[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9427 Introduced in House (IH)]

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117th CONGRESS
  2d Session
                                H. R. 9427

 To amend title XVIII of the Social Security Act to permanently extend 
     certain in-home cardiopulmonary rehabilitation flexibilities 
      established in response to COVID-19, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            December 5, 2022

 Mr. Joyce of Pennsylvania (for himself, Mr. O'Halleran, Mr. Panetta, 
and Mr. Dunn) 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 title XVIII of the Social Security Act to permanently extend 
     certain in-home cardiopulmonary rehabilitation flexibilities 
      established in response to COVID-19, 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.

    This Act may be cited as the ``Sustainable Cardiopulmonary 
Rehabilitation Services in the Home Act''.

SEC. 2. CODIFYING IN-HOME CARDIOPULMONARY REHABILITATION FLEXIBILITIES 
              ESTABLISHED IN RESPONSE TO COVID-19.

    (a) In General.--Section 1861(eee)(2) of the Social Security Act 
(42 U.S.C. 1395x(eee)(2)) is amended--
            (1) in subparagraph (A)(ii), by inserting ``, including in 
        the home of an individual when furnished as a telehealth 
        service through two-way audio-visual communications technology, 
        or when such home is designated as a provider-based location of 
        a hospital outpatient department'' after ``outpatient basis''; 
        and
            (2) in subparagraph (B), by inserting ``, including through 
        the virtual presence of such physician, physician assistant, 
        nurse practitioner, or clinical nurse specialist, through two-
        way audio-visual communications technology'' after ``under the 
        program''.
    (b) Expanding Originating Sites.--Section 1834(m) of the Social 
Security Act (42 U.S.C. 1395m(m)) is amended--
            (1) in paragraph (1), by striking ``and (9)'' through ``(as 
        defined in paragraph (4)(E))'' and inserting ``, (9), and (10), 
        the Secretary shall pay for telehealth services that are 
        furnished via a telecommunications system by a physician (as 
        defined in section 1861(r)) or a practitioner (as defined in 
        paragraph (4)(E)), or by a hospital (as defined in section 
        1861(e))'';
            (2) in paragraph (2)(A), by striking ``or practitioner'' 
        and inserting ``, practitioner, or hospital'' in each place 
        that it appears;
            (3) in paragraph (4)(A), by striking ``or practitioner'' 
        and inserting ``, practitioner, or hospital'';
            (4) in paragraph (4)(C)--
                    (A) in clause (i), by striking ``and (7)'' and 
                inserting ``(7), and (10)''; and
                    (B) in clause (ii)(X), by striking ``paragraph 
                (7)'' and inserting ``paragraphs (7) and (10)'';
            (5) in paragraph (4)(F)(i), by striking ``paragraph (8)'' 
        and inserting ``paragraphs (8) and (10)''; and
            (6) by adding at the end the following new paragraph:
            ``(10) Treatment of in-home cardiac rehabilitation program, 
        intensive cardiac rehabilitation program, and pulmonary 
        rehabilitation program visits.--Beginning on the first day 
        following the end of the emergency period described in section 
        1135(g)(1)(B), the geographic requirements described in 
        paragraph (4)(C)(i) shall not apply with respect to telehealth 
        services for cardiac rehabilitation programs and intensive 
        cardiac rehabilitation programs (as such terms are defined in 
        section 1861(eee)) and pulmonary rehabilitation programs (as 
        defined in section 1861(fff)) at an originating site described 
        in subclauses (V) and (X) of paragraph (4)(C)(ii).''.
    (c) Rulemaking To Establish Standards and Allow for Certain 
Programs To Utilize Telehealth Services.--
            (1) In general.--The Secretary of Health and Human Services 
        shall promulgate rules to--
                    (A) establish standards for the designation of the 
                home of an individual with status as a provider-based 
                organization of a hospital consistent with waivers 
                issued through the Hospital Without Walls program for 
                cardiac rehabilitation, pulmonary rehabilitation, and 
                intensive cardiac rehabilitation; and
                    (B) include cardiac rehabilitation programs and 
                intensive cardiac rehabilitation programs (as such 
                terms are defined in section 1861(eee) of the Social 
                Security Act (42 U.S.C. 1395x(eee)), and pulmonary 
                rehabilitation programs (as defined in section 
                1861(fff) of such Act (42 U.S.C. 1395x(fff)) among 
                telehealth services to be specified under section 
                1834(m)(4)(F) of such Act (42 U.S.C. 1395m(m)(4)(F)).
            (2) Effective date.--The standards established under 
        paragraph (1) shall take effect on the later of the date on 
        which such standards are issued by the Secretary of Health and 
        Human Services, or on the first day after the end of the 
        emergency period described in section 1135(g)(1)(B) of the 
        Social Security Act (42 U.S.C. 1320b-5(g)(1)(B)).
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