HR783-119

1. Short title This Act may be cited as the Sustainable Cardiopulmonary Rehabilitation Services in the Home Act.

2. Codifying in-home cardiopulmonary rehabilitation flexibilities established in response to COVID–19 Section 1861(eee)(2) of the Social Security Act (42 U.S.C. 1395x(eee)(2)) is amended— 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 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. Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended— 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)); in paragraph (2)(A), by striking or practitioner and inserting , practitioner, or hospital in each place that it appears; in paragraph (4)(A), by striking or practitioner and inserting , practitioner, or hospital; in paragraph (4)(C)— in clause (i), by striking and (7) and inserting (7), and (10); and in clause (ii)(X), by striking paragraph (7) and inserting paragraphs (7) and (10); in paragraph (4)(F)(i), by striking paragraph (8) and inserting paragraphs (8) and (10); and by adding at the end the following new paragraph: 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). The Secretary of Health and Human Services shall promulgate rules to— 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 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)). 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. (10)Treatment of in-home cardiac rehabilitation program, intensive cardiac rehabilitation program, and pulmonary rehabilitation program visitsThe 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)..