.C. 1395m(m)(2)(B) ) is amended— in clause (i), by striking clause
(ii)and inserting clauses
(ii)and
(iii); and by adding at the end the following new clause: No facility fee shall be paid under this subparagraph to an originating site with respect to telehealth services furnished by a Federally qualified health center or rural health clinic serving as a distant site unless such originating site is a site described in any of subclauses
(I)through
(IX)of paragraph (4)(C)(ii). . The Secretary of Health and Human Services shall revise section 405.2463 of title 42, Code of Federal Regulations (or a successor regulation) to provide that, in the case of a Federally qualified health center or a rural health clinic serving as a distant site furnishing telehealth services to an individual in accordance with section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ), such services so furnished are considered to constitute a visit to such center or such clinic (as applicable) by such individual.
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Sec. 401
Providing for permanent cost-related payments for telehealth services furnished by Federally qualified health centers and rural health clinics under the Medicare program and permanently removing originating site facility and location requirements for distant site telehealth services furnished by such centers and such clinics
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