S.Amdt. 5359

SA 5359. Ms. COLLINS submitted an amendment intended to be proposed
to amendment SA 5194 proposed by Mr. Schumer to the bill H.R. 5376, to
provide for reconciliation pursuant to title II of S. Con. Res. 14;
which was ordered to lie on the table; as follows:

At the end of title I, add the following:

Subtitle E--Extending Telehealth Flexibilities Under Medicare

SEC. 14001. REMOVING GEOGRAPHIC REQUIREMENTS AND EXPANDING
ORIGINATING SITES FOR TELEHEALTH SERVICES.

Section 1834(m) of the Social Security Act (42 U.S.C.
1395m(m)) is amended--
(1) in paragraph (2)(B)(iii)--
(A) by striking ``With'' and inserting ``In the case that
the emergency period described in section 1135(g)(1)(B) ends
before September 12, 2023, with''; and
(B) by striking ``that are furnished during the 151-day
period beginning on the first day after the end of the
emergency period described in section 1135(g)(1)(B)'' and
inserting ``that are furnished during the period beginning on
the first day after the end of such emergency period and
ending September 12, 2023''; and
(2) in paragraph (4)(C)(iii)--
(A) by striking ``With'' and inserting ``In the case that
the emergency period described in section 1135(g)(1)(B) ends
before September 12, 2023, with''; and
(B) by striking ``that are furnished during the 151-day
period beginning on the first day after the end of the
emergency period described in section 1135(g)(1)(B)'' and
inserting ``that are furnished during the period beginning on
the first day after the end of such emergency period and
ending on September 12, 2023''.

SEC. 14002. EXPANDING PRACTITIONERS ELIGIBLE TO FURNISH
TELEHEALTH SERVICES.

Section 1834(m)(4)(E) of the Social Security Act (42 U.S.C.
1395m(m)(4)(E)) is amended by striking ``and, for the 151-day
period beginning on the first day after the end of the
emergency period described in section 1135(g)(1)(B)'' and
inserting ``and, in the case that the emergency period
described in section 1135(g)(1)(B) ends before September 12,
2023, for the period beginning on the first day after the end
of such emergency period and ending on September 12, 2023''.

SEC. 14003. EXTENDING TELEHEALTH SERVICES FOR FEDERALLY
QUALIFIED HEALTH CENTERS AND RURAL HEALTH
CLINICS.

Section 1834(m)(8)(A) of the Social Security Act (42 U.S.C.
1395m(m)(8)(A)) is amended by striking ``during the 151-day
period beginning on the first day after the end of such
emergency period'' and inserting ``in the case that such
emergency period ends before September 12, 2023, during the
period beginning on the first day after the end of such
emergency period and ending on September 12, 2023''.

SEC. 14004. DELAYING THE IN-PERSON REQUIREMENTS UNDER
MEDICARE FOR MENTAL HEALTH SERVICES FURNISHED
THROUGH TELEHEALTH AND TELECOMMUNICATIONS
TECHNOLOGY.

(a) Delay in Requirements for Mental Health Services
Furnished Through Telehealth.--Section 1834(m)(7)(B)(i) of
the Social Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is
amended, in the matter preceding subclause (I), by striking
``on or after the day that is the 152nd day after the end of
the period at the end of the emergency sentence described in
section 1135(g)(1)(B))'' and inserting ``on or after
September 13, 2023 (or, if later, the first day after the end
of the emergency period described in section
1135(g)(1)(B))''.
(b) Mental Health Visits Furnished by Rural Health
Clinics.--Section 1834(y) of the Social Security Act (42
U.S.C. 1395m(y)) is amended--
(1) in the heading, by striking ``to hospice patients'';
and
(2) in paragraph (2), by striking ``prior to the day that
is the 152nd day after the end of the emergency period
described in section 1135(g)(1)(B))'' and inserting ``prior
to September 13, 2023 (or, if later, the first day after the
end of the emergency period described in section
1135(g)(1)(B))''.
(c) Mental Health Visits Furnished by Federally Qualified
Health Centers.--Section 1834(o)(4) of the Social Security
Act (42 U.S.C. 1395m(o)(4) is amended--
(1) in the heading, by striking ``to hospice patients'';
and
(2) in subparagraph (B), by striking ``prior to the day
that is the 152nd day after the end of the emergency period
described in section 1135(g)(1)(B))'' and inserting ``prior
to September 13, 2023 (or, if later, the first day after the
end of the emergency period described in section
1135(g)(1)(B))''.

SEC. 14005. ALLOWING FOR THE FURNISHING OF AUDIO-ONLY
TELEHEALTH SERVICES.

Section 1834(m)(9) of the Social Security Act (42 U.S.C.
1395m(m)(9)) is amended by striking ``The Secretary shall
continue to provide coverage and payment under this part for
telehealth services identified in paragraph (4)(F)(i) as of
the date of the enactment of this paragraph that are
furnished via an audio-only telecommunications system during
the 151-day period beginning on the first day after the end
of the emergency period described in section 1135(g)(1)(B)''
and inserting ``In the case that the emergency period
described in section 1135(g)(1)(B) ends before September 12,
2023, the Secretary shall continue to provide coverage and
payment under this part for telehealth services identified in
paragraph (4)(F)(i) that are furnished via an audio-only
communications system during the period beginning on the
first day after the end of such emergency period and ending
on September 12, 2023''.

SEC. 14006. USE OF TELEHEALTH TO CONDUCT FACE-TO-FACE
ENCOUNTER PRIOR TO RECERTIFICATION OF
ELIGIBILITY FOR HOSPICE CARE DURING EMERGENCY
PERIOD.

Section 1814(a)(7)(D)(i)(II) of the Social Security Act (42
U.S.C. 1395f(a)(7)(D)(i)(II)) is amended by striking ``and
during the 151-day period beginning on the first day after
the end of such emergency period'' and inserting ``and, in
the case that such emergency period ends before September 12,
2023, during the period beginning on the first day after the
end of such emergency period described in such section
1135(g)(1)(B) and ending on September 12, 2023''.

SEC. 14007. REDUCTION IN FUNDING.

Section 11004 of this Act is amended by striking
``$3,000,000,000'' and inserting ``500,000,000''.
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