Us Congress 2025-2026 Regular Session

Us Congress House Bill HB783 Compare Versions

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11 I
22 119THCONGRESS
33 1
44 STSESSION H. R. 783
55 To amend title XVIII of the Social Security Act to permanently extend
66 certain in-home cardiopulmonary rehabilitation flexibilities established in
77 response to COVID–19, and for other purposes.
88 IN THE HOUSE OF REPRESENTATIVES
99 JANUARY28, 2025
1010 Mr. J
1111 OYCEof Pennsylvania (for himself, Mr. PETERS, Mr. FITZPATRICK, and
1212 Mr. P
1313 ANETTA) introduced the following bill; which was referred to the
1414 Committee on Energy and Commerce, and in addition to the Committee
1515 on Ways and Means, for a period to be subsequently determined by the
1616 Speaker, in each case for consideration of such provisions as fall within
1717 the jurisdiction of the committee concerned
1818 A BILL
1919 To amend title XVIII of the Social Security Act to perma-
2020 nently extend certain in-home cardiopulmonary rehabili-
2121 tation flexibilities established in response to COVID–
2222 19, and for other purposes.
2323 Be it enacted by the Senate and House of Representa-1
2424 tives of the United States of America in Congress assembled, 2
2525 SECTION 1. SHORT TITLE. 3
2626 This Act may be cited as the ‘‘Sustainable 4
2727 Cardiopulmonary Rehabilitation Services in the Home 5
2828 Act’’. 6
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3131 •HR 783 IH
3232 SEC. 2. CODIFYING IN-HOME CARDIOPULMONARY REHA-1
3333 BILITATION FLEXIBILITIES ESTABLISHED IN 2
3434 RESPONSE TO COVID–19. 3
3535 (a) I
3636 NGENERAL.—Section 1861(eee)(2) of the Social 4
3737 Security Act (42 U.S.C. 1395x(eee)(2)) is amended— 5
3838 (1) in subparagraph (A)(ii), by inserting ‘‘, in-6
3939 cluding in the home of an individual when furnished 7
4040 as a telehealth service through two-way audio-visual 8
4141 communications technology, or when such home is 9
4242 designated as a provider-based location of a hospital 10
4343 outpatient department’’ after ‘‘outpatient basis’’; 11
4444 and 12
4545 (2) in subparagraph (B), by inserting ‘‘, includ-13
4646 ing through the virtual presence of such physician, 14
4747 physician assistant, nurse practitioner, or clinical 15
4848 nurse specialist, through two-way audio-visual com-16
4949 munications technology’’ after ‘‘under the program’’. 17
5050 (b) E
5151 XPANDING ORIGINATING SITES.—Section 18
5252 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) 19
5353 is amended— 20
5454 (1) in paragraph (1), by striking ‘‘and (9)’’ 21
5555 through ‘‘(as defined in paragraph (4)(E))’’ and in-22
5656 serting ‘‘, (9), and (10), the Secretary shall pay for 23
5757 telehealth services that are furnished via a tele-24
5858 communications system by a physician (as defined in 25
5959 section 1861(r)) or a practitioner (as defined in 26
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6262 •HR 783 IH
6363 paragraph (4)(E)), or by a hospital (as defined in 1
6464 section 1861(e))’’; 2
6565 (2) in paragraph (2)(A), by striking ‘‘or practi-3
6666 tioner’’ and inserting ‘‘, practitioner, or hospital’’ in 4
6767 each place that it appears; 5
6868 (3) in paragraph (4)(A), by striking ‘‘or practi-6
6969 tioner’’ and inserting ‘‘, practitioner, or hospital’’; 7
7070 (4) in paragraph (4)(C)— 8
7171 (A) in clause (i), by striking ‘‘and (7)’’ and 9
7272 inserting ‘‘(7), and (10)’’; and 10
7373 (B) in clause (ii)(X), by striking ‘‘para-11
7474 graph (7)’’ and inserting ‘‘paragraphs (7) and 12
7575 (10)’’; 13
7676 (5) in paragraph (4)(F)(i), by striking ‘‘para-14
7777 graph (8)’’ and inserting ‘‘paragraphs (8) and (10)’’; 15
7878 and 16
7979 (6) by adding at the end the following new 17
8080 paragraph: 18
8181 ‘‘(10) T
8282 REATMENT OF IN-HOME CARDIAC REHA -19
8383 BILITATION PROGRAM , INTENSIVE CARDIAC REHA -20
8484 BILITATION PROGRAM, AND PULMONARY REHABILI -21
8585 TATION PROGRAM VISITS .—The geographic require-22
8686 ments described in paragraph (4)(C)(i) shall not 23
8787 apply with respect to telehealth services for cardiac 24
8888 rehabilitation programs and intensive cardiac reha-25
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9292 bilitation programs (as such terms are defined in 1
9393 section 1861(eee)) and pulmonary rehabilitation pro-2
9494 grams (as defined in section 1861(fff)) at an origi-3
9595 nating site described in subclauses (V) and (X) of 4
9696 paragraph (4)(C)(ii).’’. 5
9797 (c) R
9898 ULEMAKINGTOESTABLISHSTANDARDS AND 6
9999 A
100100 LLOW FOR CERTAINPROGRAMSTOUTILIZETELE-7
101101 HEALTHSERVICES.— 8
102102 (1) I
103103 N GENERAL.—The Secretary of Health and 9
104104 Human Services shall promulgate rules to— 10
105105 (A) establish standards for the designation 11
106106 of the home of an individual with status as a 12
107107 provider-based organization of a hospital con-13
108108 sistent with waivers issued through the Hospital 14
109109 Without Walls program for cardiac rehabilita-15
110110 tion, pulmonary rehabilitation, and intensive 16
111111 cardiac rehabilitation; and 17
112112 (B) include cardiac rehabilitation programs 18
113113 and intensive cardiac rehabilitation programs 19
114114 (as such terms are defined in section 1861(eee) 20
115115 of the Social Security Act (42 U.S.C. 21
116116 1395x(eee))), and pulmonary rehabilitation pro-22
117117 grams (as defined in section 1861(fff) of such 23
118118 Act (42 U.S.C. 1395x(fff))) among telehealth 24
119119 services to be specified under section 25
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122122 •HR 783 IH
123123 1834(m)(4)(F) of such Act (42 U.S.C. 1
124124 1395m(m)(4)(F)). 2
125125 (2) E
126126 FFECTIVE DATE.—The standards estab-3
127127 lished under paragraph (1) shall take effect on the 4
128128 date on which such standards are issued by the Sec-5
129129 retary of Health and Human Services. 6
130130 Æ
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