IB
Union Calendar No. 328
115th CONGRESS
1st Session
H. R. 1148
[Report No. 115–444, Part I]
IN THE HOUSE OF REPRESENTATIVES
February 16, 2017
Mr. Griffith (for himself, Mrs. Beatty, Mr. Carter of Georgia, Mr. Ryan of Ohio, Mr. Collins of New York, Mr. Roe of Tennessee, Mr. Bilirakis, Mr. Abraham, Mr. Babin, Mr. Turner, and Mr. Johnson of Ohio) 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
December 6, 2017
Additional sponsors: Mr. Graves of Georgia, Mr. Flores, Mr. Lipinski, Mr. Pascrell, Mrs. Walorski, Mr. Sensenbrenner, Mr. Harris, Ms. McCollum, Mr. Clay, Ms. McSally, Mr. Mooney of West Virginia, Mr. Tonko, Mr. Wenstrup, Mr. Hudson, Mr. O'Rourke, Mr. Meehan, Mr. Harper, Mr. Joyce of Ohio, Mr. Barr, Mr. Cole, Mr. Polis, Mr. Rothfus, Ms. Rosen, Mr. Pocan, Mr. Loudermilk, Mr. David Scott of Georgia, Mr. Nunes, Mr. Schweikert, Ms. Lofgren, Mr. Coffman, Mr. Murphy of Pennsylvania, Mr. Amodei, Mr. Long, Ms. Schakowsky, Mr. Rutherford, Mr. Ruppersberger, Ms. DelBene, Mr. Wilson of South Carolina, Mrs. Blackburn, Ms. Brownley of California, Mr. Schrader, Mr. Cárdenas, Mrs. Davis of California, Mr. Engel, Mr. Blumenauer, Ms. Sewell of Alabama, Mr. Upton, Mr. Ben Ray Luján of New Mexico, Ms. Roybal-Allard, Mr. Kilmer, Mr. Kind, Mr. Michael F. Doyle of Pennsylvania, Mr. Cummings, Mr. Heck, Mr. Welch, Ms. Michelle Lujan Grisham of New Mexico, Mr. Crist, Mr. Costa, Ms. Jenkins of Kansas, Mr. Emmer, Ms. Eshoo, Mr. Bera, Ms. Matsui, Mr. Walz, Mr. Gallego, Mr. Cartwright, Mr. Dunn, Ms. Wasserman Schultz, Mr. McKinley, Mr. Mullin, Ms. Barragán, Mr. Bucshon, Mr. Brendan F. Boyle of Pennsylvania, Mr. Marshall, Mr. Paulsen, Mr. Soto, Mr. Takano, Mr. Ellison, Mrs. McMorris Rodgers, Mr. Himes, Mr. Poliquin, Mr. Stivers, Mr. Rice of South Carolina, Mr. Lowenthal, Mr. Stewart, Ms. Judy Chu of California, Mr. Raskin, Mr. Knight, Mr. Kinzinger, Ms. DeGette, Mr. Cicilline, Mr. Smith of New Jersey, Mr. Jody B. Hice of Georgia, Ms. Esty of Connecticut, Mr. Young of Iowa, Mr. Cook, Mr. Cuellar, Mr. King of Iowa, Mr. Cohen, Mr. Ruiz, Mr. Goodlatte, Mr. Thompson of California, Mr. Curbelo of Florida, Mr. Roskam, Mr. Bishop of Georgia, Mr. Yarmuth, Mr. Vela, Mr. Loebsack, Mr. Foster, Mr. Perlmutter, Mr. Gottheimer, Mr. Fortenberry, Mr. Ferguson, Mrs. Napolitano, Ms. Shea-Porter, Mr. Fitzpatrick, Mr. Barton, Mr. Farenthold, Mr. Smucker, Mr. Peters, Mr. Norman, Mr. Chabot, Mr. Guthrie, Mr. Hastings, Ms. Clarke of New York, Mr. Donovan, Mr. Higgins of New York, Mr. Posey, Mr. Lance, Mr. Crowley, Mr. Kennedy, Mr. Dent, Mrs. Brooks of Indiana, Mr. Shimkus, Mr. Panetta, Mr. Barletta, Mr. Reed, Ms. Sinema, Mr. Sessions, Mr. Cramer, Mr. McGovern, Ms. Moore, Mr. Hollingsworth, Mr. Nolan, Mr. Doggett, Mr. Costello of Pennsylvania, Mr. Khanna, Mr. Brady of Pennsylvania, Ms. Pingree, Mr. Young of Alaska, Mr. Kelly of Pennsylvania, Ms. Slaughter, Mrs. Murphy of Florida, Mr. Lewis of Minnesota, Mr. Blum, Mr. Burgess, Mr. Thompson of Pennsylvania, Mr. Peterson, Mr. Lewis of Georgia, Mr. McNerney, Mr. Katko, Mr. Gonzalez of Texas, Mr. Walberg, Mr. Smith of Missouri, Mr. Byrne, Mr. LaHood, and Mr. Larson of Connecticut
December 6, 2017
Reported from the Committee on Energy and Commerce with an amendment
Strike out all after the enacting clause and insert the part printed in italic
December 6, 2017
The Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed
For text of introduced bill, see copy of bill as introduced on February 16, 2017
A BILL
To amend title XVIII of the Social Security Act to expand access to telehealth-eligible stroke services under the Medicare program.
Short title
This Act may be cited as the Furthering Access to Stroke Telemedicine Act of 2017
or the FAST Act of 2017
.
Expanding access to telehealth-eligible stroke services under the Medicare program
In general
Section 1834(m)(4) of the Social Security Act (42 U.S.C. 1395m(m)(4)) is amended—
in subparagraph (C)—
in clause (i), in the matter preceding subclause (I), by striking The term
and inserting Except as provided in clause (iii), the term
; and
by adding at the end the following new clause:
Telehealth-eligible stroke services
With respect to telehealth-eligible stroke services, the term originating site means any hospital (as defined in section 1861(e)) or critical access hospital (as defined in section 1861(mm)(1)), or any mobile stroke unit, at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system, regardless of where the hospital, critical access hospital, or mobile stroke unit is located.
;
in subparagraph (F)(i) by inserting telehealth-eligible stroke services,
after Secretary)),
; and
by adding at the end the following new subparagraph:
Telehealth-eligible stroke services
The term telehealth-eligible stroke services
means services that are—
related to the diagnosis, evaluation, or treatment of symptoms of an acute stroke in an individual; and
furnished to such individual not later than four and a half hours (or such other clinically appropriate amount of time as is determined by the Secretary) after the onset of such symptoms with respect to such individual.
.
No originating site facility fee for new sites
Section 1834(m)(2)(B) of the Social Security Act (42 U.S.C. 1395m(m)(2)(B)) is amended—
by redesignating clauses (i) and (ii) as subclauses (I) and (II), respectively (and adjusting the margins accordingly);
in subclause (II), as redesignated by paragraph (1), by striking clause (i) or this clause
and inserting subclause (I) or this subclause
;
by striking Site.—With respect to
and inserting
Site.—
In general
With respect to
;
by striking subject to section 1833(a)(1)(U)
and inserting subject to clause (ii) and section 1833(a)(1)(U)
; and
by adding at the end the following new clause:
No originating site facility fee for certain telestroke services
No facility fee shall be paid under this subparagraph to an originating site that is described in clause (iii) of paragraph (4)(C) and that would not otherwise meet the requirements for an originating site under paragraph (4)(C) without application of the amendments made by the FAST Act of 2017.
.
Effective date
The amendments made by this section shall apply to services furnished on or after January 1, 2021.
December 6, 2017
Reported from the Committee on Energy and Commerce with an amendment
December 6, 2017
The Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed