[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1148 Reported in House (RH)]

<DOC>





                                                 Union Calendar No. 328
115th CONGRESS
  1st Session
                                H. R. 1148

                      [Report No. 115-444, Part I]

  To amend title XVIII of the Social Security Act to expand access to 
    telehealth-eligible stroke services under the Medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 16, 2017

Mr. Griffith (for himself, Mrs. Beatty, Mr. Carter of Georgia, Mr. Ryan 
of Ohio, Mr. Collins of New York, Mr. Roe of Tennessee, Mr. Bilirakis, 
Mr. Abraham, Mr. Babin, Mr. Turner, and Mr. Johnson of Ohio) 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

                            December 6, 2017

 Additional sponsors: Mr. Graves of Georgia, Mr. Flores, Mr. Lipinski, 
    Mr. Pascrell, Mrs. Walorski, Mr. Sensenbrenner, Mr. Harris, Ms. 
   McCollum, Mr. Clay, Ms. McSally, Mr. Mooney of West Virginia, Mr. 
Tonko, Mr. Wenstrup, Mr. Hudson, Mr. O'Rourke, Mr. Meehan, Mr. Harper, 
  Mr. Joyce of Ohio, Mr. Barr, Mr. Cole, Mr. Polis, Mr. Rothfus, Ms. 
   Rosen, Mr. Pocan, Mr. Loudermilk, Mr. David Scott of Georgia, Mr. 
    Nunes, Mr. Schweikert, Ms. Lofgren, Mr. Coffman, Mr. Murphy of 
Pennsylvania, Mr. Amodei, Mr. Long, Ms. Schakowsky, Mr. Rutherford, Mr. 
    Ruppersberger, Ms. DelBene, Mr. Wilson of South Carolina, Mrs. 
Blackburn, Ms. Brownley of California, Mr. Schrader, Mr. Cardenas, Mrs. 
Davis of California, Mr. Engel, Mr. Blumenauer, Ms. Sewell of Alabama, 
  Mr. Upton, Mr. Ben Ray Lujan of New Mexico, Ms. Roybal-Allard, Mr. 
 Kilmer, Mr. Kind, Mr. Michael F. Doyle of Pennsylvania, Mr. Cummings, 
  Mr. Heck, Mr. Welch, Ms. Michelle Lujan Grisham of New Mexico, Mr. 
  Crist, Mr. Costa, Ms. Jenkins of Kansas, Mr. Emmer, Ms. Eshoo, Mr. 
Bera, Ms. Matsui, Mr. Walz, Mr. Gallego, Mr. Cartwright, Mr. Dunn, Ms. 
Wasserman Schultz, Mr. McKinley, Mr. Mullin, Ms. Barragan, Mr. Bucshon, 
 Mr. Brendan F. Boyle of Pennsylvania, Mr. Marshall, Mr. Paulsen, Mr. 
 Soto, Mr. Takano, Mr. Ellison, Mrs. McMorris Rodgers, Mr. Himes, Mr. 
 Poliquin, Mr. Stivers, Mr. Rice of South Carolina, Mr. Lowenthal, Mr. 
   Stewart, Ms. Judy Chu of California, Mr. Raskin, Mr. Knight, Mr. 
  Kinzinger, Ms. DeGette, Mr. Cicilline, Mr. Smith of New Jersey, Mr. 
 Jody B. Hice of Georgia, Ms. Esty of Connecticut, Mr. Young of Iowa, 
   Mr. Cook, Mr. Cuellar, Mr. King of Iowa, Mr. Cohen, Mr. Ruiz, Mr. 
  Goodlatte, Mr. Thompson of California, Mr. Curbelo of Florida, Mr. 
Roskam, Mr. Bishop of Georgia, Mr. Yarmuth, Mr. Vela, Mr. Loebsack, Mr. 
Foster, Mr. Perlmutter, Mr. Gottheimer, Mr. Fortenberry, Mr. Ferguson, 
  Mrs. Napolitano, Ms. Shea-Porter, Mr. Fitzpatrick, Mr. Barton, Mr. 
   Farenthold, Mr. Smucker, Mr. Peters, Mr. Norman, Mr. Chabot, Mr. 
Guthrie, Mr. Hastings, Ms. Clarke of New York, Mr. Donovan, Mr. Higgins 
of New York, Mr. Posey, Mr. Lance, Mr. Crowley, Mr. Kennedy, Mr. Dent, 
  Mrs. Brooks of Indiana, Mr. Shimkus, Mr. Panetta, Mr. Barletta, Mr. 
 Reed, Ms. Sinema, Mr. Sessions, Mr. Cramer, Mr. McGovern, Ms. Moore, 
      Mr. Hollingsworth, Mr. Nolan, Mr. Doggett, Mr. Costello of 
 Pennsylvania, Mr. Khanna, Mr. Brady of Pennsylvania, Ms. Pingree, Mr. 
Young of Alaska, Mr. Kelly of Pennsylvania, Ms. Slaughter, Mrs. Murphy 
of Florida, Mr. Lewis of Minnesota, Mr. Blum, Mr. Burgess, Mr. Thompson 
of Pennsylvania, Mr. Peterson, Mr. Lewis of Georgia, Mr. McNerney, Mr. 
 Katko, Mr. Gonzalez of Texas, Mr. Walberg, Mr. Smith of Missouri, Mr. 
            Byrne, Mr. LaHood, and Mr. Larson of Connecticut

                            December 6, 2017

  Reported from the Committee on Energy and Commerce with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

                            December 6, 2017

The Committee on Ways and Means discharged; committed to the Committee 
 of the Whole House on the State of the Union and ordered to be printed
    [For text of introduced bill, see copy of bill as introduced on 
                           February 16, 2017]

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to expand access to 
    telehealth-eligible stroke services under the Medicare program.


 


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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Furthering Access to Stroke 
Telemedicine Act of 2017'' or the ``FAST Act of 2017''.

SEC. 2. EXPANDING ACCESS TO TELEHEALTH-ELIGIBLE STROKE SERVICES UNDER 
              THE MEDICARE PROGRAM.

    (a) In General.--Section 1834(m)(4) of the Social Security Act (42 
U.S.C. 1395m(m)(4)) is amended--
            (1) in subparagraph (C)--
                    (A) in clause (i), in the matter preceding 
                subclause (I), by striking ``The term'' and inserting 
                ``Except as provided in clause (iii), the term''; and
                    (B) by adding at the end the following new clause:
                            ``(iii) Telehealth-eligible stroke 
                        services.--With respect to telehealth-eligible 
                        stroke services, the term `originating site' 
                        means any hospital (as defined in section 
                        1861(e)) or critical access hospital (as 
                        defined in section 1861(mm)(1)), or any mobile 
                        stroke unit, at which the eligible telehealth 
                        individual is located at the time the service 
                        is furnished via a telecommunications system, 
                        regardless of where the hospital, critical 
                        access hospital, or mobile stroke unit is 
                        located.'';
            (2) in subparagraph (F)(i) by inserting ``telehealth-
        eligible stroke services,'' after ``Secretary)),''; and
            (3) by adding at the end the following new subparagraph:
                    ``(G) Telehealth-eligible stroke services.--The 
                term `telehealth-eligible stroke services' means 
                services that are--
                            ``(i) related to the diagnosis, evaluation, 
                        or treatment of symptoms of an acute stroke in 
                        an individual; and
                            ``(ii) furnished to such individual not 
                        later than four and a half hours (or such other 
                        clinically appropriate amount of time as is 
                        determined by the Secretary) after the onset of 
                        such symptoms with respect to such 
                        individual.''.
    (b) 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--
            (1) by redesignating clauses (i) and (ii) as subclauses (I) 
        and (II), respectively (and adjusting the margins accordingly);
            (2) in subclause (II), as redesignated by paragraph (1), by 
        striking ``clause (i) or this clause'' and inserting 
        ``subclause (I) or this subclause'';
            (3) by striking ``Site.--With respect to'' and inserting 
        ``Site.--
                            ``(i) In general.--With respect to'';
            (4) by striking ``subject to section 1833(a)(1)(U)'' and 
        inserting ``subject to clause (ii) and section 1833(a)(1)(U)''; 
        and
            (5) by adding at the end the following new clause:
                            ``(ii) No originating site facility fee for 
                        certain telestroke services.--No facility fee 
                        shall be paid under this subparagraph to an 
                        originating site that is described in clause 
                        (iii) of paragraph (4)(C) and that would not 
                        otherwise meet the requirements for an 
                        originating site under paragraph (4)(C) without 
                        application of the amendments made by the FAST 
                        Act of 2017.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2021.
                                                 Union Calendar No. 328

115th CONGRESS

  1st Session

                               H. R. 1148

                      [Report No. 115-444, Part I]

_______________________________________________________________________

                                 A BILL

  To amend title XVIII of the Social Security Act to expand access to 
    telehealth-eligible stroke services under the Medicare program.

_______________________________________________________________________

                            December 6, 2017

  Reported from the Committee on Energy and Commerce with an amendment

                            December 6, 2017

The Committee on Ways and Means discharged; committed to the Committee 
 of the Whole House on the State of the Union and ordered to be printed