Title: 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.

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

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.

Sustainable Cardiopulmonary Rehabilitation Services in the Home Act

Joyce, John

Sustainable Cardiopulmonary Rehabilitation Services in the Home Act This bill permanently allows services relating to cardiac rehabilitation programs, intensive cardiac rehabilitation programs, and pulmonary rehabilitation programs to be furnished via telehealth at a beneficiary's home under Medicare.