I 
118TH CONGRESS 
1ST SESSION H. R. 1110 
To direct the Secretary of Health and Human Services, the Medicare Payment 
Advisory Commission, and the Medicaid and CHIP Payment and Access 
Commission to conduct studies and report to Congress on actions taken 
to expand access to telehealth services under the Medicare, Medicaid, 
and Children’s Health Insurance programs during the COVID–19 emer-
gency. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 21, 2023 
Mr. BALDERSON (for himself, Mrs. LEE of Nevada, Mrs. HINSON, and Mr. 
NEGUSE) introduced the following bill; which was referred to the Com-
mittee 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 jurisdiction of the committee concerned 
A BILL 
To direct the Secretary of Health and Human Services, 
the Medicare Payment Advisory Commission, and the 
Medicaid and CHIP Payment and Access Commission 
to conduct studies and report to Congress on actions 
taken to expand access to telehealth services under the 
Medicare, Medicaid, and Children’s Health Insurance 
programs during the COVID–19 emergency. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Knowing the Efficiency 
and Efficacy of Permanent Telehealth Options Act of 
2023’’ or the ‘‘KEEP Telehealth Options Act of 2023’’. 
SEC. 2. STUDIES AND REPORTS ON THE EXPANSION OF AC-
CESS TO TELEHEALTH SERVICES DURING 
THE COVID–19 EMERGENCY. 
(a) HHS.— 
(1) IN
GENERAL.—Not later than 180 days 
after the date of the enactment of this Act, the Sec-
retary, in consultation with the Administrator, shall 
conduct a study and submit to Congress a report on 
actions taken by the Secretary during the emergency 
period described in section 1135(g)(1)(B) of the So-
cial Security Act (42 U.S.C. 1320b–5(g)(1)(B)) and 
through December 31, 2024, to expand access to 
telehealth services under the Medicare program, the 
Medicaid program, and the Children’s Health Insur-
ance program. Such report shall include the fol-
lowing: 
(A) A comprehensive list of telehealth serv-
ices available under such programs and an ex-
planation of all actions undertaken by the Sec-
retary during such emergency period and 
through December 31, 2024, to expand access 
to such services. 
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(b) MEDPAC AND MACPAC.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of this Act, the Medicare Pay-
ment Advisory Commission and the Medicaid and 
CHIP Payment and Access Commission, in consulta-
tion with the Inspector General of the Department 
of Health and Human Services, shall each conduct 
a study and submit to Congress a report on— 
(A) any improvements to, or barriers in, 
access to telehealth services under— 
(i) in the case of the report submitted 
by the Medicare Payment Advisory Com-
mission, the Medicare program; and 
(ii) in the case of the report submitted 
by the Medicaid and CHIP Payment and 
Access Commission, the Medicaid and Chil-
dren’s Health Insurance programs; 
during the emergency period described in sub-
section (a)(1) and through December 31, 2024; 
and 
(B) what is known about any increased 
risk in increased fraudulent activity, including 
the types of fraudulent activity, that could be 
associated with the expansion of access to such 
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services under such programs during such pe-
riod and through December 31, 2024. 
(2) RECOMMENDATIONS.—The reports sub-
mitted under paragraph (1) shall include rec-
ommendations, as appropriate, on— 
(A) potential improvements to telehealth 
services, and expansions of such services, under 
the programs described in paragraph (1)(A); 
and 
(B) possible approaches to addressing any 
fraudulent activity described in paragraph 
(1)(B). 
Æ 
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