1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 783 |
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5 | 5 | | To amend title XVIII of the Social Security Act to permanently extend |
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6 | 6 | | certain in-home cardiopulmonary rehabilitation flexibilities established in |
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7 | 7 | | response to COVID–19, and for other purposes. |
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8 | 8 | | IN THE HOUSE OF REPRESENTATIVES |
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9 | 9 | | JANUARY28, 2025 |
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10 | 10 | | Mr. J |
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11 | 11 | | OYCEof Pennsylvania (for himself, Mr. PETERS, Mr. FITZPATRICK, and |
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12 | 12 | | Mr. P |
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13 | 13 | | ANETTA) introduced the following bill; which was referred to the |
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14 | 14 | | Committee on Energy and Commerce, and in addition to the Committee |
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15 | 15 | | on Ways and Means, for a period to be subsequently determined by the |
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16 | 16 | | Speaker, in each case for consideration of such provisions as fall within |
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17 | 17 | | the jurisdiction of the committee concerned |
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18 | 18 | | A BILL |
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19 | 19 | | To amend title XVIII of the Social Security Act to perma- |
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20 | 20 | | nently extend certain in-home cardiopulmonary rehabili- |
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21 | 21 | | tation flexibilities established in response to COVID– |
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22 | 22 | | 19, and for other purposes. |
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23 | 23 | | Be it enacted by the Senate and House of Representa-1 |
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24 | 24 | | tives of the United States of America in Congress assembled, 2 |
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25 | 25 | | SECTION 1. SHORT TITLE. 3 |
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26 | 26 | | This Act may be cited as the ‘‘Sustainable 4 |
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27 | 27 | | Cardiopulmonary Rehabilitation Services in the Home 5 |
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28 | 28 | | Act’’. 6 |
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30 | 30 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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31 | 31 | | •HR 783 IH |
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32 | 32 | | SEC. 2. CODIFYING IN-HOME CARDIOPULMONARY REHA-1 |
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33 | 33 | | BILITATION FLEXIBILITIES ESTABLISHED IN 2 |
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34 | 34 | | RESPONSE TO COVID–19. 3 |
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35 | 35 | | (a) I |
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36 | 36 | | NGENERAL.—Section 1861(eee)(2) of the Social 4 |
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37 | 37 | | Security Act (42 U.S.C. 1395x(eee)(2)) is amended— 5 |
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38 | 38 | | (1) in subparagraph (A)(ii), by inserting ‘‘, in-6 |
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39 | 39 | | cluding in the home of an individual when furnished 7 |
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40 | 40 | | as a telehealth service through two-way audio-visual 8 |
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41 | 41 | | communications technology, or when such home is 9 |
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42 | 42 | | designated as a provider-based location of a hospital 10 |
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43 | 43 | | outpatient department’’ after ‘‘outpatient basis’’; 11 |
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44 | 44 | | and 12 |
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45 | 45 | | (2) in subparagraph (B), by inserting ‘‘, includ-13 |
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46 | 46 | | ing through the virtual presence of such physician, 14 |
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47 | 47 | | physician assistant, nurse practitioner, or clinical 15 |
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48 | 48 | | nurse specialist, through two-way audio-visual com-16 |
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49 | 49 | | munications technology’’ after ‘‘under the program’’. 17 |
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50 | 50 | | (b) E |
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51 | 51 | | XPANDING ORIGINATING SITES.—Section 18 |
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52 | 52 | | 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) 19 |
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53 | 53 | | is amended— 20 |
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54 | 54 | | (1) in paragraph (1), by striking ‘‘and (9)’’ 21 |
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55 | 55 | | through ‘‘(as defined in paragraph (4)(E))’’ and in-22 |
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56 | 56 | | serting ‘‘, (9), and (10), the Secretary shall pay for 23 |
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57 | 57 | | telehealth services that are furnished via a tele-24 |
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58 | 58 | | communications system by a physician (as defined in 25 |
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59 | 59 | | section 1861(r)) or a practitioner (as defined in 26 |
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62 | 62 | | •HR 783 IH |
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63 | 63 | | paragraph (4)(E)), or by a hospital (as defined in 1 |
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64 | 64 | | section 1861(e))’’; 2 |
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65 | 65 | | (2) in paragraph (2)(A), by striking ‘‘or practi-3 |
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66 | 66 | | tioner’’ and inserting ‘‘, practitioner, or hospital’’ in 4 |
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67 | 67 | | each place that it appears; 5 |
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68 | 68 | | (3) in paragraph (4)(A), by striking ‘‘or practi-6 |
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69 | 69 | | tioner’’ and inserting ‘‘, practitioner, or hospital’’; 7 |
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70 | 70 | | (4) in paragraph (4)(C)— 8 |
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71 | 71 | | (A) in clause (i), by striking ‘‘and (7)’’ and 9 |
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72 | 72 | | inserting ‘‘(7), and (10)’’; and 10 |
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73 | 73 | | (B) in clause (ii)(X), by striking ‘‘para-11 |
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74 | 74 | | graph (7)’’ and inserting ‘‘paragraphs (7) and 12 |
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75 | 75 | | (10)’’; 13 |
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76 | 76 | | (5) in paragraph (4)(F)(i), by striking ‘‘para-14 |
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77 | 77 | | graph (8)’’ and inserting ‘‘paragraphs (8) and (10)’’; 15 |
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78 | 78 | | and 16 |
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79 | 79 | | (6) by adding at the end the following new 17 |
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80 | 80 | | paragraph: 18 |
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81 | 81 | | ‘‘(10) T |
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82 | 82 | | REATMENT OF IN-HOME CARDIAC REHA -19 |
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83 | 83 | | BILITATION PROGRAM , INTENSIVE CARDIAC REHA -20 |
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84 | 84 | | BILITATION PROGRAM, AND PULMONARY REHABILI -21 |
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85 | 85 | | TATION PROGRAM VISITS .—The geographic require-22 |
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86 | 86 | | ments described in paragraph (4)(C)(i) shall not 23 |
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87 | 87 | | apply with respect to telehealth services for cardiac 24 |
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88 | 88 | | rehabilitation programs and intensive cardiac reha-25 |
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91 | 91 | | •HR 783 IH |
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92 | 92 | | bilitation programs (as such terms are defined in 1 |
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93 | 93 | | section 1861(eee)) and pulmonary rehabilitation pro-2 |
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94 | 94 | | grams (as defined in section 1861(fff)) at an origi-3 |
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95 | 95 | | nating site described in subclauses (V) and (X) of 4 |
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96 | 96 | | paragraph (4)(C)(ii).’’. 5 |
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97 | 97 | | (c) R |
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98 | 98 | | ULEMAKINGTOESTABLISHSTANDARDS AND 6 |
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99 | 99 | | A |
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100 | 100 | | LLOW FOR CERTAINPROGRAMSTOUTILIZETELE-7 |
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101 | 101 | | HEALTHSERVICES.— 8 |
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102 | 102 | | (1) I |
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103 | 103 | | N GENERAL.—The Secretary of Health and 9 |
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104 | 104 | | Human Services shall promulgate rules to— 10 |
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105 | 105 | | (A) establish standards for the designation 11 |
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106 | 106 | | of the home of an individual with status as a 12 |
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107 | 107 | | provider-based organization of a hospital con-13 |
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108 | 108 | | sistent with waivers issued through the Hospital 14 |
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109 | 109 | | Without Walls program for cardiac rehabilita-15 |
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110 | 110 | | tion, pulmonary rehabilitation, and intensive 16 |
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111 | 111 | | cardiac rehabilitation; and 17 |
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112 | 112 | | (B) include cardiac rehabilitation programs 18 |
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113 | 113 | | and intensive cardiac rehabilitation programs 19 |
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114 | 114 | | (as such terms are defined in section 1861(eee) 20 |
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115 | 115 | | of the Social Security Act (42 U.S.C. 21 |
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116 | 116 | | 1395x(eee))), and pulmonary rehabilitation pro-22 |
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117 | 117 | | grams (as defined in section 1861(fff) of such 23 |
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118 | 118 | | Act (42 U.S.C. 1395x(fff))) among telehealth 24 |
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119 | 119 | | services to be specified under section 25 |
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122 | 122 | | •HR 783 IH |
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123 | 123 | | 1834(m)(4)(F) of such Act (42 U.S.C. 1 |
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124 | 124 | | 1395m(m)(4)(F)). 2 |
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125 | 125 | | (2) E |
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126 | 126 | | FFECTIVE DATE.—The standards estab-3 |
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127 | 127 | | lished under paragraph (1) shall take effect on the 4 |
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128 | 128 | | date on which such standards are issued by the Sec-5 |
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129 | 129 | | retary of Health and Human Services. 6 |
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130 | 130 | | Æ |
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