Sustainable Cardiopulmonary Rehabilitation Services in the Home Act

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. 1. Short title This Act may be cited as the Sustainable Cardiopulmonary Rehabilitation Services in the Home Act 2. Codifying virtual cardiopulmonary rehabilitation flexibilities established in response to COVID–19 (a) In general Section 1861(eee)(2) of the Social Security Act ( 42 U.S.C. 1395x(eee)(2) (1) in subparagraph (A)(ii), by inserting , including in the home of an individual when furnished as a telehealth service through audio-visual real-time communications technology, or when such home is designated as a provider-based location of a hospital outpatient department outpatient basis (2) in subparagraph (B), by inserting , including through the virtual presence of such physician, physician assistant, nurse practitioner, or clinical nurse specialist, through audio-visual real-time communications technology under the program (b) Expanding originating sites Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) (1) in paragraph (1), by striking and (9) (as defined in paragraph (4)(E)) , (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)) (2) in paragraph (2)(A), by striking or practitioner , practitioner, or hospital (3) in paragraph (4)(A), by striking or practitioner , practitioner, or hospital (4) in paragraph (4)(C)— (A) in clause (i), by striking and (7) (7), and (10) (B) in clause (ii)(X), by striking paragraph (7) paragraphs (7) and (10) (5) in paragraph (4)(F)(i), by striking paragraph (8) paragraphs (8) and (10) (6) by adding at the end the following new paragraph: (10) Treatment of cardiac rehabilitation program, intensive cardiac rehabilitation program, and pulmonary rehabilitation program visits furnished through telehealth In the case of items and services furnished on or after January 1, 2024, 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). . (c) Authority To establish standards and allow for certain programs To utilize telehealth services (1) In general Not later than 30 days after the date of enactment of this section, the Secretary of Health and Human Services shall— (A) 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 (B) include items and services furnished under cardiac rehabilitation program or under an intensive cardiac rehabilitation program (as such terms are defined in section 1861(eee) of the Social Security Act ( 42 U.S.C. 1395x(eee) 42 U.S.C. 1395x(fff) 42 U.S.C. 1395m(m)(4)(F) (2) Effective date The standards established under paragraph (1) shall apply to items and services furnished on or after January 1, 2024. (d) Implementation Notwithstanding any other provision of the law, the Secretary of Health and Human Services may implement the provisions of, and the amendments made by, this section by program instruction or otherwise. (e) Effective date The amendments made by subsections (a) and (b) shall apply to items and services furnished on or after January 1, 2024.

Summary: 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.