[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 2484 Introduced in Senate (IS)]
<DOC>
114th CONGRESS
2d Session
S. 2484
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 SENATE OF THE UNITED STATES
February 2, 2016
Mr. Schatz (for himself, Mr. Wicker, Mr. Cochran, Mr. Cardin, Mr.
Thune, and Mr. Warner) introduced the following bill; which was read
twice and referred to the Committee on Finance
_______________________________________________________________________
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>