119-hr783

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 783 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 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

 January 28, 2025

 Mr. Joyce of Pennsylvania (for himself, Mr. Peters, Mr. Fitzpatrick, 
 and Mr. Panetta) 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.--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 date on which such 
 standards are issued by the Secretary of Health and Human 
 Services.
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