(i) is enrolled in the system of patient 
enrollment of the Department under sec-
tion 1705(a) of title 38, United States 
Code; and 
(ii) has received health care under the 
laws administered by the Secretary during 
the two-year period preceding the date on 
which the veteran is first selected by the 
Secretary for participation in the pilot pro-
gram. 
(4) NO PAYMENT.— 
(A) PILOT PROGRAM.—The Secretary may 
not charge a program participant for any cost 
of services furnished under the pilot program. 
(B) EFFECT
ON
CERTAIN
IN
PERSON 
TESTS.—While a veteran is a program partici-
pant in the pilot program, the Secretary may 
not make payment for a test described in para-
graph (2)(C) that is furnished in-person by a 
physician or practitioner to the veteran if a 
physician or practitioner has previously ordered 
such a test for the veteran under the pilot pro-
gram via a telecommunications system, unless 
the physician or practitioner determines such a 
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test is medically necessary and appropriate (as 
determined by the Secretary). 
(5) TERMINATION.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), the pilot program shall terminate on 
the date that is three years after the date on 
which the pilot program commences. 
(B) EXTENSION.—If the Secretary deter-
mines, based on the results of the interim re-
port under subsection (b)(1), that it is appro-
priate to extend the pilot program, the Sec-
retary may extend the termination of such pro-
gram for a period of not more than two years. 
(b) REPORTS.— 
(1) INTERIM REPORT.—Not later than one year 
after the date on which the pilot program com-
mences, the Secretary shall submit to the appro-
priate congressional committees an interim report. 
Such report shall include the following information: 
(A) The number of veterans who have par-
ticipated in the pilot program. 
(B) The types of at-home diagnostics fur-
nished under the pilot program. 
(C) An assessment of whether participation 
in the pilot program resulted in any changes in 
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clinically relevant endpoints for the participant 
with respect to the conditions identified during 
an assistive telehealth consultation or through a 
covered test under the pilot program. 
(D) An assessment of the quality of life of 
veterans who have participated in the pilot pro-
gram, including the results of a satisfaction 
survey provided to each such veteran. 
(2) FINAL REPORT.—Not later than 90 days 
after the date of termination of the pilot program 
under subsection (a)(4)(A) (or, if the pilot program 
is extended under subsection (a)(4)(B), the date on 
which such extension terminates), the Secretary 
shall submit to the appropriate congressional com-
mittees a final report on the pilot program that con-
tains any relevant updates to the information speci-
fied in paragraph (1). 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committee on Energy and Com-
merce, the Committee on Veterans’ Affairs, and 
the Committee on Ways and Means of the 
House of Representatives; and 
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(B) the Committee on Health, Education, 
Labor, and Pensions and the Committee on 
Veterans’ Affairs of the Senate. 
(2) The term ‘‘assistive telehealth consultation’’ 
has the meaning given such term in section 
1859A(a)(7) of the Social Security Act, as added by 
section 1 of this Act. 
Æ 
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