Sec. 50302. EXPANDING ACCESS TO HOME DIALYSIS THERAPY
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## SEC. 50302 EXPANDING ACCESS TO HOME DIALYSIS THERAPY ###
(a)In General Section 1881(b)(3) of the Social Security Act (42 U.S.C. 1395rr(b)(3)) is amended— ####
(1)by redesignating subparagraphs
(A)and
(B)as clauses
(i)and (ii), respectively; ####
(2)in clause (ii), as redesignated by paragraph (1), by striking “on a comprehensive” and insert “subject to subparagraph (B), on a comprehensive”; ####
(3)by striking “With respect to” and inserting “(A) With respect to”; and ####
(4)by adding at the end the following new subparagraph: > > ##### “(B) > > > ###### “(i) > > For purposes of subparagraph (A)(ii), subject to clause (ii), an individual determined to have end stage renal disease receiving home dialysis may choose to receive monthly end stage renal disease-related clinical assessments furnished on or after January 1, 2019, via telehealth. > > > ###### “(ii) > > Clause
(i)shall apply to an individual only if the individual receives a face-to-face clinical assessment, without the use of telehealth— > > > ###### “(I) > > in the case of the initial 3 months of home dialysis of such individual, at least monthly; and > > > ###### “(II) > > after such initial 3 months, at least once every 3 consecutive months.” > . ###
(b)Originating Site Requirements ####
(1)In general Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended— #####
(A)in paragraph (4)(C)(ii), by adding at the end the following new subclauses: > > ###### “(IX) > > A renal dialysis facility, but only for purposes of section 1881(b)(3)(B). > > > ###### “(X) > > The home of an individual, but only for purposes of section 1881(b)(3)(B).” > ; and #####
(B)by adding at the end the following new paragraph: > > #### “(5) Treatment of home dialysis monthly esrd-related visit > > 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).” > . ####
(2)No facility fee if originating site for home dialysis therapy is the home Section 1834(m)(2)(B) of the Social Security (42 U.S.C. 1395m(m)(2)(B)) is amended— #####
(A)by redesignating clauses
(i)and
(ii)as subclauses
(I)and (II), and indenting appropriately; #####
(B)in subclause (II), as redesignated by subparagraph (A), by striking “clause
(i)or this clause” and inserting “subclause
(I)or this subclause”; #####
(C)by striking “ site.—With respect to ” and inserting > “site.— > > > ###### “(i) In general > > Subject to clause (ii), with respect to” > ; and #####
(D)by adding at the end the following new clause: > > ###### “(ii) No facility fee if originating site for home dialysis therapy is the home > > No facility fee shall be paid under this subparagraph to an originating site described in paragraph (4)(C)(ii)(X).” > . ###
(c)Clarification Regarding Telehealth Provided to Beneficiaries Section 1128A(i)(6) of the Social Security Act (42 U.S.C. 1320a–7a(i)(6)) is amended— ####
(1)in subparagraph (H), by striking “or” at the end; ####
(2)in subparagraph (I), by striking the period at the end and inserting “; or”; and ####
(3)by adding at the end the following new subparagraph: > > ##### “(J) > > the provision of telehealth technologies (as defined by the Secretary) on or after January 1, 2019, by a provider of services or a renal dialysis facility (as such terms are defined for purposes of title XVIII) to an individual with end stage renal disease who is receiving home dialysis for which payment is being made under part B of such title, if— > > > ###### “(i) > > the telehealth technologies are not offered as part of any advertisement or solicitation; > > > ###### “(ii) > > the telehealth technologies are provided for the purpose of furnishing telehealth services related to the individual’s end stage renal disease; and > > > ###### “(iii) > > the provision of the telehealth technologies meets any other requirements set forth in regulations promulgated by the Secretary.” > . ###
(d)Conforming Amendment 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)”. ## Subtitle B Advancing Team-Based Care
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- 42 USC 1320a–7a(i)(6)
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Sec. 50302
EXPANDING ACCESS TO HOME DIALYSIS THERAPY
Cite42 USC 1320a–7a(i)(6)
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