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<dc:title>119 S1261 IS: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2025</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2025-04-02</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">II</distribution-code><congress>119th CONGRESS</congress><session>1st Session</session><legis-num>S. 1261</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20250402">April 2, 2025</action-date><action-desc><sponsor name-id="S353">Mr. Schatz</sponsor> (for himself, <cosponsor name-id="S318">Mr. Wicker</cosponsor>, <cosponsor name-id="S327">Mr. Warner</cosponsor>, <cosponsor name-id="S395">Mrs. Hyde-Smith</cosponsor>, <cosponsor name-id="S422">Mr. Welch</cosponsor>, <cosponsor name-id="S317">Mr. Barrasso</cosponsor>, <cosponsor name-id="S413">Mr. Padilla</cosponsor>, <cosponsor name-id="S303">Mr. Thune</cosponsor>, <cosponsor name-id="S394">Ms. Smith</cosponsor>, <cosponsor name-id="S378">Mr. Lankford</cosponsor>, <cosponsor name-id="S275">Ms. Cantwell</cosponsor>, <cosponsor name-id="S412">Mr. Tuberville</cosponsor>, <cosponsor name-id="S408">Mr. Hickenlooper</cosponsor>, <cosponsor name-id="S374">Mr. Cotton</cosponsor>, <cosponsor name-id="S311">Ms. Klobuchar</cosponsor>, <cosponsor name-id="S383">Mr. Sullivan</cosponsor>, <cosponsor name-id="S418">Mr. Fetterman</cosponsor>, <cosponsor name-id="S372">Mrs. Capito</cosponsor>, <cosponsor name-id="S322">Mr. Merkley</cosponsor>, <cosponsor name-id="S410">Ms. Lummis</cosponsor>, <cosponsor name-id="S362">Mr. Kaine</cosponsor>, <cosponsor name-id="S398">Mr. Cramer</cosponsor>, <cosponsor name-id="S324">Mrs. Shaheen</cosponsor>, <cosponsor name-id="S416">Mrs. Britt</cosponsor>, <cosponsor name-id="S432">Mr. Gallego</cosponsor>, <cosponsor name-id="S347">Mr. Moran</cosponsor>, <cosponsor name-id="S409">Mr. Luján</cosponsor>, <cosponsor name-id="S373">Mr. Cassidy</cosponsor>, <cosponsor name-id="S341">Mr. Blumenthal</cosponsor>, <cosponsor name-id="S384">Mr. Tillis</cosponsor>, <cosponsor name-id="S363">Mr. King</cosponsor>, <cosponsor name-id="S437">Mr. Justice</cosponsor>, <cosponsor name-id="S337">Mr. Coons</cosponsor>, <cosponsor name-id="S420">Mr. Schmitt</cosponsor>, <cosponsor name-id="S316">Mr. Whitehouse</cosponsor>, <cosponsor name-id="S288">Ms. Murkowski</cosponsor>, <cosponsor name-id="S402">Ms. Rosen</cosponsor>, <cosponsor name-id="S344">Mr. Hoeven</cosponsor>, <cosponsor name-id="S370">Mr. Booker</cosponsor>, <cosponsor name-id="S153">Mr. Grassley</cosponsor>, <cosponsor name-id="S386">Ms. Duckworth</cosponsor>, <cosponsor name-id="S381">Mr. Rounds</cosponsor>, <cosponsor name-id="S313">Mr. Sanders</cosponsor>, <cosponsor name-id="S411">Mr. Marshall</cosponsor>, <cosponsor name-id="S406">Mr. Kelly</cosponsor>, <cosponsor name-id="S357">Mrs. Fischer</cosponsor>, <cosponsor name-id="S331">Mrs. Gillibrand</cosponsor>, <cosponsor name-id="S391">Mr. Young</cosponsor>, <cosponsor name-id="S359">Mr. Heinrich</cosponsor>, <cosponsor name-id="S252">Ms. Collins</cosponsor>, <cosponsor name-id="S380">Mr. Peters</cosponsor>, <cosponsor name-id="S423">Mr. Ricketts</cosponsor>, <cosponsor name-id="S427">Mr. Schiff</cosponsor>, <cosponsor name-id="S419">Mr. Mullin</cosponsor>, <cosponsor name-id="S366">Ms. Warren</cosponsor>, <cosponsor name-id="S293">Mr. Graham</cosponsor>, <cosponsor name-id="S390">Mr. Van Hollen</cosponsor>, <cosponsor name-id="S375">Mr. Daines</cosponsor>, <cosponsor name-id="S415">Mr. Warnock</cosponsor>, and <cosponsor name-id="S343">Mr. Boozman</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSFI00">Committee on Finance</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes.</official-title></form><legis-body display-enacting-clause="yes-display-enacting-clause"><section section-type="section-one" id="S1"><enum>1.</enum><header>Short title; table of contents</header><subsection id="id66B1AE54FFE448198820857A7A0F778B"><enum>(a)</enum><header>Short title</header><text display-inline="yes-display-inline">This Act may be cited as the <quote><short-title>Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2025</short-title></quote> or the <quote><short-title>CONNECT for Health Act of 2025</short-title></quote>.</text></subsection><subsection id="idD33B941FA5B44116B2CC2B7C9591F4E1"><enum>(b)</enum><header>Table of contents</header><text>The table of contents of this Act is as follows:</text><toc><toc-entry level="section" idref="S1">Sec. 1. Short title; table of contents.</toc-entry><toc-entry level="section" idref="idfb83c014886c49258db2b165d7a6601d">Sec. 2. Findings and sense of Congress.</toc-entry><toc-entry level="title" idref="id9DC898EDFE7F41FDBF36F40E108558B3">TITLE I—Removing barriers to telehealth coverage</toc-entry><toc-entry level="section" idref="id7cca2b29bf0c4227a498f5bc79404e94">Sec. 101. Removing geographic requirements for telehealth services.</toc-entry><toc-entry level="section" idref="H24AAFB79126E463287C432FD85164EA6">Sec. 102. Expanding originating sites.</toc-entry><toc-entry level="section" idref="id3dc74198e8644461a9fc29a5dae5fa66">Sec. 103. Expanding authority for practitioners eligible to furnish telehealth services.</toc-entry><toc-entry level="section" idref="id6F2AE7BF587045A6B776D00D3919CF9E">Sec. 104. Federally qualified health centers and rural health clinics.</toc-entry><toc-entry level="section" idref="id2b565311c1eb4f4390c931e451046ccd">Sec. 105. Native American health facilities.</toc-entry><toc-entry level="section" idref="idc1e1a6626152439196896ced18a66186">Sec. 106. Repeal of six-month in-person visit requirement for telemental health services.</toc-entry><toc-entry level="section" idref="idcbb5ccefc583404baa5e0e6277ab728b">Sec. 107. Waiver of telehealth requirements during public health emergencies.</toc-entry><toc-entry level="section" idref="id72517ab564024cd9a4ecc77a6d55c5c0">Sec. 108. Use of telehealth in recertification for hospice care.</toc-entry><toc-entry level="title" idref="idF6A344E8BDE54D988C67CD1EF597AFF3">TITLE II—Program integrity</toc-entry><toc-entry level="section" idref="id1bd890f33b3a48a1b191fdaa9cd0e8cd">Sec. 201. Clarification for fraud and abuse laws regarding technologies provided to beneficiaries.</toc-entry><toc-entry level="section" idref="idd4b7ad23e37344168438105eb5e0c6e9">Sec. 202. Additional resources for telehealth oversight.</toc-entry><toc-entry level="section" idref="idcda962097d6b49a4b72a01fbb85715b3">Sec. 203. Addressing significant outlier billing patterns for telehealth services.</toc-entry><toc-entry level="title" idref="id6E08D03711884D0F9EC90609B4EDB3EC">TITLE III—Beneficiary and provider supports, quality of care, and data</toc-entry><toc-entry level="section" idref="id7d738923b97f479ebbcded3048050380">Sec. 301. Beneficiary engagement on telehealth.</toc-entry><toc-entry level="section" idref="id8b1016158f144c57b25390cec94ad439">Sec. 302. Provider supports on telehealth.</toc-entry><toc-entry level="section" idref="id82555cb8ecbc4d07b83b85346008812d">Sec. 303. Ensuring the inclusion of telehealth in measuring quality of care.</toc-entry><toc-entry level="section" idref="idec3fada088594207b94082c7e023c7c7">Sec. 304. Posting of information on telehealth services.</toc-entry></toc></subsection></section><section id="idfb83c014886c49258db2b165d7a6601d"><enum>2.</enum><header>Findings and sense of Congress</header><subsection id="id71b93e4982374f4498099218cd897b88"><enum>(a)</enum><header>Findings</header><text>Congress finds the following:</text><paragraph id="id4ddb24fd3598467aa1dcad41a2e22cd6"><enum>(1)</enum><text>The use of technology in health care and coverage of telehealth services are rapidly evolving.</text></paragraph><paragraph id="idd28da887ea4b478490ab1560bd6bee8f"><enum>(2)</enum><text>Research has found that telehealth services can expand access to care, improve the quality of care, and reduce spending.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id2879daad3dbd4dbf9c9fc636195f2001"><enum>(3)</enum><text>In 2023, 90 percent of patients receiving telehealth services were satisfied with their experiences.</text></paragraph><paragraph id="id126eb06c33a34f78affe2f1587b3ac13"><enum>(4)</enum><text>Health care workforce shortages are a significant problem in many areas and for many types of health care clinicians.</text></paragraph><paragraph id="id31f4a1747dc34611a09cbb3d125fb4c4"><enum>(5)</enum><text>Telehealth increases access to care in areas with workforce shortages and for individuals who live far away from health care facilities, have limited mobility or transportation, or have other barriers to accessing care.</text></paragraph><paragraph id="id906de1c475a44173ac7fce2b4e3a544c"><enum>(6)</enum><text>The use of health technologies can strengthen the expertise of the health care workforce, including by connecting clinicians to specialty consultations.</text></paragraph><paragraph id="id4d981ad9e8d840b5892ee88899d3c97f"><enum>(7)</enum><text>Prior to the COVID–19 pandemic, the utilization of telehealth services in the Medicare program under title XVIII of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395">42 U.S.C. 1395 et seq.</external-xref>) was low, accounting for 0.1 percent of Medicare Part B visits in 2019.</text></paragraph><paragraph id="id702e5e318bfa44a9952e5650d490e5e7"><enum>(8)</enum><text>Telehealth now represents a critical component of care delivery. In 2023, 24 percent of Medicare fee-for-service beneficiaries received a telehealth service.</text></paragraph><paragraph id="id67d5c50911d0455dbe724677dd1c7eaa"><enum>(9)</enum><text>Long-term certainty about coverage of telehealth services under the Medicare program is necessary to fully realize the benefits of telehealth.</text></paragraph></subsection><subsection id="idc6883674c1f1447fa1035cd0601f2da2"><enum>(b)</enum><header>Sense of Congress</header><text>It is the sense of Congress that—</text><paragraph id="id08e84fbacc62458a8d400a2d85685a3d"><enum>(1)</enum><text>health care providers can furnish safe, effective, and high-quality health care services through telehealth;</text></paragraph><paragraph id="iddd0cdd96b7a14e009b41c8f399cffec4"><enum>(2)</enum><text>the Secretary of Health and Human Services should promptly take all necessary measures to ensure that providers and beneficiaries can continue to furnish and utilize, respectively, telehealth services in the Medicare program, and support recent modifications to the definition of <quote>interactive telecommunications system</quote> in regulations and program instruction under the Medicare program to ensure that providers can utilize all appropriate means and types of technology, including audio-visual, audio-only, and other types of technologies, to furnish telehealth services; and </text></paragraph><paragraph id="id14f13c09a8bc48f5bd6dc89d5abbe7a2"><enum>(3)</enum><text>barriers to the use of telehealth should be removed.</text></paragraph></subsection></section><title id="id9DC898EDFE7F41FDBF36F40E108558B3" style="OLC"><enum>I</enum><header>Removing barriers to telehealth coverage</header><section id="id7cca2b29bf0c4227a498f5bc79404e94"><enum>101.</enum><header>Removing geographic requirements for telehealth services</header><text display-inline="no-display-inline">Section 1834(m)(4)(C) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(4)(C)</external-xref>) is amended—</text><paragraph id="idBC87835898BD4AFC91BB1500CA601D8D"><enum>(1)</enum><text display-inline="yes-display-inline">in clause (i), in the matter preceding subclause (I), by striking <quote>clause (iii)</quote> and inserting <quote>clauses (iii) and (iv)</quote>; and</text></paragraph><paragraph id="idCD55E9F68D604661ADC60DC7F18CFCF1"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following new clause:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idDBA3C087DCE94981B0800A0A61900219"><clause id="id75C72B2670FD479D951B371F31E8645A"><enum>(iv)</enum><header>Removal of geographic requirements</header><text>The geographic requirements described in clause (i) shall not apply with respect to telehealth services furnished on or after October 1, 2025.</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="H24AAFB79126E463287C432FD85164EA6" commented="no"><enum>102.</enum><header>Expanding originating sites</header><subsection id="H48E0D8C1519747B881253EDF370C433F" commented="no"><enum>(a)</enum><header>In general</header><text>Section 1834(m)(4)(C)(iii) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(4)(C)(iii)</external-xref>) is amended by striking <quote>In the case that</quote> and all that follows through <quote>September 30, 2025,</quote> and inserting <quote>Beginning on the date of the enactment of the <short-title>CONNECT for Health Act of 2025</short-title>,</quote>.</text></subsection><subsection id="H5C50A4DD6F8B4031B7DE70F28F7222C1" commented="no"><enum>(b)</enum><header>Conforming amendments</header><text display-inline="yes-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="H32FEB2686BF545CBA2C9DF381CEECABB" commented="no"><enum>(1)</enum><text>in paragraph (2)(B)(iii), by striking <quote>In the case that</quote> and all that follows through <quote>September 30, 2025,</quote> and inserting <quote>With respect to telehealth services furnished on or after the date of the enactment of the <short-title>CONNECT for Health Act of 2025</short-title>,</quote>; and</text></paragraph><paragraph id="H96FBB4569E0041AE983F5877D38CD3CE" commented="no"><enum>(2)</enum><text>in paragraph (4)(C)(ii)(X), by striking <quote>, but only for purposes of section 1881(b)(3)(B) or telehealth services described in paragraph (7)</quote>.</text></paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="id3dc74198e8644461a9fc29a5dae5fa66"><enum>103.</enum><header>Expanding authority for practitioners eligible to furnish telehealth services</header><text display-inline="no-display-inline">Section 1834(m)(4)(E) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(4)(E)</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="ide422c17169964ab1830463a89af387d5"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote><header-in-text level="subparagraph" style="OLC">Practitioner</header-in-text>.—The term</quote> and inserting “<header-in-text level="subparagraph" style="OLC">Practitioner</header-in-text>.—</text><quoted-block style="OLC" display-inline="no-display-inline" id="idC6B7D09572544AD3AE534F3CCC83EDD0"><clause commented="no" display-inline="no-display-inline" id="id422244ea84bd4448a67d1e4d26267899"><enum>(i)</enum><header>In general</header><text>Subject to clause (ii), the term</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id489a9f97eaa141f28ad21e9f564079f0"><enum>(2)</enum><text>by adding at the end the following new clause:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id7330DF55361F459C909953AD7559C89E"><clause commented="no" display-inline="no-display-inline" id="idecfe9602e6e744b78373220f9ed288f6"><enum>(ii)</enum><header>Expanding practitioners eligible to furnish telehealth services</header><subclause commented="no" display-inline="no-display-inline" id="id7165b334313b4429b1b950c1876299e7"><enum>(I)</enum><header display-inline="yes-display-inline">In general</header><text>Notwithstanding any other provision of this subsection, in the case of telehealth services furnished on or after October 1, 2025, the Secretary may waive any limitation on the types of practitioners who are eligible to furnish telehealth services if the Secretary determines that such waiver is clinically appropriate.</text></subclause><subclause commented="no" display-inline="no-display-inline" id="idad54d5595bc341aba7bcba2674a75360"><enum>(II)</enum><header>Implementation</header><text>In implementing a waiver under this clause, the Secretary may establish requirements, as appropriate, for practitioners under such waiver, including with respect to beneficiary and program integrity protections.</text></subclause><subclause commented="no" display-inline="no-display-inline" id="idf8108712b72c46d3aa8e2aad439d9aca"><enum>(III)</enum><header>Public comment</header><text display-inline="yes-display-inline">The Secretary shall establish a process by which stakeholders may (on at least an annual basis) provide public comment on such waiver under this clause.</text></subclause><subclause commented="no" display-inline="no-display-inline" id="id2d6ea4b682494998a5989820943db55a"><enum>(IV)</enum><header>Periodic review</header><text display-inline="yes-display-inline">The Secretary shall periodically, but not more frequently than every 3 years, reassess the waiver under this clause to determine whether such waiver continues to be clinically appropriate. The Secretary shall terminate any waiver that the Secretary determines is no longer clinically appropriate.</text></subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="id6F2AE7BF587045A6B776D00D3919CF9E"><enum>104.</enum><header>Federally qualified health centers and rural health clinics</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="id166B5CA52FAC4CD3AD3D2DEAFF682C71"><enum>(1)</enum><text>in paragraph (4)(C)(i), in the matter preceding subclause (I), by striking <quote>and (7)</quote> and inserting <quote>(7), and (8)</quote>; and</text></paragraph><paragraph id="id8EDB5F2418A4478B9C93E329AD22F69B"><enum>(2)</enum><text>in paragraph (8)—</text><subparagraph id="id9F54ADE579EB4264B9A4048D47261DD2"><enum>(A)</enum><text>in subparagraph (A)—</text><clause id="idF6D9C566728B4FD0AB2BFAF878E85D2B"><enum>(i)</enum><text>in the matter preceding clause (i), by striking <quote>During</quote> and all that follows through <quote>September 30, 2025</quote> and inserting the following: <quote>Beginning on the first day of the emergency period described in section 1135(g)(1)(B)</quote>;</text></clause><clause id="idA4DEF6FECFCA48439B5D9502F9C4DD0F"><enum>(ii)</enum><text>in clause (ii), by striking <quote>and</quote> at the end;</text></clause><clause id="id7B3CAF335607487D8581490FFA7176BD"><enum>(iii)</enum><text>by redesignating clause (iii) as clause (iv); and</text></clause><clause id="id9BEA01FC83FE4EFAAD349BED1073E2A0"><enum>(iv)</enum><text>by inserting after clause (ii) the following new clause:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id9931636F2C6B4060ACDD1936E683787E"><clause id="idA44E4A90C81C42568E7D6284F8C008D3"><enum>(iii)</enum><text>the geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to such a telehealth service; and</text></clause><after-quoted-block>;</after-quoted-block></quoted-block></clause></subparagraph><subparagraph id="idFF437EA0B83549B2823AB0E1BAE8BF26"><enum>(B)</enum><text>in subparagraph (B)—</text><clause commented="no" display-inline="no-display-inline" id="id879cdb8a57ab4b0b94a557067c640b81"><enum>(i)</enum><text>in the subparagraph heading, by inserting <quote><header-in-text level="subparagraph" style="OLC">during initial period</header-in-text></quote> after <quote><header-in-text level="subparagraph" style="OLC">rule</header-in-text></quote>;</text></clause><clause commented="no" display-inline="no-display-inline" id="id064237e7e55d428d905822bd436c44a1"><enum>(ii)</enum><text display-inline="yes-display-inline">in the first sentence of clause (i) by striking <quote>during the periods for which subparagraph (A) applies</quote> and inserting <quote>during the period beginning on the first day of the emergency period and ending on September 30, 2025</quote>; and</text></clause><clause commented="no" display-inline="no-display-inline" id="idb3103a442e1143e09b0b5ebb49470623"><enum>(iii)</enum><text>in clause (ii), by striking <quote>Costs associated</quote> and inserting <quote>During the period for which clause (i) applies, costs associated</quote>;</text></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6467002908134c7ca9933f8616216435"><enum>(C)</enum><text display-inline="yes-display-inline">by adding at the end the following new subparagraph:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idc97b0eb0050c458b95e3a1723b92099f"><subparagraph id="id70ddce2cc10a4272b9b067a1e2bf54ec"><enum>(C)</enum><header>Payment after initial period</header><clause id="id104B0F708B1F4395A24AAAB7E46D6BE2"><enum>(i)</enum><header>In general</header><text>A telehealth service furnished by a Federally qualified health center or a rural health clinic to an individual pursuant to this paragraph on or after October 1, 2025, 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 Federally qualified health center service or rural health clinic service (as applicable) under the prospective payment system established under section 1834(o) or under section 1833(a)(3), respectively.</text></clause><clause id="id2682DEA1732C4C3ABE9EC1504939C4C2"><enum>(ii)</enum><header>Treatment of costs for FQHC PPS calculations and RHC AIR calculations</header><text>Costs associated with the furnishing of telehealth services by a Federally qualified health center or rural health clinic serving as a distant site pursuant to this paragraph on or after October 1, 2025, 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.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></section><section id="id2b565311c1eb4f4390c931e451046ccd"><enum>105.</enum><header>Native American health facilities</header><subsection id="id86169b4d9f4048c2a8bfbf7144e3d620"><enum>(a)</enum><header>In general</header><text>Section 1834(m)(4)(C) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(4)(C)</external-xref>), as amended by section 101, is amended—</text><paragraph id="id477b048f3fea4e8484b114206ab3040c"><enum>(1)</enum><text>in clause (i), by striking <quote>and (iv)</quote> and inserting <quote>, (iv), and (v)</quote>; and</text></paragraph><paragraph id="id864d3cb8093e4793af6a0e18d5495d8b"><enum>(2)</enum><text>by adding at the end the following new clause:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idcc113b7b7a984d558eeb2a9a111f56bf"><clause id="idf08faa4a95514e0a9681cfc5164fde6f"><enum>(v)</enum><header>Native American health facilities</header><text>With respect to telehealth services furnished on or after January 1, 2026, the originating site requirements described in clauses (i) and (ii) shall not apply with respect to a facility of the Indian Health Service, whether operated by such Service, or by an Indian tribe (as that term is defined in section 4 of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1603">25 U.S.C. 1603</external-xref>)) or a tribal organization (as that term is defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>)), or a facility of the Native Hawaiian health care systems authorized under the Native Hawaiian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/42/11701">42 U.S.C. 11701 et seq.</external-xref>).</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="id86b6c3722dab4e848edf4f57a4077448"><enum>(b)</enum><header>No originating site facility fee for Certain Native American facilities</header><text>Section 1834(m)(2)(B)(i) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(2)(B)(i)</external-xref>) is amended, in the matter preceding subclause (I), by inserting <quote>(other than an originating site that is only described in clause (v) of paragraph (4)(C), and does not meet the requirement for an originating site under clauses (i) and (ii) of such paragraph)</quote> after <quote>the originating site</quote>.</text></subsection></section><section commented="no" display-inline="no-display-inline" id="idc1e1a6626152439196896ced18a66186"><enum>106.</enum><header>Repeal of six-month in-person visit requirement for telemental health services</header><subsection commented="no" display-inline="no-display-inline" id="iddd67810212be47bc9efc14178ca86064"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1834(m)(7) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(7)(B)</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="id9c28dd00629b475a9f8d94ec064e19d5"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking <quote>, subject to subparagraph (B),</quote>;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idba8de6b20b484cd783e8d2459aef01d9"><enum>(2)</enum><text>by striking <quote>(A) <header-in-text level="subparagraph" style="OLC">In general</header-in-text>.—The geographic</quote> and inserting <quote>The geographic</quote>; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idf2cad2b7e17b4c71b30a10951a4afd37"><enum>(3)</enum><text>by striking subparagraph (B).</text></paragraph></subsection><subsection id="id7399af4b59b649b68edfe1062407b589"><enum>(b)</enum><header>Rural health clinics</header><text>Section 1834(y)(2) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(y)(2)</external-xref>) is amended by striking <quote>prior to October 1, 2025</quote>.</text></subsection><subsection id="idd370c8267d8946eb83ba7b519a37233d"><enum>(c)</enum><header>Federally qualified health centers</header><text>Section 1834(o)(4)(B) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(o)(4)(B)</external-xref>) is amended by striking <quote>prior to October 1, 2025</quote>.</text></subsection></section><section id="idcbb5ccefc583404baa5e0e6277ab728b"><enum>107.</enum><header>Waiver of telehealth requirements during public health emergencies</header><text display-inline="no-display-inline">Section 1135(g)(1) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1320b-5">42 U.S.C. 1320b–5(g)(1)</external-xref>) is amended—</text><paragraph id="id3b379ffc96d844848f8479ad51a081d8"><enum>(1)</enum><text>in subparagraph (A), in the matter preceding clause (i), by striking <quote>subparagraph (B)</quote> and inserting <quote>subparagraphs (B) and (C)</quote>; and</text></paragraph><paragraph id="id8AF8862B8569452EA0F61B803086C48E"><enum>(2)</enum><text>by adding at the end the following new subparagraph:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idBCA5781DC1404893A4D8743825265110"><subparagraph id="id7A731E9778E449608CA79F08C5B8FBC1"><enum>(C)</enum><header>Exception for waiver of telehealth requirements during public health emergencies</header><text>For purposes of subsection (b)(8), in addition to the emergency period described in subparagraph (B), an <quote>emergency area</quote> is a geographical area in which, and an <quote>emergency period</quote> is the period during which, there exists a public health emergency declared by the Secretary pursuant to section 319 of the Public Health Service Act on or after the date of enactment of this subparagraph.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="id72517ab564024cd9a4ecc77a6d55c5c0"><enum>108.</enum><header>Use of telehealth in recertification for hospice care</header><subsection id="id8cb8578fbd4b4960b67f11b74fe2c938"><enum>(a)</enum><header>In general</header><text>Section 1814(a)(7)(D)(i)(II) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395f">42 U.S.C. 1395f(a)(7)(D)(i)(II)</external-xref>) is amended by striking <quote>during the emergency period</quote> and all that follows through <quote>September 30, 2025</quote> and inserting the following: <quote>during and after the emergency period described in section 1135(g)(1)(B)</quote>.</text></subsection><subsection id="idee64dd9ad2604387817e1735fa55f8f0"><enum>(b)</enum><header>GAO report</header><text>Not later than 3 years after the date of enactment of this Act, the Comptroller General of the United States shall submit to Congress a report evaluating the impact of section 1814(a)(7)(D)(i)(II) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395f">42 U.S.C. 1395f(a)(7)(D)(i)(II)</external-xref>), as amended by subsection (a), on—</text><paragraph id="id41e62abe1b394f7a90e8fab643c1ba55"><enum>(1)</enum><text>the number and percentage of beneficiaries recertified for the Medicare hospice benefit at 180 days and for subsequent benefit periods, to the extent such data is available;</text></paragraph><paragraph id="idabd8c9d9f4db4171af4a1c762024ceba"><enum>(2)</enum><text>Federal oversight of the appropriateness for hospice care of the patients recertified through the use of telehealth; and</text></paragraph><paragraph id="ide04cc4bb88b441bb8a1c85fe927f07b9"><enum>(3)</enum><text>any other factors determined appropriate by the Comptroller General.</text></paragraph></subsection></section></title><title id="idF6A344E8BDE54D988C67CD1EF597AFF3" style="OLC"><enum>II</enum><header>Program integrity</header><section id="id1bd890f33b3a48a1b191fdaa9cd0e8cd"><enum>201.</enum><header>Clarification for fraud and abuse laws regarding technologies provided to beneficiaries</header><text display-inline="no-display-inline">Section 1128A(i)(6) of the Social Security Act (42 U.S.C. 1320a–7a(i)(6)) is amended—</text><paragraph id="id72ca43cd5f5e47b19f8eedf1a6f2ee95"><enum>(1)</enum><text>in subparagraph (I), by striking <quote>; or</quote> and inserting a semicolon;</text></paragraph><paragraph id="id6e4cf0b0409640b284bc18583d4907a5"><enum>(2)</enum><text>in subparagraph (J), by striking the period at the end and inserting <quote>; or</quote>; and</text></paragraph><paragraph id="ide3110949480e4b7db4e208edce5ef671"><enum>(3)</enum><text>by adding at the end the following new subparagraph:</text><quoted-block style="OLC" display-inline="no-display-inline" id="ida65ecc350e9649c1856e5eb89f9c7269"><subparagraph id="id64fcf7f8234b41f2b3ed9a1f7a8eaa7c"><enum>(K)</enum><text>the provision of technologies (as defined by the Secretary) on or after the date of the enactment of this subparagraph, by a provider of services or supplier (as such terms are defined for purposes of title XVIII) directly to an individual who is entitled to benefits under part A of title XVIII, enrolled under part B of such title, or both, for the purpose of furnishing telehealth services, remote patient monitoring services, or other services furnished through the use of technology (as defined by the Secretary), if—</text><clause id="id86320844fb9042e5a4d81ac42372f0b8"><enum>(i)</enum><text>the technologies are not offered as part of any advertisement or solicitation; and</text></clause><clause id="id974f60fda0aa49c79846cb4773afa74d"><enum>(ii)</enum><text>the provision of the technologies meets any other requirements set forth in regulations promulgated by the Secretary.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="idd4b7ad23e37344168438105eb5e0c6e9"><enum>202.</enum><header>Additional resources for telehealth oversight</header><text display-inline="no-display-inline">In addition to amounts otherwise available, there are authorized to be appropriated to the Inspector General of the Department of Health and Human Services for each of fiscal years 2026 through 2030, out of any money in the Treasury not otherwise appropriated, $3,000,000, to remain available until expended, for purposes of conducting audits, investigations, and other oversight and enforcement activities with respect to telehealth services, remote patient monitoring services, or other services furnished through the use of technology (as defined by the Secretary).</text></section><section commented="no" display-inline="no-display-inline" section-type="subsequent-section" id="idcda962097d6b49a4b72a01fbb85715b3"><enum>203.</enum><header>Addressing significant outlier billing patterns for telehealth services</header><subsection commented="no" display-inline="no-display-inline" id="id22b5f5595cb343e98d8188d8d8675e76"><enum>(a)</enum><header display-inline="yes-display-inline">Identification and notification of outlier billers of telehealth</header><paragraph id="id9fd6bd2e21b942099739f4af3a9da1ab"><enum>(1)</enum><header>In general</header><text>The Secretary shall, using standard unique health identifiers (described in section 1173(b) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref>) reported on claims for telehealth services furnished to individuals under section 1834(m) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)</external-xref>), identify physicians and practitioners that demonstrate significant outlier billing patterns (such as coding of telehealth services for inappropriate length of time and inaccurate complexity and inappropriate or duplicate billing) for telehealth services or items or services ordered or prescribed concurrent to a telehealth service over a period of time specified by the Secretary.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ide273e0c3e32644b29befb508f436ca88"><enum>(2)</enum><header>Establishment of thresholds</header><text>For purposes of this subsection, the Secretary shall establish thresholds for outlier billing patterns to identify whether a physician or practitioner is a significant outlier biller for telehealth services or items or services ordered or prescribed concurrent to a telehealth service as compared to other physicians or practitioners within the same specialty and geographic area.</text></paragraph></subsection><subsection id="id4844460d191e4e6db191f50e8c4884b7"><enum>(b)</enum><header>Notification</header><paragraph commented="no" display-inline="no-display-inline" id="id5e0867d0bd764573ac0e9ddd9a85dd14"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text>The Secretary shall notify physicians and practitioners identified as a significant outlier biller for telehealth services or items or services ordered or prescribed concurrent to a telehealth service under subsection (a). Each notification under the preceding sentence shall include the following:</text><subparagraph commented="no" display-inline="no-display-inline" id="id6ba5011886434d3b8465d49f5af76d7b"><enum>(A)</enum><text display-inline="yes-display-inline">Information on how the physician or practitioner compares to physicians or practitioners within the same specialty and geographic area with respect to billing for telehealth services or items or services ordered or prescribed concurrent to a telehealth service under the Medicare program under title XVIII of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395">42 U.S.C. 1395 et seq.</external-xref>).</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id91e7865862ad467d8f3661441866969b"><enum>(B)</enum><text>Information on telehealth billing guidelines under the Medicare program.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idcd031f89f9324196bd3b8d727dba94ae"><enum>(C)</enum><text>Other information determined appropriate by the Secretary.</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id566cee1552784318a97467ee937af19d"><enum>(2)</enum><header>Clarification</header><text>Nothing in this subsection or subsection (a) shall be construed as directing the Centers for Medicare &amp; Medicaid Services to pursue further audits of providers of services and suppliers outside of those permitted or required under titles XI or XVIII of the Social Security Act, or otherwise under applicable Federal law.</text></paragraph></subsection><subsection id="id136ec562f85344c68cd5f25d85e69265"><enum>(c)</enum><header>Public Availability of Information</header><text>The Secretary shall make aggregate information on outlier billing patterns identified under subsection (a) available on the internet website of the Centers for Medicare &amp; Medicaid Services. Such information shall be in a form and manner determined appropriate by the Secretary and shall not identify any specific physician or practitioner.</text></subsection><subsection id="ida1622a20fc034d03bb9f23c1f93143f9"><enum>(d)</enum><header>Other activities</header><text>Nothing in this section shall preclude the Secretary from conducting activities that provide physicians and practitioners with information as to how they compare to other physicians and practitioners that are in addition to the activities under this section.</text></subsection><subsection id="id7440f587453b48599e58538b02e98c2d"><enum>(e)</enum><header>Telehealth resource centers education activities</header><text>Section 330I(j)(2) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/254c-14">42 U.S.C. 254c–14(j)(2)</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="id0daaf1111cee43e5b8af1d6baee27e16"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (F), by striking <quote>and</quote> at the end;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idf1f822a4dabc4308946fdbc523c62050"><enum>(2)</enum><text>in subparagraph (G), by striking the period at the end and inserting <quote>; and</quote>; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ida5e12588975148f6a959554936ed226d"><enum>(3)</enum><text>by adding at the end the following new subparagraph:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id95AAAF8AE8154D9E8D48D7CB632C68B8"><subparagraph commented="no" display-inline="no-display-inline" id="id1a3b086dd5c04bbd8353eed072ae9b46"><enum>(H)</enum><text>providing technical assistance and education to physicians and practitioners that the Secretary identifies pursuant to section 203(a) of the <short-title>CONNECT for Health Act of 2025</short-title> as having significant levels of outlier billing patterns with respect to telehealth services or items or services ordered or prescribed concurrent to a telehealth service under the Medicare program under title XVIII of the Social Security Act, including—</text><clause id="id965ddbf86b2c4deda1e2f7bce4cfd2e0"><enum>(i)</enum><text>education on practices to ensure coding of telehealth services for appropriate length of time and accurate complexity;</text></clause><clause id="idb354510bdc01425ba6a863138d5bb3a1"><enum>(ii)</enum><text>education on prevention of inappropriate or duplicate billing;</text></clause><clause id="ideb4c320c7c3145769f99d59aaae956fa"><enum>(iii)</enum><text>information provided in the annual physician fee schedule rulemaking regarding—</text><subclause commented="no" display-inline="no-display-inline" id="ida8969ce65e2948db9459ef7628b27559"><enum>(I)</enum><text display-inline="yes-display-inline">services specified in paragraph (4)(F)(i) of 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>) for authorized payment under paragraph (1) of such section; and</text></subclause><subclause commented="no" display-inline="no-display-inline" id="idabf55b002a51459e94a911dfcf9c6bc7"><enum>(II)</enum><text display-inline="yes-display-inline">the process used to update such services under paragraph (4)(F)(ii) of such section 1834(m); and</text></subclause></clause><clause commented="no" display-inline="no-display-inline" id="id7778e762794d4e8ebd22f101c0282acf"><enum>(iv)</enum><text display-inline="yes-display-inline">referral to the appropriate medicare administrative contractor for specific questions that fall outside of the scope of broad best practices.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="idf682bd461d4e4ff888aca22efb633d9f"><enum>(f)</enum><header>Definitions</header><text>In this section:</text><paragraph commented="no" display-inline="no-display-inline" id="id674b7a6a2a634eee9666c32785821697"><enum>(1)</enum><header>Secretary</header><text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id491e2e24c9ed49038c67997de6d8ace9"><enum>(2)</enum><header>Telehealth service</header><text>The term <term>telehealth service</term> has the meaning given that term in section 1834(m)(4)(F) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(4)(F)</external-xref>).</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id38dcd4d257584f6ca8561dfd8c0bb0ac"><enum>(3)</enum><header>Physician; practitioner</header><text>The terms <term>physician</term> and <term>practitioner</term> have the meaning given those terms for purposes of 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>).</text></paragraph></subsection></section></title><title id="id6E08D03711884D0F9EC90609B4EDB3EC" style="OLC"><enum>III</enum><header>Beneficiary and provider supports, quality of care, and data</header><section id="id7d738923b97f479ebbcded3048050380"><enum>301.</enum><header>Beneficiary engagement on telehealth</header><subsection commented="no" display-inline="no-display-inline" id="id005c6e89fe0a4c258e2c8c0f5ad4cfba"><enum>(a)</enum><header display-inline="yes-display-inline">Resources, guidance, and training sessions</header><text display-inline="yes-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 by adding at the end the following new paragraph:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idD9BD50DDB80D433BA72A26286CF7AA60"><paragraph commented="no" display-inline="no-display-inline" id="id6c4a91dcd90b4a8caf76b55a2c3c9b2c"><enum>(10)</enum><header>Resources, guidance, and training sessions</header><subparagraph commented="no" display-inline="no-display-inline" id="id23bdbc81d7ae43fd927f6758049bfb9a"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text>Not later than 6 months after the date of the enactment of this paragraph, the Secretary, in consultation with stakeholders, shall issue resources, guidance, and training sessions for beneficiaries, physicians, practitioners, and health information technology software vendors on best practices for ensuring telehealth services are accessible for—</text><clause id="idb559170a160b47429271c6f6a3005a4d"><enum>(i)</enum><text>individuals with limited English proficiency, including instructions on how to—</text><subclause commented="no" display-inline="no-display-inline" id="idfea14c14aaea45fda68ba41ff0cfb2bd"><enum>(I)</enum><text display-inline="yes-display-inline">access telehealth platforms;</text></subclause><subclause commented="no" display-inline="no-display-inline" id="id71ef70acf0394f9794948123d6aed9e3"><enum>(II)</enum><text display-inline="yes-display-inline">utilize interpreter services; and</text></subclause><subclause commented="no" display-inline="no-display-inline" id="id9d0e3b0ede7f4d5db2aedf9b221a1436"><enum>(III)</enum><text display-inline="yes-display-inline">integrate telehealth and virtual interpreter services; and</text></subclause></clause><clause id="idc4122217bf704915a3b65b641bee0f37"><enum>(ii)</enum><text>individuals with disabilities, including instructions on accessibility of the telecommunications system being used for telehealth services, engagement with beneficiaries with disabilities prior to, during, and after the furnishing of the telehealth service, and training on captioning and transcripts.</text></clause></subparagraph><subparagraph id="id51c525d7dc154ee9929caf19465676c4"><enum>(B)</enum><header>Accounting for age and other differences</header><text>Resources, guidance, and training sessions issued under this paragraph shall account for age and sociodemographic, geographic, literacy, cultural, cognitive, and linguistic differences in how individuals interact with technology.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="iddcd02af90b1441e99f1104c14b90e388"><enum>(b)</enum><header>Study and report on tactics To improve beneficiary engagement on telehealth</header><paragraph id="idca012cea83824ffe84c1ae72e96ce0ae"><enum>(1)</enum><header>Study</header><text>The Secretary of Health and Human Services shall, to the maximum extent feasible, collect and analyze qualitative and quantitative data on strategies that clinicians, payers, and other health care organizations use to improve beneficiary engagement on telehealth services (as defined in section 1834(m)(4)(F) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(m)(4)(F)</external-xref>)), with an emphasis on underserved communities, such as the use of digital navigators, providing patients with pre-visit information on telehealth, caregiver engagement, and training on telecommunications systems, and the investments necessary for health care professionals to effectively furnish telehealth services, including the costs of necessary technology and of training staff.</text></paragraph><paragraph id="iddc745e7d73ff4e43b99d0a3f00a86fec"><enum>(2)</enum><header>Report</header><text>Not later than 2 years after the date of the enactment of this Act, the Secretary shall submit to Congress and make available on the internet website of the Secretary of Health and Human Services a report containing the results of the study under paragraph (1), together with recommendations for such legislation and administrative action as the Secretary determines appropriate.</text></paragraph></subsection><subsection id="idcff0f945ac7c44389b207e84b81bc446"><enum>(c)</enum><header>Funding</header><text>There are authorized to be appropriated such sums as necessary to carry out the provisions of, including the amendments made by, this section.</text></subsection></section><section id="id8b1016158f144c57b25390cec94ad439"><enum>302.</enum><header>Provider supports on telehealth</header><subsection id="idad46eec7ba6d49a2a37facb8aaa3e748"><enum>(a)</enum><header>Educational resources and training sessions</header><text>Not later than 6 months after the date of enactment of this Act, the Secretary of Health and Human Services shall develop and make available to health care professionals educational resources and training sessions on requirements relating to the furnishing of telehealth services under 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>) and topics including—</text><paragraph commented="no" display-inline="no-display-inline" id="id93e82a8939c64b27998410e16e7b62d8"><enum>(1)</enum><text>requirements for payment for telehealth services;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id597a9fae94a24c88b57532d32eb669f3"><enum>(2)</enum><text>telehealth-specific health care privacy and security training;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ide3b029ceef4343879638a6d635741108"><enum>(3)</enum><text display-inline="yes-display-inline">utilizing telehealth services to engage and support underserved, high-risk, and vulnerable patient populations; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idc6b222f2d027489fa22e801d9a33b42f"><enum>(4)</enum><text>other topics as determined appropriate by the Secretary.</text></paragraph></subsection><subsection id="id6062ff4c28a4454792227ebadfc40ec1"><enum>(b)</enum><header>Funding</header><text>There are authorized to be appropriated such sums as necessary to carry out this section.</text></subsection></section><section commented="no" display-inline="no-display-inline" id="id82555cb8ecbc4d07b83b85346008812d"><enum>303.</enum><header>Ensuring the inclusion of telehealth in measuring quality of care</header><text display-inline="no-display-inline">Section 1890A of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395aaa-1">42 U.S.C. 1395aaa–1</external-xref>) is amended by adding at the end the following new subsection:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id03D95F84AEDE4FB883B1DB8A72922C87"><subsection commented="no" display-inline="no-display-inline" id="idf3c5e5d0732e4d729313570e26977aae"><enum>(h)</enum><header>Measuring quality of telehealth services</header><paragraph commented="no" display-inline="no-display-inline" id="id4628cda74f424928926b14157591415f"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than 180 days after the date of the enactment of this subsection, the Secretary shall review quality measures to ensure inclusion of measures relating to telehealth services, including care, prevention, diagnosis, patient experience, health outcomes, and treatment.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idcff840c099014aaaae89f3fc30704d33"><enum>(2)</enum><header>Consultation</header><text display-inline="yes-display-inline">In conducting the review and assessment under paragraph (1), the Secretary shall consult external technical experts in quality measurement, including patient organizations, providers, and experts in telehealth.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5a52f970454a459d91ac8f84612a8268"><enum>(3)</enum><header>Review and assessment</header><text display-inline="yes-display-inline">The review and assessment under this subsection shall—</text><subparagraph commented="no" display-inline="no-display-inline" id="id09d373ab1e484fcab0ea60a03dd4cc85"><enum>(A)</enum><text display-inline="yes-display-inline">include review of existing and under development quality measures to identify measures that are currently inclusive of, and measures that fail to account for, telehealth services; </text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id539ae1174d5742dca74cd93237ef2eb5"><enum>(B)</enum><text display-inline="yes-display-inline">identify gaps in areas of quality measurement that relate to telehealth services, including health outcomes and patient experience of care; and</text></subparagraph><subparagraph id="id07660a37cbaa41429c6d05c7f4a806bb"><enum>(C)</enum><text>assess how to effectively streamline, implement, and assign accountability for health outcomes for quality measures for telehealth services across health care settings and providers.</text></subparagraph></paragraph><paragraph id="id71c85e3fa16243ea82b1da37aad5b5d3"><enum>(4)</enum><header>Technical guidance</header><text>The Secretary shall issue technical guidance on the following for health care providers and other stakeholders, as determined appropriate by the Secretary:</text><subparagraph commented="no" display-inline="no-display-inline" id="idf51656a417c742b884cca5e2edbed93e"><enum>(A)</enum><text display-inline="yes-display-inline">How to stratify measures by care modality and population to identify differences in health outcomes.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6e6bbbd5e880445098d8f76d5b92b63e"><enum>(B)</enum><text display-inline="yes-display-inline">The use of uniform data elements.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idd09014e09f0b4c049a9f5cd24bed55c5"><enum>(C)</enum><text display-inline="yes-display-inline">How to identify and catalogue best practices related to the use of quality measurement and quality improvement for telehealth services.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idf5626c76e57a4ed18647a5044d89eaea"><enum>(D)</enum><text display-inline="yes-display-inline">Other areas determined appropriate by the Secretary.</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5dcefe1021434155a4c503df1269f3c4"><enum>(5)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 2 years after the date of the enactment of this subsection, the Secretary shall submit to Congress and post on the internet website of the Centers for Medicare &amp; Medicaid Services a report on the review and assessment conducted under this subsection.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><section commented="no" display-inline="no-display-inline" section-type="subsequent-section" id="idec3fada088594207b94082c7e023c7c7"><enum>304.</enum><header>Posting of information on telehealth services</header><text display-inline="no-display-inline">Not later than 180 days after the date of the enactment of this Act, and quarterly thereafter, the Secretary of Health and Human Services shall post on the internet website of the Centers for Medicare &amp; Medicaid Services information on—</text><paragraph id="idc6690165dbf846838bddcead171524d7"><enum>(1)</enum><text>the furnishing of telehealth services under the Medicare program under title XVIII of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395">42 U.S.C. 1395 et seq.</external-xref>), described by patient population, type of service, geography, place of service, and provider type;</text></paragraph><paragraph id="idd1a53b849f134b828a2e25e59a56ba00"><enum>(2)</enum><text>the impact of telehealth services on expenditures and utilization under the Medicare program for the most recent 4 quarters for which Medicare claims data is available; and</text></paragraph><paragraph id="id22d895aafd6a4744acbee3e4c94cf6b2"><enum>(3)</enum><text>other outcomes related to the furnishing of telehealth services under the Medicare program, as determined appropriate by the Secretary.</text></paragraph></section></title></legis-body></bill> 

