II 

117TH CONGRESS 

2D SESSION S. 3593 

To amend titles XI and XVIII of the Social Security Act to extend certain 

telehealth services covered by Medicare and to evaluate the impact of 

telehealth services on Medicare beneficiaries, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 8 (legislative day, FEBRUARY 3), 2022 

Ms. CORTEZ MASTO (for herself and Mr. YOUNG) introduced the following bill; 

which was read twice and referred to the Committee on Finance 

A BILL 

To amend titles XI and XVIII of the Social Security Act 

to extend certain telehealth services covered by Medicare 

and to evaluate the impact of telehealth services on Medicare 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; TABLE OF CONTENTS. 

4 (a) IN GENERAL.—This Act may be cited as the 

5 ‘‘Telehealth Extension and Evaluation Act’’. 

6 (b) TABLE OF CONTENTS.—The table of contents of 

7 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Extension of telehealth services. 


pbinns on DSKJLVW7X2PROD with BILLS
2 

•S 3593 IS

Sec. 3. Temporary requirements for provision of high-cost durable medical 

equipment and laboratory tests. 

Sec. 4. Requirement to submit NPI number for telehealth billing. 

Sec. 5. Federally qualified health centers and rural health clinics. 

Sec. 6. Telehealth flexibilities for critical access hospitals. 

Sec. 7. Use of telehealth for the dispensing of controlled substances by means 

of the internet. 

Sec. 8. Study on the effects of changes to telehealth under the Medicare and 

Medicaid programs during the COVID–19 emergency. 

1 SEC. 2. EXTENSION OF TELEHEALTH SERVICES. 

2 Section 1135(e) of the Social Security Act (42 U.S.C. 

3 1320b–5(e)) is amended by adding at the end the fol4 lowing new paragraph: 

5 ‘‘(3) TWO-YEAR EXTENSION OF TELEHEALTH

6 SERVICES FOLLOWING THE COVID–19 EMERGENCY

7 PERIOD.—Notwithstanding any other provision of 

8 this section, a waiver or modification of require9 ments pursuant to subsection (b)(8) shall terminate 

10 on the date that is 2 years after the last day of the 

11 emergency period described in subsection 

12 (g)(1)(B).’’. 

13 SEC. 3. TEMPORARY REQUIREMENTS FOR PROVISION OF 

14 HIGH-COST DURABLE MEDICAL EQUIPMENT 

15 AND LABORATORY TESTS. 

16 (a) HIGH-COST DURABLE MEDICAL EQUIPMENT.— 

17 Section 1834(a)(1)(E) of the Social Security Act (42 

18 U.S.C. 1395m(a)(1)(E)) is amended by adding at the end 

19 the following new clauses: 

20 ‘‘(vi) STANDARDS FOR HIGH-COST DU21 RABLE MEDICAL EQUIPMENT.— 


pbinns on DSKJLVW7X2PROD with BILLS
3 

•S 3593 IS

1 ‘‘(I) LIMITATION ON PAYMENT

2 FOR HIGH-COST DURABLE MEDICAL

3 EQUIPMENT.—During the 2-year pe4 riod beginning on the day after the 

5 last day of the emergency period de6 scribed in section 1135(g)(1)(B), pay7 ment may not be made under this 

8 subsection for high-cost durable med9 ical equipment ordered by a physician 

10 or other practitioner described in 

11 clause (ii) via telehealth for an indi12 vidual, unless such physician or prac13 titioner furnished to such individual a 

14 service in person at least once during 

15 the 12-month period prior to ordering 

16 such high-cost durable medical equip17 ment. 

18 ‘‘(II) HIGH-COST DURABLE MED19 ICAL EQUIPMENT DEFINED.—For 

20 purposes of this clause, the term 

21 ‘high-cost durable medical equipment’ 

22 means, with respect to a year, durable 

23 medical equipment for which payment 

24 may be made under paragraphs (2) 

25 through (8), the price under the clinVerDate Sep 11 2014 03:04 Feb 09, 2022 Jkt 029200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S3593.IS S3593

pbinns on DSKJLVW7X2PROD with BILLS
4 

•S 3593 IS

1 ical lab fee schedule which for such 

2 year is in the highest quartile of na3 tional purchase prices of durable med4 ical equipment payable for such year. 

5 ‘‘(vii) AUDIT OF PROVIDERS AND

6 PRACTITIONERS FURNISHING A HIGH VOL7 UME OF DURABLE MEDICAL EQUIPMENT

8 VIA TELEHEALTH.— 

9 ‘‘(I) IDENTIFICATION OF PRO10 VIDERS.—During the 2-year period 

11 beginning on the day after the last 

12 day of the emergency period described 

13 in section 1135(g)(1)(B), Medicare 

14 administrative contractors shall con15 duct reviews, on a schedule deter16 mined by the Secretary, of claims for 

17 durable medical equipment prescribed 

18 by a physician or other practitioner 

19 described in clause (ii) during the 12- 

20 month period preceding such review to 

21 identify physicians or other practi22 tioners with respect to whom at least 

23 90 percent of all durable medical 

24 equipment prescribed by such physi25 cian or practitioner during such peVerDate Sep 11 2014 03:04 Feb 09, 2022 Jkt 029200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S3593.IS S3593

pbinns on DSKJLVW7X2PROD with BILLS
5 

•S 3593 IS

1 riod was prescribed pursuant to a 

2 telehealth visit. 

3 ‘‘(II) AUDIT.—In the case of a 

4 physician or practitioner identified 

5 under subclause (I), with respect to a 

6 12-month period described in such 

7 subclause, the Medicare administra8 tive contractors shall conduct audits 

9 of all claims for durable medical 

10 equipment prescribed by such physi11 cians or practitioners to determine 

12 whether such claims comply with the 

13 requirements for coverage under this 

14 title.’’. 

15 (b) HIGH-COST LABORATORY TESTS.—Section 

16 1834A(b) of the Social Security Act (42 U.S.C. 1395m– 

17 1(b)) is amended by adding at the end the following new 

18 paragraphs: 

19 ‘‘(6) REQUIREMENT FOR HIGH-COST LABORA20 TORY TESTS.— 

21 ‘‘(A) LIMITATION ON PAYMENT FOR HIGH22 COST LABORATORY TESTS.—During the 2-year 

23 period beginning on the day after the last day 

24 of the emergency period described in section 

25 1135(g)(1)(B), payment may not be made 


pbinns on DSKJLVW7X2PROD with BILLS
6 

•S 3593 IS

1 under this subsection for a high-cost laboratory 

2 test ordered by a physician or practitioner via 

3 telehealth for an individual, unless such physi4 cian or practitioner furnished to such individual 

5 a service in person at least once during the 12- 

6 month period prior to ordering such high-cost 

7 laboratory test. 

8 ‘‘(B) HIGH-COST LABORATORY TEST DE9 FINED.—For purposes of this paragraph, the 

10 term ‘high-cost laboratory test’ means, with re11 spect to a year, a laboratory test for which pay12 ment may be made under this section, and the 

13 purchase price of which for such year is in the 

14 highest quartile of purchase prices of laboratory 

15 tests for such year. 

16 ‘‘(7) AUDIT OF LABORATORY TESTING OR17 DERED PURSUANT TO TELEHEALTH VISIT.— 

18 ‘‘(A) IDENTIFICATION OF PROVIDERS.— 

19 During the 2-year period beginning on the day 

20 after the last day of the emergency period de21 scribed in section 1135(g)(1)(B), Medicare ad22 ministrative contractors shall conduct periodic 

23 reviews, on a schedule determined by the Sec24 retary, of claims for laboratory tests prescribed 

25 by a physician or practitioner during the 12- 


pbinns on DSKJLVW7X2PROD with BILLS
7 

•S 3593 IS

1 month period preceding such review to identify 

2 physicians or other practitioners with respect to 

3 whom at least 90 percent of all laboratory tests 

4 prescribed by such physician or practitioner 

5 during such period were prescribed pursuant to 

6 a telehealth visit. 

7 ‘‘(B) AUDIT.—In the case of a physician 

8 or practitioner identified under subparagraph 

9 (A), with respect to a 12-month period de10 scribed in such subparagraph, the Medicare ad11 ministrative contractors shall conduct audits of 

12 all claims for laboratory tests prescribed by 

13 such physicians or practitioners during such pe14 riod to determine whether such claims comply 

15 with the requirements for coverage under this 

16 title.’’. 

17 SEC. 4. REQUIREMENT TO SUBMIT NPI NUMBER FOR TELE18 HEALTH BILLING. 

19 Section 1834(m) of the Social Security Act (42 

20 U.S.C. 1395m(m)) is amended— 

21 (1) in the first sentence of paragraph (1), by 

22 striking ‘‘paragraph (8)’’ and inserting ‘‘paragraphs 

23 (8) and (9)’’; and 

24 (2) by adding at the end the following new 

25 paragraph: 


pbinns on DSKJLVW7X2PROD with BILLS
8 

•S 3593 IS

1 ‘‘(9) REQUIREMENT TO SUBMIT NPI NUMBER

2 FOR TELEHEALTH BILLING.—During the 2-year pe3 riod beginning on the day after the last day of the 

4 emergency period described in section 

5 1135(g)(1)(B), payment may not be made under 

6 this subsection for telehealth services furnished by a 

7 physician or practitioner unless such physician or 

8 practitioner submits a claim for payment under the 

9 national provider identification number assigned to 

10 such physician or practitioner.’’. 

11 SEC. 5. FEDERALLY QUALIFIED HEALTH CENTERS AND 

12 RURAL HEALTH CLINICS. 

13 Section 1834(m)(8) of the Social Security Act (42 

14 U.S.C. 1395m(m)(8)) is amended— 

15 (1) in the paragraph heading by inserting ‘‘AND

16 THE 2-YEAR PERIOD AFTER SUCH EMERGENCY PE17 RIOD’’ after ‘‘PERIOD’’; 

18 (2) in subparagraph (A), in the matter pre19 ceding clause (i), by inserting ‘‘and the 2-year period 

20 immediately following such emergency period’’ after 

21 ‘‘1135(g)(1)(B)’’; and 

22 (3) by striking subparagraph (B) and inserting 

23 the following: 

24 ‘‘(B) PAYMENT.— 


pbinns on DSKJLVW7X2PROD with BILLS
9 

•S 3593 IS

1 ‘‘(i) IN GENERAL.—A telehealth serv2 ice furnished by a Federally qualified 

3 health center or a rural health clinic to an 

4 individual pursuant to this paragraph on 

5 or after the date of the enactment of this 

6 subparagraph shall be deemed to be so fur7 nished to such individual as an outpatient 

8 of such clinic or facility (as applicable) for 

9 purposes of paragraph (1) or (3), respec10 tively, of section 1861(aa) and payable as 

11 a Federally qualified health center service 

12 or rural health clinic service (as applicable) 

13 under the prospective payment system es14 tablished under section 1834(o) or under 

15 section 1833(a)(3), respectively. 

16 ‘‘(ii) TREATMENT OF COSTS FOR

17 FQHC PPS CALCULATIONS AND RHC AIR

18 CALCULATIONS.—Costs associated with the 

19 delivery of telehealth services by a Feder20 ally qualified health center or rural health 

21 clinic serving as a distant site pursuant to 

22 this paragraph shall be considered allow23 able costs for purposes of the prospective 

24 payment system established under section 

25 1834(o) and any payment methodologies 


pbinns on DSKJLVW7X2PROD with BILLS
10 

•S 3593 IS

1 developed under section 1833(a)(3), as ap2 plicable.’’. 

3 SEC. 6. TELEHEALTH FLEXIBILITIES FOR CRITICAL ACCESS 

4 HOSPITALS. 

5 Section 1834(m) of the Social Security Act (42 

6 U.S.C. 1395m(m)), as amended by section 4, is amend7 ed— 

8 (1) in the first sentence of paragraph (1), by 

9 striking ‘‘and (9)’’ and inserting ‘‘, (9) and (10)’’; 

10 (2) in paragraph (2)(A), by striking ‘‘paragraph 

11 (8)’’ and inserting ‘‘paragraphs (8) and (10)’’; 

12 (3) in paragraph (4)— 

13 (A) in subparagraph (A), by striking 

14 ‘‘paragraph (8)’’ and inserting ‘‘paragraphs (8) 

15 and (10)’’; 

16 (B) in subparagraph (F)(i), by striking 

17 ‘‘paragraph (8)’’ and inserting ‘‘paragraphs (8) 

18 and (10)’’; and 

19 (4) by adding at the end the following new 

20 paragraph: 

21 ‘‘(10) TELEHEALTH FLEXIBILITIES FOR CRIT22 ICAL ACCESS HOSPITALS.— 

23 ‘‘(A) IN GENERAL.—During the period be24 ginning on the date of the enactment of this 

25 paragraph and ending on the date that is 2 


pbinns on DSKJLVW7X2PROD with BILLS
11 

•S 3593 IS

1 years after the end of the emergency period de2 scribed in section 1135(g)(1)(B), the following 

3 shall apply: 

4 ‘‘(i) The Secretary shall pay for tele5 health services that are furnished via a 

6 telecommunications system by a critical ac7 cess hospital, including any practitioner 

8 authorized to provide such services within 

9 the facility, that is a qualified provider (as 

10 defined in subparagraph (B)) to an eligible 

11 telehealth individual enrolled under this 

12 part notwithstanding that the critical ac13 cess hospital providing the telehealth serv14 ice is not at the same location as the bene15 ficiary, if such services complement a plan 

16 of care that includes in-person care at 

17 some point, as may be appropriate. 

18 ‘‘(ii) The amount of payment to a 

19 critical access hospital that serves as a dis20 tant site for such a telehealth service shall 

21 be determined under subparagraph (B). 

22 ‘‘(iii) For purposes of this sub23 section— 

24 ‘‘(I) the term ‘distant site’ in25 cludes a critical access hospital that 


pbinns on DSKJLVW7X2PROD with BILLS
12 

•S 3593 IS

1 furnishes a telehealth service to an eli2 gible telehealth individual; 

3 ‘‘(II) the term ‘qualified provider’ 

4 means, with respect to a telehealth 

5 service described in clause (i) that is 

6 furnished to an eligible telehealth in7 dividual, a critical access hospital that 

8 has an established patient relationship 

9 with such individual as defined by the 

10 State in which the individual is lo11 cated; and 

12 ‘‘(III) the term ‘telehealth serv13 ices’ includes behavioral health serv14 ices and any other outpatient critical 

15 access hospital service that is fur16 nished using telehealth to the extent 

17 that payment codes corresponding to 

18 services identified by the Secretary 

19 under clause (i) or (ii) of paragraph 

20 (4)(F) are listed on the corresponding 

21 claim for such critical access hospital 

22 service. 

23 ‘‘(B) PAYMENT.—For purposes of sub24 paragraph (A)(ii), the amount of payment to a 

25 critical access hospital that serves as a distant 


pbinns on DSKJLVW7X2PROD with BILLS
13 

•S 3593 IS

1 site that furnishes a telehealth service to an eli2 gible telehealth individual under this paragraph 

3 shall be equal to 101 percent of the reasonable 

4 costs of the hospital in providing such services, 

5 unless the hospital makes an election under 

6 paragraph (2) of section 1834(g) to be paid for 

7 such services based on the methodology de8 scribed in such paragraph. Telehealth services 

9 furnished by a critical access hospital shall be 

10 counted for purposes of determining the pro11 vider productivity rate of the critical access hos12 pital for purposes of payment under such sec13 tion. 

14 ‘‘(C) IMPLEMENTATION.—Notwithstanding 

15 any other provision of law, the Secretary may 

16 implement this paragraph through program in17 struction, interim final rule, or otherwise.’’. 

18 SEC. 7. USE OF TELEHEALTH FOR THE DISPENSING OF 

19 CONTROLLED SUBSTANCES BY MEANS OF 

20 THE INTERNET. 

21 Section 309(e)(2) of the Controlled Substances Act 

22 (21 U.S.C. 829(e)(2)) is amended— 

23 (1) in subparagraph (A)(i)— 


pbinns on DSKJLVW7X2PROD with BILLS
14 

•S 3593 IS

1 (A) by striking ‘‘at least 1 in-person med2 ical evaluation’’ and inserting the following: ‘‘at 

3 least— 

4 ‘‘(I) 1 in-person medical evalua5 tion’’; and 

6 (B) by adding at the end the following: 

7 ‘‘(II) during the period beginning 

8 on the date of the enactment of this 

9 subclause and ending on the date that 

10 is 2 years after the end of the emer11 gency period described in section 

12 1135(g)(1)(B) of the Social Security 

13 Act (42 U.S.C. 1320b–5(g)(1)(B)), 

14 for purposes of prescribing a con15 trolled substance in schedules II 

16 through V, 1 telehealth evaluation; 

17 or’’; and 

18 (2) by adding at the end the following: 

19 ‘‘(D)(i) The term ‘telehealth evaluation’ 

20 means a medical evaluation that is conducted in 

21 accordance with applicable Federal and State 

22 laws by a practitioner (other than a phar23 macist) who is at a location remote from the 

24 patient and is communicating with the patient 

25 using a telecommunications system referred to 


pbinns on DSKJLVW7X2PROD with BILLS
15 

•S 3593 IS

1 in section 1834(m) of the Social Security Act 

2 (42 U.S.C. 1395m(m)) that includes, at a min3 imum, audio and video equipment permitting 

4 two-way, real-time interactive communication 

5 between the patient and distant site practi6 tioner. 

7 ‘‘(ii) Nothing in clause (i) shall be con8 strued to imply that 1 telehealth evaluation 

9 demonstrates that a prescription has been 

10 issued for a legitimate medical purpose within 

11 the usual course of professional practice. 

12 ‘‘(iii) A practitioner who prescribes the 

13 drugs or combination of drugs that are covered 

14 under section 303(g)(2)(C) using the authority 

15 under subparagraph (A)(i)(II) of this para16 graph shall adhere to nationally recognized evi17 dence-based guidelines for the treatment of pa18 tients with opioid use disorders and a diversion 

19 control plan, as those terms are defined in sec20 tion 8.2 of title 42, Code of Federal Regula21 tions, as in effect on the date of enactment of 

22 this subparagraph.’’. 


pbinns on DSKJLVW7X2PROD with BILLS
16 

•S 3593 IS

1 SEC. 8. STUDY ON THE EFFECTS OF CHANGES TO TELE2 HEALTH UNDER THE MEDICARE AND MED3 ICAID PROGRAMS DURING THE COVID–19 

4 EMERGENCY. 

5 (a) IN GENERAL.—Not later than 1 year after the 

6 date of the enactment of this Act, the Secretary of Health 

7 and Human Services (in this section referred to as the 

8 ‘‘Secretary’’) shall conduct a study and submit to the 

9 Committee on Energy and Commerce and the Committee 

10 on Ways and Means of the House of Representatives and 

11 the Committee on Finance of the Senate an interim report 

12 on any changes made to the provision or availability of 

13 telehealth services under part A or B of title XVIII of 

14 the Social Security Act (including by reason of the amend15 ments made to the Controlled Substances Act under sec16 tion 7) since the start of the emergency period described 

17 in section 1135(g)(1)(B) of the Social Security Act (42 

18 U.S.C. 1320b–5(g)(1)(B)). Such report shall include the 

19 following: 

20 (1) A summary of utilization of all health care 

21 services furnished under such part A or B during 

22 such emergency period, including the number of tele23 health visits (broken down by service type, the num24 ber of such visits furnished via audio-visual tech25 nology, the number of such visits furnished via 

26 audio-only technology, and the number of such visits 


pbinns on DSKJLVW7X2PROD with BILLS
17 

•S 3593 IS

1 furnished by a Federally qualified health center, 

2 rural health clinic, or community health center, re3 spectively, if practicable), in-person outpatient visits, 

4 inpatient admissions, and emergency department vis5 its. 

6 (2) A description of any changes in utilization 

7 patterns for the care settings described in paragraph 

8 (1) over the course of such emergency period com9 pared to such patterns prior to such emergency pe10 riod. 

11 (3) An analysis of utilization of telehealth serv12 ices under such part A or B during such emergency 

13 period, broken down by race and ethnicity, geo14 graphic region, and income level (as measured di15 rectly or indirectly, such as by patient’s zip code tab16 ulation area median income as publicly reported by 

17 the United States Census Bureau), and of any 

18 trends in such utilization during such emergency pe19 riod, so broken down. Such analysis may not include 

20 any personally identifiable information or protected 

21 health information. 

22 (4) A description of expenditures and any sav23 ings under such part A or B attributable to use of 

24 such telehealth services during such emergency pe25 riod. 


pbinns on DSKJLVW7X2PROD with BILLS
18 

•S 3593 IS

1 (5) A description of any instances of fraud 

2 identified by the Secretary, acting through the Office 

3 of the Inspector General or other relevant agencies 

4 and departments, with respect to such telehealth 

5 services furnished under such part A or B during 

6 such emergency period and a comparison of the 

7 number of such instances with the number of in8 stances of fraud so identified with respect to in-per9 son services so furnished during such emergency pe10 riod. 

11 (6) A description of any privacy concerns with 

12 respect to the furnishing of such telehealth services 

13 (such as cybersecurity or ransomware concerns), in14 cluding a description of any actions taken by the 

15 Secretary, acting through the Health Sector Cyber16 security Coordination Center or other relevant agen17 cies and departments, during such emergency period 

18 to assist health care providers secure telecommuni19 cations systems. 

20 (7) Identification of common ICD–10 codes 

21 billed via telehealth, comparing measures of quality 

22 and outcomes between telehealth care and in-person 

23 care for the same category of service. 


pbinns on DSKJLVW7X2PROD with BILLS
19 

•S 3593 IS

1 (8) Recommendations regarding the perma2 nency of the waivers and authorities under the provi3 sions of, and amendments made by, this Act. 

4 (b) CONSULTATION.—In conducting the study and 

5 submitting the report under subsection (a), the Sec6 retary— 

7 (1) shall consult with— 

8 (A) the Medicaid and CHIP Payment and 

9 Access Commission; 

10 (B) the Medicare Payment Advisory Com11 mission; 

12 (C) the Office of Inspector General of the 

13 Department of Health and Human Services; 

14 and 

15 (D) other stakeholders determined appro16 priate by the Secretary, such as patients, tribal 

17 communities, medical professionals, health fa18 cilities, State medical boards, State nursing 

19 boards, telehealth providers, health professional 

20 liability providers, public and private payers, 

21 and State leaders; and 

22 (2) shall endeavor to include as many racially, 

23 ethnically, geographically, and professionally diverse 

24 perspectives as possible. 


pbinns on DSKJLVW7X2PROD with BILLS
20 

•S 3593 IS

1 (c) FINAL REPORT.—Not later than 18 months after 

2 the end of the emergency period described in section 

3 1135(g)(1)(B) of the Social Security Act (42 U.S.C. 

4 1320b–5(g)(1)(B)), the Secretary shall— 

5 (1) update and finalize the interim report under 

6 subsection (a); and 

7 (2) submit such updated and finalized report to 

8 the committees specified in such subsection. 

9 (d) GRANTS FOR MEDICAID REPORTS.— 

10 (1) IN GENERAL.—Not later than January 1, 

11 2023, the Secretary shall award grants to States 

12 with a State plan (or waiver of such plan) in effect 

13 under title XIX of the Social Security Act (42 

14 U.S.C. 1396r) that submit an application under this 

15 subsection for purposes of enabling such States to 

16 study and submit reports to the Secretary on any 

17 changes made to the provision or availability of tele18 health services under such plans (or such waivers) 

19 during such period. 

20 (2) ELIGIBILITY.—To be eligible to receive a 

21 grant under paragraph (1), a State shall— 

22 (A) provide benefits for telehealth services 

23 under the State plan (or waiver of such plan) 

24 in effect under title XIX of the Social Security 

25 Act (42 U.S.C. 1396r); 


pbinns on DSKJLVW7X2PROD with BILLS
21 

•S 3593 IS

1 (B) be able to differentiate telehealth from 

2 in-person visits within claims data submitted 

3 under such plan (or such waiver) during such 

4 period; and 

5 (C) submit to the Secretary an application 

6 at such time, in such manner, and containing 

7 such information (including the amount of the 

8 grant requested) as the Secretary may require. 

9 (3) USE OF FUNDS.—A State shall use 

10 amounts received under a grant under this sub11 section to conduct a study and report findings re12 garding the effects of changes to telehealth services 

13 offered under the State plan (or waiver of such plan) 

14 of such State under title XIX of the Social Security 

15 Act (42 U.S.C. 1396 et seq.) during such period in 

16 accordance with paragraph (4). 

17 (4) REPORTS.— 

18 (A) INTERIM REPORT.—Not later 1 year 

19 after the date a State receives a grant under 

20 this subsection, the State shall submit to the 

21 Secretary an interim report that— 

22 (i) details any changes made to the 

23 provision or availability of telehealth bene24 fits (such as eligibility, coverage, or pay25 ment changes) under the State plan (or 


pbinns on DSKJLVW7X2PROD with BILLS
22 

•S 3593 IS

1 waiver of such plan) of the State under 

2 title XIX of the Social Security Act (42 

3 U.S.C. 1396 et seq.) during the emergency 

4 period described in paragraph (1); and 

5 (ii) contains— 

6 (I) a summary and description of 

7 the type described in paragraphs (1) 

8 and (2), respectively, of subsection 

9 (a); and 

10 (II) to the extent practicable, an 

11 analysis of the type described in para12 graph (3) of subsection (a), 

13 except that any reference in such sub14 section to ‘‘such part A or B’’ shall, for 

15 purposes of subclauses (I) and (II), be 

16 treated as a reference to such State plan 

17 (or waiver). 

18 (B) FINAL REPORT.—Not later than 3 

19 years after the date a State receives a grant 

20 under this subsection, the State shall update 

21 and finalize the interim report and submit such 

22 final report to the Secretary. 

23 (C) REPORT BY SECRETARY.—Not later 

24 than the earlier of the date that is 1 year after 

25 the submission of all final reports under subVerDate Sep 11 2014 03:04 Feb 09, 2022 Jkt 029200 PO 00000 Frm 00022 Fmt 6652 Sfmt 6201 E:\BILLS\S3593.IS S3593

pbinns on DSKJLVW7X2PROD with BILLS
23 

•S 3593 IS

1 paragraph (B) and December 31, 2027, the 

2 Secretary shall submit to Congress a report on 

3 the grant program, including a summary of the 

4 reports received from States under this para5 graph. 

6 (5) MODIFICATION AUTHORITY.—The Secretary 

7 may modify any deadline described in paragraph (4) 

8 or any information required to be included in a re9 port made under this subsection to provide flexibility 

10 for States to modify the scope of the study and 

11 timeline for such reports. 

12 (6) TECHNICAL ASSISTANCE.—The Secretary 

13 shall provide such technical assistance as may be 

14 necessary to a State receiving a grant under this 

15 subsection in order to assist such State in con16 ducting studies and submitting reports under this 

17 subsection. 

18 (7) STATE.—For purposes of this subsection, 

19 the term ‘‘State’’ means each of the several States, 

20 the District of Columbia, and each territory of the 

21 United States. 

22 (e) AUTHORIZATION OF APPROPRIATIONS.— 

23 (1) MEDICARE.—For the purpose of carrying 

24 out subsections (a) through (c), there are authorized 


pbinns on DSKJLVW7X2PROD with BILLS
24 

•S 3593 IS

1 to be appropriated such sums as may be necessary 

2 for each of fiscal years 2022 through 2026. 

3 (2) MEDICAID.—For the purpose of carrying 

4 out subsection (d), there are authorized to be appro5 priated such sums as may be necessary for each of 

6 fiscal years 2023 through 2027. 

Æ 


pbinns on DSKJLVW7X2PROD with BILLS