II 

117TH CONGRESS 

2D SESSION S. 4307 

To amend title XVIII of the Social Security Act to expand the ability of 

renal dialysis facilities to serve as originating sites for telehealth services 

under the Medicare program. 

IN THE SENATE OF THE UNITED STATES 

MAY 25, 2022 

Mr. WARNER (for himself and Mr. BARRASSO) introduced the following bill; 

which was read twice and referred to the Committee on Finance 

A BILL 

To amend title XVIII of the Social Security Act to expand 

the ability of renal dialysis facilities to serve as originating sites for telehealth services under the Medicare 

program. 

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 ‘‘Kidney Health Connect 

5 Act’’. 


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•S 4307 IS

1 SEC. 2. EXPANDING THE ABILITY OF RENAL DIALYSIS FA2 CILITIES TO SERVE AS ORIGINATING SITES 

3 FOR TELEHEALTH SERVICES UNDER THE 

4 MEDICARE PROGRAM. 

5 (a) IN GENERAL.—Section 1834(m)(4)(C)(ii)(IX) of 

6 the Social Security Act (42 U.S.C. 

7 1395m(m)(4)(C)(ii)(IX)) is amended by striking ‘‘, but 

8 only for purposes of section 1881(b)(3)(B)’’. 

9 (b) REMOVAL OF GEOGRAPHIC REQUIREMENTS.— 

10 Section 1834(m) of the Social Security Act (42 U.S.C. 

11 1395m(m)) is amended— 

12 (1) in paragraph (5)— 

13 (A) in the header, by inserting ‘‘AND

14 TELEHEALTH SERVICES FURNISHED AT A

15 RENAL DIALYSIS FACILITY’’ after ‘‘VISIT’’; 

16 (B) by striking ‘‘subclause (VI), (IX), or 

17 (X)’’ and inserting ‘‘subclause (VI) or (X)’’; 

18 and 

19 (C) by inserting ‘‘, or with respect to tele20 health services furnished for any purpose at an 

21 originating site described in subclause (IX) of 

22 such paragraph’’ before the period at the end; 

23 and 

24 (2) in paragraph (7)(A), by striking ‘‘(other 

25 than an originating site described in subclause (IX) 

26 of such paragraph)’’. 


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•S 4307 IS

1 (c) PROHIBITION ON FACILITY FEE.—Section 

2 1834(m)(2)(B)(ii) of the Social Security Act (42 U.S.C. 

3 1395m(m)(2)(B)(ii)) is amended— 

4 (1) in the header, by striking ‘‘IF ORIGINATING

5 SITE IS THE HOME’’ and inserting ‘‘FOR CERTAIN

6 ORIGINATING SITES’’; and 

7 (2) by striking ‘‘described in paragraph 

8 (4)(C)(ii)(X)’’ and inserting ‘‘described in subclause 

9 (IX) or (X) of paragraph (4)(C)(ii)’’. 

10 (d) FACE-TO-FACE MONTHLY REQUIREMENT FOR

11 CERTAIN SERVICES.—Section 1834(m) of the Social Secu12 rity Act (42 U.S.C. 1395m(m)) is amended— 

13 (1) in paragraph (1), by striking ‘‘Subject to 

14 paragraph (8)’’ and inserting ‘‘Subject to para15 graphs (5)(B) and (8)’’; and 

16 (2) in paragraph (5), as amended by subsection 

17 (b)(1)— 

18 (A) by striking ‘‘RENAL DIALYSIS FACIL19 ITY.—The geographic requirements’’ and insert20 ing ‘‘RENAL DIALYSIS FACILITY.— 

21 ‘‘(A) WAIVER OF GEOGRAPHIC REQUIRE22 MENTS.—The geographic requirements’’; and 

23 (B) by adding at the end the following new 

24 subparagraph: 


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•S 4307 IS

1 ‘‘(B) FACE-TO-FACE MONTHLY REQUIRE2 MENT.—Subparagraph (A) shall apply to an in3 dividual, with respect to telehealth services fur4 nished by a physician or practitioner for pur5 poses of section 1881(b)(3)(A)(ii) (not including 

6 telehealth services rendered for purposes of sec7 tion 1881(b)(3)(B)) at an originating site de8 scribed in subclause (IX) of paragraph 

9 (4)(C)(ii) only if the individual had at least one 

10 face-to-face visit with a physician during the 

11 same calendar month such telehealth services 

12 were rendered.’’. 

Æ 


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