S. 248

119 S248 IS: Sustainable Cardiopulmonary Rehabilitation Services in the Home Act
 U.S. Senate
 2025-01-24
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 EN
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 II  119th CONGRESS  1st Session  S. 248  IN THE SENATE OF THE UNITED STATES   January 24, 2025   Mrs. Blackburn  (for herself and  Ms. Klobuchar ) introduced the following bill; which was read twice and referred to the  Committee on Finance    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.
1.
Short title
This Act may be cited as the   Sustainable Cardiopulmonary Rehabilitation Services in the Home Act  .
2.
Codifying virtual 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 audio-visual real-time 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 audio-visual real-time 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)  and all that follows 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  each place that it appears and inserting  , practitioner, or hospital ;
(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 cardiac rehabilitation program, intensive cardiac rehabilitation program, and pulmonary rehabilitation program visits furnished through telehealth
In the case of items and services furnished on or after January 1, 2026, 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 subclause (V) or (X) of paragraph (4)(C)(ii).
 .
(c)
Authority To establish standards and allow for certain programs To utilize telehealth services
(1)
In general
Not later than 30 days after the date of enactment of this section, the Secretary of Health and Human Services shall—
(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 items and services furnished under a cardiac rehabilitation program or under an intensive cardiac rehabilitation program (as such terms are defined in section 1861(eee) of the Social Security Act ( 42 U.S.C. 1395x(eee) ), or under a pulmonary rehabilitation program (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 apply to items and services furnished on or after January 1, 2026.
(d)
Implementation
Notwithstanding any other provision of the law, the Secretary of Health and Human Services may implement the provisions of, and the amendments made by, this section by program instruction or otherwise.
(e)
Effective date
The amendments made by subsections (a) and (b) shall apply to items and services furnished on or after January 1, 2026.