I 
117TH CONGRESS 
1ST SESSION H. R. 1580 
To amend title XVIII of the Social Security Act to permit the use of 
certain psychological evaluation via telehealth for Medicare coverage of 
neurostimulation services for the treatment of chronic pain. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 3, 2021 
Mr. LATTA introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committee on Ways 
and Means, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to permit 
the use of certain psychological evaluation via telehealth 
for Medicare coverage of neurostimulation services for 
the treatment of chronic pain. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Access to 
Alternative Pain Management Act’’. 
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SEC. 2. PERMITTING CERTAIN PSYCHOLOGICAL EVALUA-
TIONS VIA TELEHEALTH FOR MEDICARE COV-
ERAGE OF NEUROSTIMULATION SERVICES 
FOR THE TREATMENT OF CHRONIC PAIN. 
(a) PERMITTING USE OF PSYCHOLOGICAL EVALUA-
TION VIA TELEHEALTH FOR PURPOSES OF CERTAIN COV-
ERAGE OF NEUROSTIMULATION SERVICES.—Section 1834 
of the Social Security Act (42 U.S.C. 1395m) is amended 
by adding at the end the following: 
‘‘(z) USE
OF PSYCHOLOGICAL EVALUATION VIA 
TELEHEALTH
FOR
PURPOSES
OF
COVERAGE
OF 
NEUROSTIMULATION SERVICES FOR THE TREATMENT OF 
CHRONIC PAIN.—Notwithstanding any other provision of 
this title, beginning January 1, 2022, for coverage under 
this part of neurostimulation services, as identified under 
the National Coverage Determination section 160.7, titled 
Medicare National Coverage Determination for Electrical 
Nerve Stimulators, as in effect on January 1, 2020, for 
the treatment of chronic pain, any requirement for a psy-
chological evaluation prior to receipt of the service may 
be satisfied through such an evaluation via telehealth.’’. 
(b) INCLUSION OF CERTAIN PSYCHOLOGICAL EVAL-
UATIONS
AS
TELEHEALTH
SERVICES.—Section 
1834(m)(4)(F)(i) of the Social Security Act (42 U.S.C. 
1395m(4)(F)(i)) is amended by inserting before the period 
at the end the following: ‘‘, and, beginning January 1, 
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2022, shall include psychological evaluations (identified by 
CPT codes 96130, 96131, 96136, 96137, 96138, and 
96139 and any successor codes and additional codes the 
Secretary determines may be necessary to perform the 
psychological evaluation furnished prior to the provision 
of neurostimulation services) furnished prior to the provi-
sion of neurostimulation services (as described in section 
1834(z)) for the purpose of treating chronic pain’’. 
Æ 
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