ments for such eligible MA plans in order 
to carry out such evaluation. 
In carrying out such process, the Secretary 
shall recognize that definitions, benefits, and 
program requirements for long-term care serv-
ices and supports vary across States. 
‘‘(2) REPORTS.—Not later than four years after 
the implementation of the VBID demonstration pro-
gram, the Secretary shall submit to Congress a re-
port containing the results of the evaluation con-
ducted under paragraph (1), together with such rec-
ommendations for legislative or administrative action 
as the Secretary determines appropriate. In pre-
paring such report, the Secretary shall use at least 
three years worth of data under the VBID dem-
onstration program. 
‘‘(i) BUDGET NEUTRALITY.—For any year after the 
third year of the VBID demonstration program, the Sec-
retary shall ensure that the aggregate payments made 
under this title and title XIX, including under the VBID 
demonstration program, do not exceed the amount which 
the Secretary estimates would have been expended under 
such titles during such year if the VBID demonstration 
program had not been implemented. 
VerDate Sep 11 2014 
20:41 Aug 07, 2021
Jkt 019200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H4670.IH
H4670
pbinns on DSKJLVW7X2PROD with BILLS
‘‘(j) PAPERWORK REDUCTION ACT.—Chapter 35 of 
title 44, United States Code, shall not apply to the testing 
and evaluation of the VBID demonstration program.’’. 
(b) DEMONSTRATION PROGRAM UNDER CERTAIN 
STATE MEDICAID PROGRAMS.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, subject to 
paragraph (3), the Secretary of Health and Human 
Services, acting through the Deputy Administrator 
and Director of the Center for Medicare and Med-
icaid Innovation of the Centers for Medicare & Med-
icaid Services, shall administer a program that 
awards grants to at least 5, but not more than 10 
States or territories for purposes of the State Med-
icaid program to provide coverage to individuals en-
titled to benefits under the State plan under title 
XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) for tests described in section 1859A(a)(4) of 
such Act that are ordered and assistive telehealth 
consultations that are furnished via a telecommuni-
cations system by a physician or practitioner to such 
individuals notwithstanding that the individual phy-
sician or practitioner ordering the test did not fur-
nish the test or that the individual physician or 
practitioner providing the assistive telehealth con-
VerDate Sep 11 2014 
20:41 Aug 07, 2021
Jkt 019200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H4670.IH
H4670
pbinns on DSKJLVW7X2PROD with BILLS
sultation is not at the same location as the individ-
uals. 
(2) APPLICATIONS.—To be eligible to receive a 
grant under this subsection, a State shall submit an 
application to the Secretary in such manner, and 
containing such information as the Secretary may 
require. 
(3) DURATION; AMOUNT.— 
(A) DURATION.—A grant under this sub-
section shall be for a 4-year period. 
(B) AMOUNT.—A State that is awarded a 
grant under this subsection shall be for an 
amount not to exceed $12,000,000. 
(4) FUNDING.—The Secretary, acting through 
the Deputy Administrator and Director, shall pro-
vide for not more than $100,000,000 to carry out 
the program described in paragraph (1) from 
amounts otherwise appropriated pursuant to section 
1115A(f) of the Social Security Act (42 U.S.C. 
1315a(f)). 
SEC. 3. PILOT PROGRAM ON IMPROVED ACCESS TO CER-
TAIN TESTS AND ASSISTIVE TELEHEALTH 
CONSULTATIONS FOR VETERANS. 
(a) PILOT PROGRAM.— 
VerDate Sep 11 2014 
20:41 Aug 07, 2021
Jkt 019200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H4670.IH
H4670
pbinns on DSKJLVW7X2PROD with BILLS
(1) ESTABLISHMENT.—Not later than 180 days 
after the date of the enactment of this Act, the Sec-
retary of Veterans shall establish a pilot program on 
improved access to certain telehealth services for vet-
erans (in this section referred to as the ‘‘pilot pro-
gram’’). Under the pilot program, the Secretary 
shall furnish covered services to participants, at no 
cost to the participants, in accordance with this sec-
tion. 
(2) PROVISION OF COVERED SERVICES.— 
(A) HEALTH CARE PROVIDERS.—The Sec-
retary shall select not fewer than five facilities 
of the Department of Veterans Affairs through 
which to carry out the program, of which not 
fewer than three shall serve veterans in rural or 
highly rural areas (as determined through the 
use of the Rural-Urban Commuting Areas cod-
ing system of the Department of Agriculture). 
(B) COVERED SERVICES.—Under the pilot 
program, and notwithstanding that the provider 
ordering or providing the service is not at the 
same location as the participant receiving the 
service, health care providers at each facility se-
lected under subparagraph (A) shall furnish to 
program participants the following services: 
VerDate Sep 11 2014 
20:41 Aug 07, 2021
Jkt 019200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H4670.IH
H4670
pbinns on DSKJLVW7X2PROD with BILLS
(i) Tests described in subparagraph 
(C) that are ordered by the health care 
provider via a telecommunications system. 
(ii) Assistive telehealth consultations 
that are provided by the health care pro-
vider via a telecommunications system. 
(C) TESTS DESCRIBED.—A test described 
in this subparagraph is a test that— 
(i) is a medical device (as defined in 
section 201(h) of the Federal Food, Drug, 
and Cosmetic Act) or wearable patient 
monitoring device, and 
(ii) is for a condition determined rel-
evant by the Secretary for purposes of the 
pilot program. 
(3) PARTICIPATION IN PROGRAM.— 
(A) APPLICATION.—To participate in the 
pilot program, veterans eligible to apply under 
subparagraph (B) shall submit an application 
for such participation in such form, at such 
time, and containing such information as the 
Secretary determines appropriate. 
(B) ELIGIBILITY.—A veteran is eligible to 
submit an application for participation in the 
pilot program if the veteran— 
VerDate Sep 11 2014 
20:41 Aug 07, 2021
Jkt 019200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H4670.IH
H4670
pbinns on DSKJLVW7X2PROD with BILLS