S.Amdt. 1031
What it does: Adds SEC. ____. INCREASING TYPES OF ORIGINATING TELEHEALTH SITES AND FACILITATING THE PROVISION OF TELEHEALTH SERVICES ACROSS STATE LINES at the end of subtitle B of title IV
Sen. Mike Crapo (R-ID)What it changes
1 change to S. 1 · shown in the bill's text
Adds SEC. ____. INCREASING TYPES OF ORIGINATING TELEHEALTH SITES AND FACILITATING THE PROVISION OF TELEHEALTH SERVICES ACROSS STATE LINES at the end of subtitle B of title IV
Adds a sectionIn S. 1 · Reported to Senate
(b) Report.--Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall submit to Congress a report on the study conducted under subsection (a). The report shall include recommendations regarding the use of more current data in computing geographic cost of practice indices as well as the use of data directly representative of physicians' costs (rather than proxy measures of such costs).
Inserted: SEC. ____. INCREASING TYPES OF ORIGINATING TELEHEALTH SITES AND FACILITATING THE PROVISION OF TELEHEALTH SERVICES ACROSS STATE LINES.
Inserted: (a) Increasing Types of Originating Sites.--Section 1834(m)(4)(C)(ii) (42 U.S.C. 1395m(m)(4)(C)(ii)) is amended by adding at the end the following new subclauses:
Inserted: "(VI) A skilled nursing facility (as defined in section 1819(a)).
Inserted: "(VII) An assisted-living facility (as defined by the Secretary).
Inserted: "(VIII) A board-and-care home (as defined by the Secretary).
Inserted: "(IX) A county of community health clinic (as defined by the Secretary).
Inserted: "(X) A community mental health center (as described in section 1861(ff)(2)(B)).
Inserted: "(XI) A long-term care facility (as defined by the Secretary).
Inserted: "(XII) A facility operated by the Indian Health Service or by an Indian tribe, tribal organization, or an urban Indian organization (as such terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)) directly, or under contract or other arrangement.".
Inserted: (b) Facilitating the Provision of Telehealth Services Across State Lines.--
Inserted: (1) In general.--For purposes of expediting the provision of telehealth services for which payment is made under the medicare program under section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)), across State lines, the Secretary shall, in consultation with representatives of States, physicians, health care practitioners, and patient advocates, encourage and facilitate the adoption of State provisions allowing for multistate practitioner licensure across State lines.
Inserted: (2) Definitions.--In this subsection:
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Inserted: (A) Telehealth service.--The term "telehealth service" has the meaning given that term in subparagraph (F)(i) of section 1834(m)(4) of the Social Security Act (42 U.S.C. 1395m(m)(4)).
Inserted: (B) Physician, practitioner.--The terms "physician" and "practitioner" have the meaning given those terms in subparagraphs (D) and (E), respectively, of such section.
Inserted: (C) Medicare program.--The term "medicare program" means the program of health insurance administered by the Secretary under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).
Original wording
At the end of subtitle B of title IV, add the following:
Read automatically from the Congressional Record. Check the original before relying on it.
As printed
SA 1031. Mr. CARPER submitted an amendment intended to be proposed by him to the bill S. 1, to amend title XVIII of the Social Security Act to make improvements in the medicare program, to provide prescription drug coverage under the medicare program, and for other purposes; which was ordered to lie on the table; as follows:
At the end of subtitle B of title IV, add the following:
SEC. ____. INCREASING TYPES OF ORIGINATING TELEHEALTH SITES AND FACILITATING THE PROVISION OF TELEHEALTH SERVICES ACROSS STATE LINES.
(a) Increasing Types of Originating Sites.--Section 1834(m)(4)(C)(ii) (42 U.S.C. 1395m(m)(4)(C)(ii)) is amended by adding at the end the following new subclauses:
“(VI) A skilled nursing facility (as defined in section 1819(a)).
“(VII) An assisted-living facility (as defined by the Secretary).
“(VIII) A board-and-care home (as defined by the Secretary).
“(IX) A county of community health clinic (as defined by the Secretary).
“(X) A community mental health center (as described in section 1861(ff)(2)(B)).
“(XI) A long-term care facility (as defined by the Secretary).
“(XII) A facility operated by the Indian Health Service or by an Indian tribe, tribal organization, or an urban Indian organization (as such terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)) directly, or under contract or other arrangement.”.
(b) Facilitating the Provision of Telehealth Services Across State Lines.--
(1) In general.--For purposes of expediting the provision of telehealth services for which payment is made under the medicare program under section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)), across State lines, the Secretary shall, in consultation with representatives of States, physicians, health care practitioners, and patient advocates, encourage and facilitate the adoption of State provisions allowing for multistate practitioner licensure across State lines.
(2) Definitions.--In this subsection:
(A) Telehealth service.--The term “telehealth service” has the meaning given that term in subparagraph (F)(i) of section 1834(m)(4) of the Social Security Act (42 U.S.C. 1395m(m)(4)).
(B) Physician, practitioner.--The terms “physician” and “practitioner” have the meaning given those terms in subparagraphs (D) and (E), respectively, of such section.
(C) Medicare program.--The term “medicare program” means the program of health insurance administered by the Secretary under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).
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Senate amendment submitted
June 24, 2003