[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4442 Introduced in House (IH)]

<DOC>






114th CONGRESS
  2d Session
                                H. R. 4442

To amend titles XVIII and XI of the Social Security Act to promote cost 
savings and quality care under the Medicare program through the use of 
   telehealth and remote patient monitoring services, and for other 
                               purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            February 3, 2016

  Mrs. Black (for herself, Mr. Welch, Mr. Harper, and Mr. Thompson of 
 California) introduced the following bill; which was referred to the 
 Committee on Energy and Commerce, and in addition to the Committee on 
   Ways and Means, 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

_______________________________________________________________________

                                 A BILL


 
To amend titles XVIII and XI of the Social Security Act to promote cost 
savings and quality care under the Medicare program through the use of 
   telehealth and remote patient monitoring services, and for other 
                               purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Creating 
Opportunities Now for Necessary and Effective Care Technologies 
(CONNECT) for Health Act'' or the ``CONNECT for Health Act''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; table of contents.
 TITLE I--TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES ``BRIDGE'' 
                         DEMONSTRATION WAIVERS

Sec. 101. Telehealth and remote patient monitoring services ``bridge'' 
                            demonstration waivers.
 TITLE II--TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES FURNISHED 
                     BY QUALIFYING APM PARTICIPANTS

Sec. 201. Telehealth and remote patient monitoring services furnished 
                            by qualifying APM participants.
     TITLE III--MEDICARE COVERAGE OF TELEHEALTH AND REMOTE PATIENT 
                          MONITORING SERVICES

Sec. 301. Remote patient monitoring services for individuals with 
                            certain chronic health conditions.
Sec. 302. Allowing telehealth to meet monthly clinician in-person visit 
                            requirement for certain home dialysis.
Sec. 303. Allowing stroke evaluation sites and Native American health 
                            service facilities as sites eligible for 
                            telehealth payment.
Sec. 304. Rural health clinics and Federally qualified health centers 
                            authorized to be distant sites.
Sec. 305. Addressing gaps in quality measures for telehealth and remote 
                            patient monitoring services.
 TITLE IV--USE OF TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES TO 
              PROVIDE BASIC BENEFITS UNDER MEDICARE PART C

Sec. 401. Use of telehealth and remote patient monitoring services to 
                            provide basic benefits under Medicare part 
                            C.
    TITLE V--CLARIFICATION REGARDING TELEHEALTH AND REMOTE PATIENT 
           MONITORING TECHNOLOGIES PROVIDED TO BENEFICIARIES

Sec. 501. Clarification regarding telehealth and remote patient 
                            monitoring technologies provided to 
                            beneficiaries.

 TITLE I--TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES ``BRIDGE'' 
                         DEMONSTRATION WAIVERS

SEC. 101. TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES ``BRIDGE'' 
              DEMONSTRATION WAIVERS.

    Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is 
amended by adding at the end the following new section:

``SEC. 1899C. TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES 
              `BRIDGE' DEMONSTRATION WAIVERS.

    ``(a) Implementation.--
            ``(1) In general.--Subject to the succeeding provisions of 
        this subsection, the Secretary shall solicit proposals from, 
        and issue telehealth or remote patient monitoring services 
        `bridge' demonstration waivers under this title to, eligible 
        applicants who, for the duration of time for which the 
        demonstration waiver would apply, are furnishing telehealth or 
        remote patient monitoring services (as defined in section 
        1861(iii)) to individuals under this title in a manner that is 
        consistent with the goals of the Merit-based Incentive Payment 
        System under section 1848(q), including the goals of quality, 
        resource utilization, and clinical practice improvement 
        (including care coordination and patient engagement), or the 
        incentive payments for participation in eligible alternative 
        payment models under section 1833(z).
            ``(2) Eligible applicant defined.--In this section, the 
        term `eligible applicant' means the following:
                    ``(A) A professional described in section 
                1848(q)(1)(C)(i)(I).
                    ``(B) A qualifying APM participant (as defined in 
                section 1833(z)(2)).
                    ``(C) Any other provider, including a professional 
                described in section 1848(q)(1)(C)(i)(II), determined 
                appropriate by the Secretary, and a group that includes 
                such providers.
    ``(b) Demonstration Waiver Application Requirements.--An eligible 
applicant seeking a demonstration waiver under this section shall 
submit an application to the Secretary on an annual basis that includes 
the following:
            ``(1) An attestation of the intent of the applicant to use 
        telehealth or remote patient monitoring services to meet the 
        goals described in subsection (a)(1), and details (as specified 
        by the Secretary) on how the eligible applicant will use those 
        services to meet such goals.
            ``(2) An agreement by the applicant to--
                    ``(A) submit the information described in 
                subsection (d) in accordance with such subsection; and
                    ``(B) cooperate in any audit conducted under 
                subsection (e) with respect to claims for telehealth or 
                remote patient monitoring services furnished by the 
                applicant under the waiver.
    ``(c) Waiver of Limitations for Telehealth or Remote Patient 
Monitoring Services.--
            ``(1) In general.--The Secretary shall waive certain 
        applicable provisions of sections 1834(m) and 1861(iii) as a 
        condition of payment for telehealth or remote patient 
        monitoring services for eligible applicants whose application 
        for a demonstration waiver was approved under this section. The 
        provisions to be waived under the preceding sentence include 
        any limitation on what qualifies as an originating site, any 
        geographic limitation (subject to State licensing 
        requirements), any limitation on the use of store-and-forward 
        technologies, or any limitation on the type of health care 
        provider who may furnish such services (provided the provider 
        is a Medicare enrolled provider).
            ``(2) General supervision.--The Secretary shall permit an 
        eligible applicant whose application for a demonstration waiver 
        was approved under this section to furnish telehealth or remote 
        patient monitoring services under the general supervision of 
        the applicant.
    ``(d) Annual Submission of Data.--An eligible applicant whose 
application for a demonstration waiver under this section was approved 
shall, on an annual basis, submit to the Secretary--
            ``(1) information requested by the Secretary for evaluation 
        of the demonstration, including information on utilization and 
        expenditures for telehealth or remote patient monitoring 
        services under the demonstration waiver during the preceding 
        year;
            ``(2) data on applicable quality measures during the 
        preceding year, consistent with sections 1848 and 1833(z); and
            ``(3) such other information as the Secretary determines is 
        necessary to complete the report under subsection (g).
    ``(e) Random Audits.--The Secretary shall conduct audits of 
randomly selected claims under the demonstration waiver program under 
this section to ensure that waivers under the program are being used as 
intended to furnish telehealth or remote patient monitoring services.
    ``(f) Implementation.--
            ``(1) Sunset.--Except as provided in paragraph (2), the 
        authority to carry out the demonstration waiver program under 
        this section shall expire on December 31, 2019.
            ``(2) Expansion.--Taking into account the report under 
        subsection (g), the Secretary may, through rulemaking, expand 
        (including implementation on a nationwide basis) the duration 
        and the scope of the demonstration waiver program under this 
        section, to the extent determined appropriate by the Secretary, 
        if--
                    ``(A) the Secretary determines that such expansion 
                is expected to--
                            ``(i) reduce spending under this title 
                        without reducing the quality of care; or
                            ``(ii) improve the quality of patient care 
                        without increasing spending;
                    ``(B) the Chief Actuary of the Centers for Medicare 
                & Medicaid Services certifies that such expansion would 
                reduce (or would not result in any increase in) net 
                program spending under this title; and
                    ``(C) the Secretary determines that such expansion 
                would not deny or limit the coverage or provision of 
                benefits under this title for individuals.
    ``(g) Report to Congress.--Not later than December 31, 2020, the 
Chief Actuary of the Centers for Medicare & Medicaid Services shall 
submit to Congress a report containing an evaluation of the impact of 
telehealth and remote patient monitoring services under the 
demonstration waiver program on--
            ``(1) spending under this title; and
            ``(2) achieving the additional MIPS adjustment factors for 
        exceptional performance described in section 1848(q)(6)(C) and 
        incentive payments for participation in eligible alternative 
        payment models described in section 1833(z)(1).''.

 TITLE II--TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES FURNISHED 
                     BY QUALIFYING APM PARTICIPANTS

SEC. 201. TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES FURNISHED 
              BY QUALIFYING APM PARTICIPANTS.

    (a) In General.--Title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.), as amended by section 101, is amended by adding at the 
end the following new section:

``SEC. 1899D. TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES 
              FURNISHED BY QUALIFYING APM PARTICIPANTS.

    ``(a) In General.--The Secretary shall waive certain applicable 
provisions of section 1834(m) and section 1861(iii) as a condition of 
payment for telehealth or remote patient monitoring services for a 
qualifying APM participant (as defined in section 1833(z)(2)). The 
provisions to be waived under the preceding sentence include any 
limitation on what qualifies as an originating site, any geographic 
limitation (subject to State licensing requirements), any limitation on 
the use of store-and-forward technologies, or any limitation on the 
type of health care provider who may furnish such services (provided 
the provider is a Medicare enrolled provider).
    ``(b) Annual Submission of Data.--A qualifying APM participant (as 
so defined) who furnishes telehealth or remote patient monitoring 
services under this section shall, on an annual basis, submit to the 
Secretary information requested by the Secretary for evaluation of the 
implementation of this section, including information on utilization 
and expenditures for telehealth or remote patient monitoring services 
under this section during the preceding year and data on any applicable 
quality measures, consistent with sections 1848 and 1833(z).
    ``(c) No Increase in Expenditures.--If the Secretary determines 
payments for telehealth or remote patient monitoring services under 
this section will increase expenditures under this title, the Secretary 
shall make adjustments to such payments to eliminate such increased 
expenditures.''.
    (b) Effective Date.--The amendment made by this section shall apply 
with respect to services furnished on or after January 1, 2017.

     TITLE III--MEDICARE COVERAGE OF TELEHEALTH AND REMOTE PATIENT 
                          MONITORING SERVICES

SEC. 301. REMOTE PATIENT MONITORING SERVICES FOR INDIVIDUALS WITH 
              CERTAIN CHRONIC HEALTH CONDITIONS.

    (a) Coverage.--
            (1) In general.--Section 1861(s)(2) of the Social Security 
        Act (42 U.S.C. 1395x(s)(2)) is amended--
                    (A) in subparagraph (EE), by striking ``and'' at 
                the end;
                    (B) in subparagraph (FF), by inserting ``and'' at 
                the end; and
                    (C) by inserting after subparagraph (FF) the 
                following new subparagraph:
            ``(GG) applicable remote patient monitoring services for 
        individuals with certain chronic health conditions (as defined 
        in subsection (iii));''.
            (2) Coverage as rural health clinic services and federally 
        qualified health center services.--Section 1861(aa) of the 
        Social Security Act (42 U.S.C. 1395x(aa)) is amended--
                    (A) in paragraph (1)--
                            (i) in subparagraph (B), by striking ``, 
                        and'' and inserting a comma;
                            (ii) in subparagraph (C), by inserting 
                        ``and'' after the comma at the end; and
                            (iii) by inserting after subparagraph (C) 
                        the following new subparagraph:
            ``(D) applicable remote patient monitoring services for 
        individuals with certain chronic health conditions (as defined 
        in subsection (iii)),''; and
                    (B) in paragraph (3)--
                            (i) in subparagraph (A), by striking ``; 
                        and'' and inserting a semicolon;
                            (ii) in subparagraph (B), by striking the 
                        comma and inserting ``; and''; and
                            (iii) by inserting after subparagraph (B) 
                        the following new subparagraph:
                    ``(C) applicable remote patient monitoring services 
                for individuals with certain chronic health conditions 
                (as defined in subsection (iii)),''.
    (b) Services Described.--Section 1861 of the Social Security Act 
(42 U.S.C. 1395x) is amended by adding at the end the following new 
subsection:
    ``(iii) Remote Patient Monitoring Services for Individuals With 
Certain Chronic Health Conditions.--(1)(A) The term `applicable remote 
patient monitoring services for individuals with certain chronic health 
conditions' means remote patient monitoring services (as defined in 
subparagraph (B)) furnished to an applicable individual (as defined in 
subparagraph (C)) under general supervision of the provider, with the 
exception of those services covered under subsection (s)(1).
    ``(B) The term `remote patient monitoring services' means personal 
medical data transmitted from an applicable individual in one location 
via electronic communications technologies to an eligible provider (as 
defined in subparagraph (D)) in a different location and used by the 
eligible provider in furnishing remote patient monitoring services to 
such individual that complies with the Federal regulations (concerning 
the privacy and security of individually identifiable health 
information) promulgated under section 264(c) of the Health Insurance 
Portability and Accountability Act of 1996, as part of an established 
plan of care for that individual that includes the review and 
interpretation of that data by an eligible provider. Such term includes 
those services furnished in a Federally qualified health center or a 
rural health clinic.
    ``(C) The term `applicable individual' means an individual--
            ``(i) with 2 or more covered chronic conditions (as defined 
        in paragraph (2)); and
            ``(ii) who has a history of 2 or more hospitalizations or 
        emergency room visits related to such covered chronic 
        conditions of the individual in the preceding 12 months.
    ``(D) The term `eligible provider' means a physician (as defined in 
section 1861(r)) or a practitioner described in section 1842(b)(18)(C).
    ``(E) The Secretary shall establish procedures under which eligible 
providers who furnish remote patient monitoring services are required 
to annually submit data on applicable quality measures under sections 
1848 and 1833(z).
    ``(2)(A) For purposes of paragraph (1)(C), subject to subparagraph 
(B), the term `covered chronic condition' means--
            ``(i) a condition that qualifies an individual for chronic 
        care management services under section 1848(b)(8); and
            ``(ii) any other condition the Secretary may specify.
    ``(B) If the Chief Actuary of the Centers for Medicare & Medicaid 
Services determines that the inclusion of a condition described in 
subparagraph (A) in the definition of the term `covered chronic 
condition' under such subparagraph will result in increased 
expenditures under this title, the Secretary shall make adjustments to 
such definition to eliminate such increased expenditures.
    ``(3)(A) Payment may be made under this part for applicable remote 
patient monitoring services for individuals with certain chronic health 
conditions furnished to an applicable individual during a period of up 
to 90 days (beginning with the commencement of such services) and such 
additional period as provided for under subparagraph (B).
    ``(B) The 90-day period described in subparagraph (A), with respect 
to an applicable individual, may be renewed by the eligible provider 
who provides chronic care management services to such individual if the 
individual has had one or more hospitalizations, not including 
emergency room visits, related to the covered chronic conditions of the 
individual described in paragraph (1)(C) since the beginning of such 
period.''.
    (c) Payment.--
            (1) In general.--Section 1848(j)(3) of the Social Security 
        Act (42 U.S.C. 1395w-4(j)(3)) is amended by inserting 
        ``(2)(GG),'' after ``health risk assessment),''.
            (2) Rural health clinic services and federally qualified 
        health center services.--Section 1833 of the Social Security 
        Act (42 U.S.C. 1395l) is amended by adding at the end the 
        following new subsection:
    ``(aa) Payment for Applicable Remote Patient Monitoring Services 
for Individuals With Certain Chronic Health Conditions Furnished by a 
Rural Health Clinic or a Federally Qualified Health Center.--
Notwithstanding any other provision of law, in the case of applicable 
remote patient monitoring services for individuals with certain chronic 
health conditions (as defined in section 1861(iii)) furnished by a 
rural health clinic or a Federally qualified health center under 
paragraphs (1) and (3), respectively, of section 1861(aa), payment 
shall be made in an amount equal to the national average payment amount 
for such service, as determined by the Secretary, in accordance with 
section 1848 (without regard to any adjustment under subsections 
(a)(5), (a)(7), (a)(8), (p), or (q) of such section).''.
    (d) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2017.

SEC. 302. ALLOWING TELEHEALTH TO MEET MONTHLY CLINICIAN IN-PERSON VISIT 
              REQUIREMENT FOR CERTAIN HOME DIALYSIS.

    (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 subparagraph (A), 
        strike ``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) For purposes of subparagraph (A)(ii), an individual 
        determined to have end stage renal disease receiving home 
        dialysis may elect to receive the monthly end stage renal 
        disease-related visits via telehealth if the individual 
        receives an in-person examination at least once every three 
        consecutive months. For purposes of the preceding sentence, a 
        dialysis facility shall be the originating site at which the 
        individual is located at the time the service is furnished via 
        telehealth.''.
    (b) Conforming Amendment.--Section 1881(b)(1) of such Act (42 
U.S.C. 1395rr(b)(1)) is amended by striking ``paragraph (3)(A)'' and 
inserting ``paragraph (3)(A)(i)''.
    (c) Effective Date.--The amendments made by this subsection shall 
apply with respect to the monthly fee or other basis of payment for 
home dialysis services furnished on or after January 1, 2017.

SEC. 303. ALLOWING STROKE EVALUATION SITES AND NATIVE AMERICAN HEALTH 
              SERVICE FACILITIES AS SITES ELIGIBLE FOR TELEHEALTH 
              PAYMENT.

    (a) Stroke Evaluation Sites.--Section 1834(m)(4)(C) of the Social 
Security Act (42 U.S.C. 1395m(m)(4)(C)) is amended--
            (1) in clause (i), by striking ``The term'' and inserting 
        ``Subject to clause (iii), the term''; and
            (2) by adding at the end the following new clause:
                            ``(iii) Stroke telehealth services.--The 
                        originating site requirements described in 
                        clauses (i) and (ii) shall not apply with 
                        respect to services related to the evaluation 
                        or management of an acute stroke for the 
                        purpose of determining optimal acute stroke 
                        therapy.''.
    (b) Native American Health Service Facilities.--Section 
1834(m)(4)(C) of the Social Security Act (42 U.S.C. 1395m(m)(4)(C)), as 
amended by subsection (a), is amended--
            (1) in clause (i), by striking ``clause (iii)'' and 
        inserting ``clauses (iii) and (iv)''; and
            (2) by adding at the end the following new clause:
                            ``(iv) Native american health service 
                        facilities.--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 (25 U.S.C. 1603)) or a tribal 
                        organization (as that term is defined in 
                        section 4 of the Indian Self-Determination and 
                        Education Assistance Act (25 U.S.C. 450b)), or 
                        a facility of the Native Hawaiian health care 
                        systems authorized under the Native Hawaiian 
                        Health Care Improvement Act (42 U.S.C. 11701 et 
                        seq.).''.
    (c) No Originating Site Facility Fee for New Sites.--Section 
1834(m)(2)(B) of the Social Security Act (42 U.S.C. 1395m(m)(2)(B)) is 
amended, in the matter preceding clause (i), by inserting ``(other than 
an originating site that is only described in clause (iii) or (iv) of 
paragraph (4)(C), and does not meet the requirement for an originating 
site under clause (i) of such paragraph)'' after ``the originating 
site''.
    (d) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2017.

SEC. 304. RURAL HEALTH CLINICS AND FEDERALLY QUALIFIED HEALTH CENTERS 
              AUTHORIZED TO BE DISTANT SITES.

    (a) In General.--Section 1834(m) of the Social Security Act (42 
U.S.C. 1395m(m)) is amended--
            (1) in the first sentence of paragraph (1)--
                    (A) by striking ``or a practitioner (described in 
                section 1842(b)(18)(C))'' and inserting ``, a 
                practitioner (described in section 1842(b)(18)(C)), a 
                Federally qualified health center, or a rural health 
                clinic''; and
                    (B) by striking ``or practitioner'' and inserting 
                ``, practitioner, Federally qualified health center, or 
                rural health clinic'';
            (2) in paragraph (2)(A)--
                    (A) by inserting the following after ``eligible 
                telehealth individual'': ``or to a Federally qualified 
                health center or rural health clinic that serves as a 
                distant site and whose clinician furnishes a telehealth 
                service to an eligible telehealth individual''; and
                    (B) by striking ``such physician or practitioner'' 
                and inserting ``such physician, practitioner, Federally 
                qualified health center, or rural health clinic''; and
            (3) in paragraph (4)(A), by inserting the following before 
        the period at the end: ``and includes a Federally qualified 
        health center or rural health clinic whose clinician furnishes 
        a telehealth service to an eligible individual''.
    (b) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2017.

SEC. 305. ADDRESSING GAPS IN QUALITY MEASURES FOR TELEHEALTH AND REMOTE 
              PATIENT MONITORING SERVICES.

    Section 1848(s)(1)(C) of the Social Security Act (42 U.S.C. 1395w-
4(s)(1)(C)) is amended--
            (1) by redesignating clauses (i) through (iv) as subclauses 
        (I) through (IV), respectively, and indenting appropriately;
            (2) by striking ``Consideration.--In developing'' and 
        inserting ``Consideration.--
                            ``(i) In general.--Subject to clause (ii), 
                        in developing''; and
            (3) by adding at the end the following new clause:
                            ``(ii) Addressing gaps in measures for 
                        telehealth and remote patient monitoring 
                        services.--Consistent with this subsection, the 
                        Secretary shall ensure that the plan 
                        identifying measure development priorities and 
                        timelines developed under this subsection 
                        addresses relevant gaps in measures with 
                        respect to telehealth services, remote patient 
                        monitoring services, and the use of such 
                        services to address health disparities (as 
                        described in section 1890(b)(1)(B)(ii)) that 
                        are not otherwise addressed through existing 
                        quality measures.''.

 TITLE IV--USE OF TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES TO 
              PROVIDE BASIC BENEFITS UNDER MEDICARE PART C

SEC. 401. USE OF TELEHEALTH AND REMOTE PATIENT MONITORING SERVICES TO 
              PROVIDE BASIC BENEFITS UNDER MEDICARE PART C.

    (a) In General.--Section 1852 of the Social Security Act (42 U.S.C. 
1395w-22) is amended--
            (1) in subsection (a)(1)(B)(i), by striking ``part, the 
        term'' and inserting ``part, subject to subsection (m), the 
        term''; and
            (2) by adding at the end the following new subsection:
    ``(m) Use of Telehealth and Remote Patient Monitoring Services To 
Provide Basic Benefits.--For plan year 2017 and subsequent plan years, 
the following shall apply:
            ``(1) In general.--An MA plan may elect to use telehealth 
        or remote patient monitoring services to provide benefits under 
        the original medicare fee-for-service program option, including 
        items or services furnished to treat medical or behavioral 
        health conditions.
            ``(2) Waiver of limitations.--Notwithstanding any other 
        provision of law, in the case where an MA plan elects to use 
        telehealth or remote patient monitoring services to provide 
        such benefits, with respect to enrollees, such services may be 
        furnished without application of any provision under section 
        1834(m) or any other provision of this Act that applies a 
        limitation on what qualifies as an originating site, any 
        geographic limitation (subject to State licensing 
        requirements), any limitation on the use of store-and-forward 
        technologies, or any limitation on the type of health care 
        provider who may furnish such services (provided the provider 
        is a Medicare enrolled provider).
            ``(3) Treatment as basic benefits.--In the case where an MA 
        plan makes such election under paragraph (1), the use of such 
        telehealth or remote patient monitoring services shall be 
        considered part of the provision of benefits under the original 
        medicare fee-for-service program option for purpose of this 
        part.
            ``(4) Availability of benefits in person.--In the case 
        where an MA plan makes such election under paragraph (1), any 
        benefits provided using such telehealth services shall continue 
        to be made available in person to enrollees under the plan.
            ``(5) Provision of data.--An MA plan that makes such an 
        election under paragraph (1) with respect to a plan year shall 
        provide to the Secretary (at such time and in such manner as 
        the Secretary may specify) data on expenditures and utilization 
        for telehealth or remote patient monitoring services under the 
        plan for enrollees during that plan year.''.
    (b) Clarification Regarding Inclusion in Bid Amount.--Section 
1854(a)(6)(A)(ii)(I) of the Social Security Act (42 U.S.C. 1395w-
24(a)(6)(A)(ii)(I)) is amended by inserting ``, including, for plan 
year 2017 and subsequent plan years, the use of telehealth or remote 
patient monitoring services to provide such benefits as described in 
section 1852(m)'' before the semicolon at the end.
    (c) Rule of Construction.--Nothing in this section shall be 
construed as affecting the furnishing of items or services under the 
original Medicare fee-for-service program.

    TITLE V--CLARIFICATION REGARDING TELEHEALTH AND REMOTE PATIENT 
           MONITORING TECHNOLOGIES PROVIDED TO BENEFICIARIES

SEC. 501. CLARIFICATION REGARDING TELEHEALTH AND REMOTE PATIENT 
              MONITORING TECHNOLOGIES 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'' and inserting 
        a semicolon;
            (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 or remote patient 
                monitoring technologies to individuals under title 
                XVIII by a health care provider for the purpose of 
                furnishing telehealth or remote patient monitoring 
                services.''.
                                 <all>