[Congressional Record Volume 168, Number 133 (Saturday, August 6, 2022)]
[Senate]
[Page S4325]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 5359. Ms. COLLINS submitted an amendment intended to be proposed 
to amendment SA 5194 proposed by Mr. Schumer to the bill H.R. 5376, to 
provide for reconciliation pursuant to title II of S. Con. Res. 14; 
which was ordered to lie on the table; as follows:

        At the end of title I, add the following:

     Subtitle E--Extending Telehealth Flexibilities Under Medicare

     SEC. 14001. REMOVING GEOGRAPHIC REQUIREMENTS AND EXPANDING 
                   ORIGINATING SITES FOR TELEHEALTH SERVICES.

       Section 1834(m) of the Social Security Act (42 U.S.C. 
     1395m(m)) is amended--
       (1) in paragraph (2)(B)(iii)--
       (A) by striking ``With'' and inserting ``In the case that 
     the emergency period described in section 1135(g)(1)(B) ends 
     before September 12, 2023, with''; and
       (B) by striking ``that are furnished during the 151-day 
     period beginning on the first day after the end of the 
     emergency period described in section 1135(g)(1)(B)'' and 
     inserting ``that are furnished during the period beginning on 
     the first day after the end of such emergency period and 
     ending September 12, 2023''; and
       (2) in paragraph (4)(C)(iii)--
       (A) by striking ``With'' and inserting ``In the case that 
     the emergency period described in section 1135(g)(1)(B) ends 
     before September 12, 2023, with''; and
       (B) by striking ``that are furnished during the 151-day 
     period beginning on the first day after the end of the 
     emergency period described in section 1135(g)(1)(B)'' and 
     inserting ``that are furnished during the period beginning on 
     the first day after the end of such emergency period and 
     ending on September 12, 2023''.

     SEC. 14002. EXPANDING PRACTITIONERS ELIGIBLE TO FURNISH 
                   TELEHEALTH SERVICES.

       Section 1834(m)(4)(E) of the Social Security Act (42 U.S.C. 
     1395m(m)(4)(E)) is amended by striking ``and, for the 151-day 
     period beginning on the first day after the end of the 
     emergency period described in section 1135(g)(1)(B)'' and 
     inserting ``and, in the case that the emergency period 
     described in section 1135(g)(1)(B) ends before September 12, 
     2023, for the period beginning on the first day after the end 
     of such emergency period and ending on September 12, 2023''.

     SEC. 14003. EXTENDING TELEHEALTH SERVICES FOR FEDERALLY 
                   QUALIFIED HEALTH CENTERS AND RURAL HEALTH 
                   CLINICS.

       Section 1834(m)(8)(A) of the Social Security Act (42 U.S.C. 
     1395m(m)(8)(A)) is amended by striking ``during the 151-day 
     period beginning on the first day after the end of such 
     emergency period'' and inserting ``in the case that such 
     emergency period ends before September 12, 2023, during the 
     period beginning on the first day after the end of such 
     emergency period and ending on September 12, 2023''.

     SEC. 14004. DELAYING THE IN-PERSON REQUIREMENTS UNDER 
                   MEDICARE FOR MENTAL HEALTH SERVICES FURNISHED 
                   THROUGH TELEHEALTH AND TELECOMMUNICATIONS 
                   TECHNOLOGY.

       (a) Delay in Requirements for Mental Health Services 
     Furnished Through Telehealth.--Section 1834(m)(7)(B)(i) of 
     the Social Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is 
     amended, in the matter preceding subclause (I), by striking 
     ``on or after the day that is the 152nd day after the end of 
     the period at the end of the emergency sentence described in 
     section 1135(g)(1)(B))'' and inserting ``on or after 
     September 13, 2023 (or, if later, the first day after the end 
     of the emergency period described in section 
     1135(g)(1)(B))''.
       (b) Mental Health Visits Furnished by Rural Health 
     Clinics.--Section 1834(y) of the Social Security Act (42 
     U.S.C. 1395m(y)) is amended--
       (1) in the heading, by striking ``to hospice patients''; 
     and
       (2) in paragraph (2), by striking ``prior to the day that 
     is the 152nd day after the end of the emergency period 
     described in section 1135(g)(1)(B))'' and inserting ``prior 
     to September 13, 2023 (or, if later, the first day after the 
     end of the emergency period described in section 
     1135(g)(1)(B))''.
       (c) Mental Health Visits Furnished by Federally Qualified 
     Health Centers.--Section 1834(o)(4) of the Social Security 
     Act (42 U.S.C. 1395m(o)(4) is amended--
       (1) in the heading, by striking ``to hospice patients''; 
     and
       (2) in subparagraph (B), by striking ``prior to the day 
     that is the 152nd day after the end of the emergency period 
     described in section 1135(g)(1)(B))'' and inserting ``prior 
     to September 13, 2023 (or, if later, the first day after the 
     end of the emergency period described in section 
     1135(g)(1)(B))''.

     SEC. 14005. ALLOWING FOR THE FURNISHING OF AUDIO-ONLY 
                   TELEHEALTH SERVICES.

       Section 1834(m)(9) of the Social Security Act (42 U.S.C. 
     1395m(m)(9)) is amended by striking ``The Secretary shall 
     continue to provide coverage and payment under this part for 
     telehealth services identified in paragraph (4)(F)(i) as of 
     the date of the enactment of this paragraph that are 
     furnished via an audio-only telecommunications system during 
     the 151-day period beginning on the first day after the end 
     of the emergency period described in section 1135(g)(1)(B)'' 
     and inserting ``In the case that the emergency period 
     described in section 1135(g)(1)(B) ends before September 12, 
     2023, the Secretary shall continue to provide coverage and 
     payment under this part for telehealth services identified in 
     paragraph (4)(F)(i) that are furnished via an audio-only 
     communications system during the period beginning on the 
     first day after the end of such emergency period and ending 
     on September 12, 2023''.

     SEC. 14006. USE OF TELEHEALTH TO CONDUCT FACE-TO-FACE 
                   ENCOUNTER PRIOR TO RECERTIFICATION OF 
                   ELIGIBILITY FOR HOSPICE CARE DURING EMERGENCY 
                   PERIOD.

       Section 1814(a)(7)(D)(i)(II) of the Social Security Act (42 
     U.S.C. 1395f(a)(7)(D)(i)(II)) is amended by striking ``and 
     during the 151-day period beginning on the first day after 
     the end of such emergency period'' and inserting ``and, in 
     the case that such emergency period ends before September 12, 
     2023, during the period beginning on the first day after the 
     end of such emergency period described in such section 
     1135(g)(1)(B) and ending on September 12, 2023''.

     SEC. 14007. REDUCTION IN FUNDING.

       Section 11004 of this Act is amended by striking 
     ``$3,000,000,000'' and inserting ``500,000,000''.
                                 ______