I
119THCONGRESS
1
STSESSION H. R. 783
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
JANUARY28, 2025
Mr. J
OYCEof Pennsylvania (for himself, Mr. PETERS, Mr. FITZPATRICK, and
Mr. P
ANETTA) 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 perma-
nently extend certain in-home cardiopulmonary rehabili-
tation flexibilities established in response to COVID–
19, and for other purposes.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Sustainable 4
Cardiopulmonary Rehabilitation Services in the Home 5
Act’’. 6
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SEC. 2. CODIFYING IN-HOME CARDIOPULMONARY REHA-1
BILITATION FLEXIBILITIES ESTABLISHED IN 2
RESPONSE TO COVID–19. 3
(a) I
NGENERAL.—Section 1861(eee)(2) of the Social 4
Security Act (42 U.S.C. 1395x(eee)(2)) is amended— 5
(1) in subparagraph (A)(ii), by inserting ‘‘, in-6
cluding in the home of an individual when furnished 7
as a telehealth service through two-way audio-visual 8
communications technology, or when such home is 9
designated as a provider-based location of a hospital 10
outpatient department’’ after ‘‘outpatient basis’’; 11
and 12
(2) in subparagraph (B), by inserting ‘‘, includ-13
ing through the virtual presence of such physician, 14
physician assistant, nurse practitioner, or clinical 15
nurse specialist, through two-way audio-visual com-16
munications technology’’ after ‘‘under the program’’. 17
(b) E
XPANDING ORIGINATING SITES.—Section 18
1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) 19
is amended— 20
(1) in paragraph (1), by striking ‘‘and (9)’’ 21
through ‘‘(as defined in paragraph (4)(E))’’ and in-22
serting ‘‘, (9), and (10), the Secretary shall pay for 23
telehealth services that are furnished via a tele-24
communications system by a physician (as defined in 25
section 1861(r)) or a practitioner (as defined in 26
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•HR 783 IH
paragraph (4)(E)), or by a hospital (as defined in 1
section 1861(e))’’; 2
(2) in paragraph (2)(A), by striking ‘‘or practi-3
tioner’’ and inserting ‘‘, practitioner, or hospital’’ in 4
each place that it appears; 5
(3) in paragraph (4)(A), by striking ‘‘or practi-6
tioner’’ and inserting ‘‘, practitioner, or hospital’’; 7
(4) in paragraph (4)(C)— 8
(A) in clause (i), by striking ‘‘and (7)’’ and 9
inserting ‘‘(7), and (10)’’; and 10
(B) in clause (ii)(X), by striking ‘‘para-11
graph (7)’’ and inserting ‘‘paragraphs (7) and 12
(10)’’; 13
(5) in paragraph (4)(F)(i), by striking ‘‘para-14
graph (8)’’ and inserting ‘‘paragraphs (8) and (10)’’; 15
and 16
(6) by adding at the end the following new 17
paragraph: 18
‘‘(10) T
REATMENT OF IN-HOME CARDIAC REHA -19
BILITATION PROGRAM , INTENSIVE CARDIAC REHA -20
BILITATION PROGRAM, AND PULMONARY REHABILI -21
TATION PROGRAM VISITS .—The geographic require-22
ments described in paragraph (4)(C)(i) shall not 23
apply with respect to telehealth services for cardiac 24
rehabilitation programs and intensive cardiac reha-25
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bilitation programs (as such terms are defined in 1
section 1861(eee)) and pulmonary rehabilitation pro-2
grams (as defined in section 1861(fff)) at an origi-3
nating site described in subclauses (V) and (X) of 4
paragraph (4)(C)(ii).’’. 5
(c) R
ULEMAKINGTOESTABLISHSTANDARDS AND 6
A
LLOW FOR CERTAINPROGRAMSTOUTILIZETELE-7
HEALTHSERVICES.— 8
(1) I
N GENERAL.—The Secretary of Health and 9
Human Services shall promulgate rules to— 10
(A) establish standards for the designation 11
of the home of an individual with status as a 12
provider-based organization of a hospital con-13
sistent with waivers issued through the Hospital 14
Without Walls program for cardiac rehabilita-15
tion, pulmonary rehabilitation, and intensive 16
cardiac rehabilitation; and 17
(B) include cardiac rehabilitation programs 18
and intensive cardiac rehabilitation programs 19
(as such terms are defined in section 1861(eee) 20
of the Social Security Act (42 U.S.C. 21
1395x(eee))), and pulmonary rehabilitation pro-22
grams (as defined in section 1861(fff) of such 23
Act (42 U.S.C. 1395x(fff))) among telehealth 24
services to be specified under section 25
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1834(m)(4)(F) of such Act (42 U.S.C. 1
1395m(m)(4)(F)). 2
(2) E
FFECTIVE DATE.—The standards estab-3
lished under paragraph (1) shall take effect on the 4
date on which such standards are issued by the Sec-5
retary of Health and Human Services. 6
Æ
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