483 
(4) such other information as the Inspector 
General determines appropriate. 
SEC. 213. GUIDANCE ON FURNISHING SERVICES VIA TELE-
HEALTH TO INDIVIDUALS WITH LIMITED 
ENGLISH PROFICIENCY. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this section, the Secretary of 
Health and Human Services, in consultation with 1 or 
more entities from each of the categories described in 
paragraphs (1) through (7) of subsection (b), shall issue 
and disseminate, or update and revise as applicable, guid-
ance for the entities described in such subsection on the 
following: 
(1) Best practices on facilitating and inte-
grating use of interpreters during a telemedicine ap-
pointment. 
(2) Best practices on providing accessible in-
structions on how to access telecommunications sys-
tems (as such term is used for purposes of section 
1834(m) of the Social Security Act (42 U.S.C. 
1395m(m)) for individuals with limited English pro-
ficiency. 
(3) Best practices on improving access to dig-
ital patient portals for individuals with limited 
English proficiency. 
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(4) Best practices on integrating the use of 
video platforms that enable multi-person video calls 
furnished via a telecommunications system for pur-
poses of providing interpretation during a telemedi-
cine appointment for an individual with limited 
English proficiency. 
(5) Best practices for providing patient mate-
rials, communications, and instructions in multiple 
languages, including text message appointment re-
minders and prescription information. 
(b) ENTITIES DESCRIBED.—For purposes of sub-
section (a), an entity described in this subsection is an 
entity in 1 or more of the following categories: 
(1) Health information technology service pro-
viders, including— 
(A) electronic medical record companies; 
(B) remote patient monitoring companies; 
and 
(C) telehealth or mobile health vendors and 
companies. 
(2) Health care providers, including— 
(A) physicians; and 
(B) hospitals. 
(3) Health insurers. 
(4) Language service companies. 
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(5) Interpreter or translator professional asso-
ciations. 
(6) Health and language services quality certifi-
cation organizations. 
(7) Patient and consumer advocates, including 
such advocates that work with individuals with lim-
ited English proficiency. 
SEC. 214. IN-HOME CARDIOPULMONARY REHABILITATION 
FLEXIBILITIES. 
(a) IN GENERAL.—Section 1861(eee)(2) of the Social 
Security Act (42 U.S.C. 1395x(eee)(2)) is amended— 
(1) in subparagraph (A)(ii), by inserting ‘‘(in-
cluding, with respect to items and services furnished 
through audio and video real-time communications 
technology (excluding audio-only) on or after Janu-
ary 1, 2025, and before January 1, 2027, in the 
home of an individual who is an outpatient of the 
hospital)’’ after ‘‘outpatient basis’’; and 
(2) in subparagraph (B), by inserting ‘‘(includ-
ing, with respect to items and services furnished 
through audio and video real-time communications 
technology on or after January 1, 2025, and before 
January 1, 2027, the virtual presence of such physi-
cian, physician assistant, nurse practitioner, or clin-
ical nurse specialist)’’ after ‘‘under the program’’. 
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486 
(b) PROGRAM INSTRUCTION AUTHORITY.—Notwith-
standing any other provision of law, the Secretary of 
Health and Human Services may implement the amend-
ments made by this section by program instruction or oth-
erwise. 
SEC. 215. INCLUSION OF VIRTUAL DIABETES PREVENTION 
PROGRAM SUPPLIERS IN MDPP EXPANDED 
MODEL. 
(a) IN GENERAL.—Not later than January 1, 2026, 
the Secretary shall revise the regulations under parts 410 
and 424 of title 42, Code of Federal Regulations, to pro-
vide that, for the period beginning January 1, 2026, and 
ending December 31, 2030— 
(1) an entity may participate in the MDPP by 
offering only online MDPP services via synchronous 
or asynchronous technology or telecommunications if 
such entity meets the conditions for enrollment as 
an 
MDPP 
supplier 
(as 
specified 
in 
section 
424.205(b) of title 42, Code of Federal Regulations 
(or a successor regulation)); 
(2) if an entity participates in the MDPP in the 
manner described in paragraph (1)— 
(A) the administrative location of such en-
tity shall be the address of the entity on file 
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487 
under the Diabetes Prevention Recognition Pro-
gram; and 
(B) in the case of online MDPP services 
furnished by such entity to an MDPP bene-
ficiary who was not located in the same State 
as the entity at the time such services were fur-
nished, the entity shall not be prohibited from 
submitting a claim for payment for such serv-
ices solely by reason of the location of such ben-
eficiary at such time; and 
(3) no limit is applied on the number of times 
an individual may enroll in the MDPP. 
(b) DEFINITIONS.—In this section: 
(1) MDPP.—The term ‘‘MDPP’’ means the 
Medicare Diabetes Prevention Program conducted 
under section 1115A of the Social Security Act (42 
U.S.C. 1315a), as described in the final rule pub-
lished in the Federal Register entitled ‘‘Medicare 
and Medicaid Programs; CY 2024 Payment Policies 
Under the Physician Fee Schedule and Other 
Changes to Part B Payment and Coverage Policies; 
Medicare Shared Savings Program Requirements; 
Medicare Advantage; Medicare and Medicaid Pro-
vider and Supplier Enrollment Policies; and Basic 
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488 
Health Program’’ (88 Fed. Reg. 78818 (November 
16, 2023)) (or a successor regulation). 
(2) REGULATORY TERMS.—The terms ‘‘Diabe-
tes Prevention Recognition Program’’, ‘‘full CDC 
DPRP recognition’’, ‘‘MDPP beneficiary’’, ‘‘MDPP 
services’’, and ‘‘MDPP supplier’’ have the meanings 
given each such term in section 410.79(b) of title 
42, Code of Federal Regulations. 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
SEC. 216. MEDICATION-INDUCED MOVEMENT DISORDER 
OUTREACH AND EDUCATION. 
Not later than January 1, 2026, the Secretary shall 
use existing communications mechanisms to provide edu-
cation and outreach to physicians and appropriate non- 
physician practitioners participating under the Medicare 
program under title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.) with respect to periodic screening for 
medication-induced movement disorders that are associ-
ated with the treatment of mental health disorders in at- 
risk patients, as well as resources related to clinical guide-
lines and best practices for furnishing such screening serv-
ices through telehealth. Such education and outreach shall 
include information on how to account for such screening 
services in evaluation and management code selection. The 
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489 
Secretary shall, to the extent practicable, seek input from 
relevant stakeholders to inform such education and out-
reach. Such education and outreach may also address 
other relevant screening services furnished through tele-
health, as the Secretary determines appropriate. 
SEC. 217. REPORT ON WEARABLE MEDICAL DEVICES. 
Not later than 18 months after the date of the enact-
ment of this Act, the Comptroller General of the United 
States shall conduct a technology assessment of, and sub-
mit to Congress a report on, the capabilities and limita-
tions of wearable medical devices used to support clinical 
decision-making. Such report shall include a description 
of— 
(1) the potential for such devices to accurately 
prescribe treatments; 
(2) an examination of the benefits and chal-
lenges of artificial intelligence to augment such ca-
pabilities; and 
(3) policy options to enhance the benefits and 
mitigate potential challenges of developing or using 
such devices. 
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490 
SEC. 218. EXTENSION OF TEMPORARY INCLUSION OF AU-
THORIZED ORAL ANTIVIRAL DRUGS AS COV-
ERED PART D DRUGS. 
Section 1860D–2(e)(1)(C) of the Social Security Act 
(42 U.S.C. 1395w–102(e)(1)(C)) is amended by striking 
‘‘December 31, 2024’’ and inserting ‘‘December 31, 
2025’’. 
SEC. 219. EXTENSION OF ADJUSTMENT TO CALCULATION 
OF HOSPICE CAP AMOUNT. 
Section 1814(i)(2)(B) of the Social Security Act (42 
U.S.C. 1395f(i)(2)(B)) is amended— 
(1) in clause (ii), by striking ‘‘2033’’ and in-
serting ‘‘2034’’; and 
(2) in clause (iii), by striking ‘‘2033’’ and in-
serting ‘‘2034’’. 
SEC. 220. MULTIYEAR CONTRACTING AUTHORITY FOR 
MEDPAC AND MACPAC. 
Section 3904 of title 41, United States Code, is 
amended by adding at the end the following new sub-
sections: 
‘‘(i) THE MEDICARE PAYMENT ADVISORY COMMIS-
SION.—The Medicare Payment Advisory Commission may 
use available funds to enter into contracts for the procure-
ment of severable services for a period that begins in one 
fiscal year and ends in the next fiscal year and may enter 
into multiyear contracts for the acquisition of property 
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491 
and services to the same extent as executive agencies 
under the authority of sections 3902 and 3903 of this 
title. 
‘‘(j) THE MEDICAID AND CHIP PAYMENT AND AC-
CESS COMMISSION.—The Medicaid and CHIP Payment 
and Access Commission may use available funds to enter 
into contracts for the procurement of severable services 
for a period that begins in one fiscal year and ends in 
the next fiscal year and may enter into multiyear contracts 
for the acquisition of property and services to the same 
extent as executive agencies under the authority of sec-
tions 3902 and 3903 of this title.’’. 
SEC. 
221. 
CONTRACTING 
PARITY 
FOR 
MEDPAC 
AND 
MACPAC. 
In fiscal year 2025 and thereafter, for all contracts 
for goods and services to which the Medicare and Payment 
Advisory Commission or the Medicaid and CHIP Payment 
and Access Commission is a party, the following Federal 
Acquisition Regulation (FAR) clauses will apply: FAR 
52.232–39 and FAR 52.233–4 (or a successor clause). 
SEC. 222. ADJUSTMENTS TO MEDICARE PART D COST-SHAR-
ING REDUCTIONS FOR LOW-INCOME INDIVID-
UALS. 
Section 1860D–14(a) of the Social Security Act (42 
U.S.C. 1395w–114(a)) is amended— 
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492 
(1) in paragraph (1)(D)(ii), by striking ‘‘that 
does not exceed $1 for’’ and all that follows through 
the period at the end and inserting ‘‘that does not 
exceed— 
‘‘(I) for a plan year before 
2027— 
‘‘(aa) for a generic drug or a 
preferred drug that is a multiple 
source drug (as defined in section 
1927(k)(7)(A)(i)), $1 or, if less, 
the copayment amount applicable 
to an individual under clause 
(iii); and 
‘‘(bb) for any other drug, $3 
or, if less, the copayment amount 
applicable to an individual under 
clause (iii); and 
‘‘(II) for plan year 2027 and 
each subsequent plan year— 
‘‘(aa) for a generic drug, $0; 
‘‘(bb) for a preferred drug 
that is a multiple source drug (as 
defined 
in 
section 
1927(k)(7)(A)(i)), 
the 
dollar 
amount applied under this clause 
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493 
for such a drug for the preceding 
plan year, increased by the an-
nual percentage increase in the 
consumer price index (all items; 
U.S. city average) as of Sep-
tember of such preceding year, 
or, if less, the copayment amount 
applicable to an individual under 
clause (iii); and 
‘‘(cc) for a drug not de-
scribed in either item (aa) or 
(bb), the dollar amount applied 
under this clause for such a drug 
for the preceding plan year, in-
creased in the manner specified 
in item (bb), or, if less, the co-
payment amount applicable to an 
individual under clause (iii). 
Any amount established under item (bb) or 
(cc) of subclause (II), that is based on an 
increase of $1 or $3, that is not a multiple 
of 5 cents or 10 cents, respectively, shall 
be rounded to the nearest multiple of 5 
cents or 10 cents, respectively.’’; and 
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494 
(2) in paragraph (4)(A)(ii), by inserting ‘‘(be-
fore 2027)’’ after ‘‘a subsequent year’’. 
SEC. 223. REQUIRING ENHANCED AND ACCURATE LISTS OF 
(REAL) HEALTH PROVIDERS ACT. 
(a) IN GENERAL.—Section 1852(c) of the Social Se-
curity Act (42 U.S.C. 1395w–22(c)) is amended— 
(1) in paragraph (1)(C)— 
(A) by striking ‘‘plan, and any’’ and insert-
ing ‘‘plan, any’’; and 
(B) by inserting the following before the 
period at the end: ‘‘, and, in the case of a speci-
fied MA plan (as defined in paragraph (3)(C)), 
for plan year 2027 and subsequent plan years, 
the information described in paragraph (3)(B)’’; 
and 
(2) by adding at the end the following new 
paragraph: 
‘‘(3) PROVIDER DIRECTORY ACCURACY.— 
‘‘(A) IN GENERAL.—For plan year 2027 
and subsequent plan years, each MA organiza-
tion offering a specified MA plan (as defined in 
subparagraph (C)) shall, for each such plan of-
fered by the organization— 
‘‘(i) maintain, on a publicly available 
internet website, an accurate provider di-
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495 
rectory that includes the information de-
scribed in subparagraph (B); 
‘‘(ii) not less frequently than once 
every 90 days (or, in the case of a hospital 
or any other facility determined appro-
priate by the Secretary, at a lesser fre-
quency specified by the Secretary but in no 
case less frequently than once every 12 
months), verify the provider directory in-
formation of each provider listed in such 
directory and, if applicable, update such 
provider directory information; 
‘‘(iii) if the organization is unable to 
verify such information with respect to a 
provider, include in such directory an indi-
cation that the information of such pro-
vider may not be up to date; and 
‘‘(iv) remove a provider from such di-
rectory within 5 business days if the orga-
nization determines that the provider is no 
longer a provider participating in the net-
work of such plan. 
‘‘(B) PROVIDER
DIRECTORY
INFORMA-
TION.—The information described in this sub-
paragraph is information enrollees may need to 
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access covered benefits from a provider with 
which such organization offering such plan has 
an agreement for furnishing items and services 
covered under such plan such as name, spe-
cialty, contact information, primary office or fa-
cility address, whether the provider is accepting 
new patients, accommodations for people with 
disabilities, cultural and linguistic capabilities, 
and telehealth capabilities. 
‘‘(C) SPECIFIED MA PLAN.—In this para-
graph, the term ‘specified MA plan’ means— 
‘‘(i) a network-based plan (as defined 
in subsection (d)(5)(C)); or 
‘‘(ii) a Medicare Advantage private 
fee-for-service plan (as defined in section 
1859(b)(2)) that meets the access stand-
ards under subsection (d)(4), in whole or 
in part, through entering into contracts or 
agreements as provided for under subpara-
graph (B) of such subsection.’’. 
(b) ACCOUNTABILITY
FOR PROVIDER DIRECTORY 
ACCURACY.— 
(1) COST SHARING FOR SERVICES FURNISHED 
BASED ON RELIANCE ON INCORRECT PROVIDER DI-
RECTORY
INFORMATION.—Section 1852(d) of the 
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497 
Social Security Act (42 U.S.C. 1395w–22(d)) is 
amended— 
(A) in paragraph (1)(C)— 
(i) in clause (ii), by striking ‘‘or’’ at 
the end; 
(ii) in clause (iii), by striking the 
semicolon at the end and inserting ‘‘, or’’; 
and 
(iii) by adding at the end the fol-
lowing new clause: 
‘‘(iv) the services are furnished by a 
provider that is not participating in the 
network of a specified MA plan (as defined 
in subsection (c)(3)(C)) but is listed in the 
provider directory of such plan on the date 
on which the appointment is made, as de-
scribed in paragraph (7)(A);’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(7) COST SHARING FOR SERVICES FURNISHED 
BASED ON RELIANCE ON INCORRECT PROVIDER DI-
RECTORY INFORMATION.— 
‘‘(A) IN GENERAL.—For plan year 2027 
and subsequent plan years, if an enrollee is fur-
nished an item or service by a provider that is 
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not participating in the network of a specified 
MA plan (as defined in subsection (c)(3)(C)) 
but is listed in the provider directory of such 
plan (as required to be provided to an enrollee 
pursuant to subsection (c)(1)(C)) on the date 
on which the appointment is made, and if such 
item or service would otherwise be covered 
under such plan if furnished by a provider that 
is participating in the network of such plan, the 
MA organization offering such plan shall ensure 
that the enrollee is only responsible for the less-
er of— 
‘‘(i) the amount of cost sharing that 
would apply if such provider had been par-
ticipating in the network of such plan; or 
‘‘(ii) the amount of cost sharing that 
would otherwise apply (without regard to 
this subparagraph). 
‘‘(B) NOTIFICATION REQUIREMENT.—For 
plan year 2027 and subsequent plan years, each 
MA organization that offers a specified MA 
plan shall— 
‘‘(i) notify enrollees of their cost-shar-
ing protections under this paragraph and 
make such notifications, to the extent 
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‘‘(gg) total rebates paid by 
the manufacturer on the drug as 
reported under the Detailed DIR 
Report (or any successor report) 
submitted by such sponsor to the 
Centers for Medicare & Medicaid 
Services; 
‘‘(hh) all other direct or in-
direct remuneration on the drug 
as reported under the Detailed 
DIR Report (or any successor re-
port) submitted by such sponsor 
to the Centers for Medicare & 
Medicaid Services; 
‘‘(ii) the average pharmacy 
reimbursement amount paid by 
the plan for the drug in the ag-
gregate and disaggregated by dis-
pensing channel identified in item 
(cc); 
‘‘(jj) the average National 
Average Drug Acquisition Cost 
(NADAC); and 
‘‘(kk) total manufacturer-de-
rived revenue, inclusive of bona 
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