II 

117TH CONGRESS 

2D SESSION S. 3793 

To amend title XI of the Social Security Act to recommend that the Center 

for Medicare and Medicaid Innovation test the effect of technologyenabled care interventions in the home to coordinate care over time 

and across settings, improve quality, and lower costs for certain Medicare 

Advantage beneficiaries, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MARCH 10 (legislative day, MARCH 7), 2022 

Mr. SCOTT of South Carolina (for himself and Mr. WARNOCK) introduced the 

following bill; which was read twice and referred to the Committee on Finance 

A BILL 

To amend title XI of the Social Security Act to recommend 

that the Center for Medicare and Medicaid Innovation 

test the effect of technology-enabled care interventions 

in the home to coordinate care over time and across 

settings, improve quality, and lower costs for certain 

Medicare Advantage beneficiaries, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Technology-Enabled 

5 Care in the Home (TECH) Act’’. 


kjohnson on DSK79L0C42PROD with BILLS
2 

•S 3793 IS

1 SEC. 2. CENTER FOR MEDICARE AND MEDICAID INNOVA2 TION TESTING OF MEDICARE ADVANTAGE 

3 TELEHEALTH, REMOTE PATIENT MONI4 TORING, AND OTHER TECHNOLOGY-ENABLED 

5 CARE INTERVENTIONS IN THE HOME DEM6 ONSTRATION PROJECT. 

7 Section 1115A of the Social Security Act (42 U.S.C. 

8 1315a) is amended— 

9 (1) in subsection (b)(2)(B), by adding at the 

10 end the following new clause: 

11 ‘‘(xxviii) Furnishing telehealth, remote 

12 patient monitoring, and other technology13 enabled care interventions in the home to 

14 eligible individuals as described in sub15 section (h).’’; and 

16 (2) by adding at the end the following new sub17 section: 

18 ‘‘(h) MEDICARE ADVANTAGE TELEHEALTH, REMOTE

19 PATIENT MONITORING, AND OTHER TECHNOLOGY-EN20 ABLED CARE INTERVENTIONS IN THE HOME DEM21 ONSTRATION PROJECT (TECH DEMONSTRATION

22 PROJECT).— 

23 ‘‘(1) DESCRIPTION OF DEMONSTRATION

24 PROJECT AND REQUIREMENTS.— 

25 ‘‘(A) IN GENERAL.—The demonstration 

26 project described in this subsection (referred to 


kjohnson on DSK79L0C42PROD with BILLS
3 

•S 3793 IS

1 in this subsection as the ‘TECH demonstration 

2 project)’ is a demonstration project to test the 

3 use of telehealth services, remote patient moni4 toring, and other technology-enabled care inter5 ventions in the home for eligible enrollees au6 thorized under Medicare Advantage organiza7 tions under part C of title XVIII and restricted 

8 to such organizations that are participating in 

9 the CMI’s Value-Based Insurance Design model 

10 in 2023. The demonstration project will test the 

11 effectiveness of these technology-enabled inter12 ventions on— 

13 ‘‘(i) the provision of care in homes 

14 and congregate care settings for the man15 agement of disease progression, patient 

16 health, care quality, patient care experi17 ence, and caregiver well-being; and 

18 ‘‘(ii) reducing spending under part C 

19 of title XVIII without reducing quality of 

20 care. 

21 ‘‘(B) VOLUNTARY PARTICIPATION.—Par22 ticipation under the TECH demonstration 

23 project shall be voluntary with respect to both 

24 eligible enrollees and Medicare Advantage orga25 nizations. 


kjohnson on DSK79L0C42PROD with BILLS
4 

•S 3793 IS

1 ‘‘(2) DURATION.— The TECH demonstration 

2 project shall be implemented for a 3-year period, be3 ginning not later than 18 months after the date of 

4 the enactment of this subsection. 

5 ‘‘(3) ENROLLMENT.—The TECH demonstra6 tion project shall establish a comparison group and 

7 enroll sufficient numbers of eligible enrollees to 

8 achieve statistically significant findings on quality 

9 and cost for the demonstration project and for spe10 cific sub-populations, including those based on geog11 raphy, socioeconomic status, age, race, and ethnicity. 

12 ‘‘(4) DEFINITIONS.—In this subsection: 

13 ‘‘(A) ELIGIBLE ENROLLEE.—The term ‘eli14 gible enrollee’ means a chronically ill enrollee 

15 (as defined in section 1852(a)(3)(D)(iii)). 

16 ‘‘(B) REMOTE PATIENT MONITORING.— 

17 The term ‘remote patient monitoring’ means 

18 connected digital technologies and mobile med19 ical devices that collect clinical grade, patient20 generated health data from individuals in one 

21 location and electronically transmit that infor22 mation securely to a care team in a different lo23 cation for assessment and intervention. 

24 ‘‘(C) TELEHEALTH SERVICES.—The term 

25 ‘telehealth services’ means telehealth services 


kjohnson on DSK79L0C42PROD with BILLS
5 

•S 3793 IS

1 (as defined in subparagraph (F) of section 

2 1834(m)(4), but without regard to geographic 

3 or other originating site requirements described 

4 in subparagraph (C) of such section). 

5 ‘‘(D) OTHER TECHNOLOGY-ENABLED CARE

6 INTERVENTIONS.— The term ‘technology-en7 abled care interventions’ means mobile, digital, 

8 or electronic health services and systems that 

9 enable the remote, secure exchange of informa10 tion primarily between a health or care provider 

11 and a patient in a home or congregate care set12 ting for the purpose of diagnosing or managing 

13 a health condition. 

14 ‘‘(5) FUNDING.—Out of amounts appropriated 

15 under subsection (f)(1)(C) for the 10-year fiscal pe16 riod beginning with fiscal year 2020, $25,000,000 

17 shall be made available to carry out this sub18 section.’’. 

19 SEC. 3. CHANGES TO THE ADMINISTRATIVE FINALITY POL20 ICY OF THE SOCIAL SECURITY ADMINISTRA21 TION. 

22 (a) IN GENERAL.—Section 205(c) of the Social Secu23 rity Act (42 U.S.C. 401(c)) is amended— 

24 (1) by striking paragraphs (4) and (5) and in25 serting the following: 


kjohnson on DSK79L0C42PROD with BILLS
6 

•S 3793 IS

1 ‘‘(4) The Commissioner of Social Security may, 

2 if it is brought to the Commissioner’s attention that 

3 any entry of wages or self-employment income in the 

4 Commissioner’s records for a year is erroneous or 

5 that any item of wages or self-employment income 

6 for such year has been omitted from such records, 

7 correct such entry or include such omitted item in 

8 the individual’s records, as the case may be. After 

9 the expiration of the time limitation following any 

10 year— 

11 ‘‘(A) the Commissioner’s records (with changes, 

12 if any, made pursuant to such regulations as the 

13 Commissioner shall establish) of the amounts of 

14 wages paid to, and self-employment income derived 

15 by, an individual during any period in such year 

16 shall be conclusive for the purposes of this title; 

17 ‘‘(B) the absence of an entry in the Commis18 sioner’s records as to the wages alleged to have been 

19 paid by an employer to an individual during any pe20 riod in such year shall be presumptive evidence for 

21 the purposes of this title that no such alleged wages 

22 were paid to such individual in such period; and 

23 ‘‘(C) the absence of an entry in the Commis24 sioner’s records as to the self-employment income al25 leged to have been derived by an individual in such 


kjohnson on DSK79L0C42PROD with BILLS
7 

•S 3793 IS

1 year shall be conclusive for the purposes of this title 

2 that no such alleged self-employment income was de3 rived by such individual in such year unless it is 

4 shown that the individual filed a tax return of the 

5 individual’s self-employment income for such year 

6 before the expiration of the time limitation following 

7 such year, in which case the Commissioner of Social 

8 Security shall include in the Commissioner’s records 

9 the self-employment income of such individual for 

10 such year.’’; 

11 (2) by redesignating paragraphs (6) through 

12 (9) as paragraphs (5) through (8), respectively; and 

13 (3) in paragraph (5), as so redesignated, by 

14 striking ‘‘under paragraph (4) or (5)’’ and inserting 

15 ‘‘made by the Commissioner of Social Security in ac16 cordance with such regulations as the Commissioner 

17 shall establish’’. 

18 (b) REQUIRING SSA TO ADJUST ADMINISTRATIVE

19 FINALITY POLICY.—Not later than 6 months after the 

20 date of enactment, the Commissioner of Social Security 

21 shall promulgate regulations establishing processes and 

22 criteria for correcting the Commissioner’s records of the 

23 wages and self-employment income of individuals for pur24 poses of title II of the Social Security Act (42 U.S.C. 401 


kjohnson on DSK79L0C42PROD with BILLS
8 

•S 3793 IS

1 et seq.) in accordance with section 205(c)(4) of such Act, 

2 as amended by subsection (a). 

Æ 


kjohnson on DSK79L0C42PROD with BILLS