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<dc:title>118 HR 9271 IH: Telehealth Access for Tribal Communities Act of 2024</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2024-08-02</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">118th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">H. R. 9271</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20240802">August 2, 2024</action-date><action-desc><sponsor name-id="L000273">Ms. Leger Fernandez</sponsor> (for herself, <cosponsor name-id="M001160">Ms. Moore of Wisconsin</cosponsor>, <cosponsor name-id="R000599">Mr. Ruiz</cosponsor>, and <cosponsor name-id="G000551">Mr. Grijalva</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the Committee on <committee-name committee-id="HWM00">Ways and Means</committee-name>, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program for telehealth services furnished by Indian health programs.</official-title></form><legis-body id="H8845B2E00710485BA27AE70A28EDDB3A" style="OLC"><section id="HF672DB425B1D425ABF60A36F9EF0D8E4" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Telehealth Access for Tribal Communities Act of 2024</short-title></quote>.</text></section><section id="HB61F33F57049426192C66B0863770284"><enum>2.</enum><header>Making permanent certain telehealth flexibilities under the Medicare program for telehealth services furnished by Indian health programs</header><text display-inline="no-display-inline">Section 1834(m) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)</external-xref>) is amended—</text><paragraph id="H77D98F43E2214CF08F324AC2144DD6B1"><enum>(1)</enum><text>in paragraph (4)(C)(iii)—</text><subparagraph id="HED23D27B4F4D4BFABD573D40EBCA32E2"><enum>(A)</enum><text>by striking <quote>In the case</quote> and inserting the following: </text><quoted-block style="OLC" id="HB076D68A02C14CACBF6E815F7679F86C" display-inline="no-display-inline"><subclause id="H04EA4282EFA84500B5D5CD54CEA7F5C7"><enum>(I)</enum><header>In general</header><text display-inline="yes-display-inline">In the case</text></subclause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="H56A098552790455CB79FFDFA3710EDB2"><enum>(B)</enum><text>by adding at the end the following new subclause:</text><quoted-block style="OLC" id="H2B3C62351F1546F482A48BE2F8E48832" display-inline="no-display-inline"><subclause id="H3F5A87C5D884440BAD5BCA259BED96CF"><enum>(II)</enum><header>Special rule for services furnished by Indian health programs</header><text display-inline="yes-display-inline">With respect to telehealth services identified in subparagraph (F)(i) as of the date of the enactment of this clause furnished on or after January 1, 2025, by an Indian health program (as defined in section 4 of the Indian Health Care Improvement Act) or by an urban Indian organization (as so defined), or by a physician or practitioner employed by or under contract with such a program or organization, to an eligible telehealth individual, the term <quote>originating site</quote> means any site in the United States at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system, including the home of an individual. </text></subclause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="H300227EBD84747CBBF93E6C6B7378CCB"><enum>(2)</enum><text>in paragraph (9)—</text><subparagraph id="H890660D4774F48CA87C7050D45BAA0DB"><enum>(A)</enum><text>by striking <quote>In the case</quote> and inserting the following: </text><quoted-block style="OLC" id="H20CA80F098664FD695C9A5867918460F" display-inline="no-display-inline"><subparagraph id="HEBD07197FE354661BAE1F6E9B23BDE61"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">In the case</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="HBE7065B12BE64E4FBBD95AE6184E77B0"><enum>(B)</enum><text>by adding at the end the following new subparagraph:</text><quoted-block style="OLC" id="H13ED598B37A948DDB99405EC4E75FBC7" display-inline="no-display-inline"><subparagraph id="H553FD2BD5B26433D8B65C9EDB495D4EA"><enum>(B)</enum><header>Special rule for services furnished by Indian health programs</header><text display-inline="yes-display-inline">The Secretary shall provide coverage and payment under this part for telehealth services identified in subparagraph (F)(i) as of the date of the enactment of this paragraph that are furnished on or after January 1, 2025, via an audio-only communications system by an Indian health program (as defined in section 4 of the Indian Health Care Improvement Act) or by an urban Indian organization (as so defined), or by a physician or practitioner employed by or under contract with such a program or organization, to an eligible telehealth individual. For purposes of the previous sentence, the term <quote>telehealth service</quote> means a telehealth service identified as of the date of the enactment of this paragraph by a HCPCS code (and any succeeding codes) for which the Secretary has not applied the requirements of paragraph (1) and the first sentence of section 410.78(a)(3) of title 42, Code of Federal Regulations, during the emergency period described in subparagraph (A).</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></section></legis-body></bill> 

