ing more frequent data collection for active 
monitoring with changes in medication or dos-
ages. 
(G) A patient who suffers from Muscular 
Sclerosis or Muscular Dystrophy may benefit 
from a provider tracking the patient’s exercise 
between visits to monitor certain physiologic pa-
rameters such as muscle movement but may not 
produce 16 days of data in a 30-day period. 
(H) A patient who needs a total joint re-
placement may simply need pre-testing for sur-
gery baselines, including to establish gait, force, 
activity, heart rate and other factors and then 
compare pre-surgery and post-surgery function. 
(I) For a patient with urologic dysfunction, 
male urine flow data obtained from the patient 
can be collected in two to four consecutive days. 
(J) Remote monitoring may allow a pro-
vider to assess a patient’s adherence, range of 
motion, and response to physical therapy and 
occupational therapy regimens even though 
many such regimens are less than 16 days per 
month. 
(K) Monitoring cognitive behavioral ther-
apy for less than 16 days in a 30-day period 
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may provide clinically meaningful care while 
moderating a patient’s anxiety and other symp-
toms. 
(L) A patient with respiratory issues may 
not require a full 16 days of monitoring of in-
haler usage to get clinical benefits from remote 
monitoring. 
(8) A two-day minimum duration would permit 
Medicare coverage of the full range of remote moni-
toring services that can be beneficial to a patient 
without precluding the differential reimbursement of 
individual remote monitoring services based on pa-
tient acuity and cost. 
SEC. 3. ENSURING APPROPRIATE ACCESS TO REMOTE 
MONITORING SERVICES FURNISHED UNDER 
THE MEDICARE PROGRAM. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, the Secretary of Health and Human Services 
(in this section referred to as the ‘‘Secretary’’) shall en-
sure that remote monitoring services furnished under title 
XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) 
during the period beginning on the date of the enactment 
of this Act and ending on the date that is 2 years after 
such date of enactment are payable for a minimum of 2 
days of data collection over a 30-day period, regardless 
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of whether the individual receiving such services has been 
diagnosed with, or is suspected of having, COVID–19. 
(b) REPORT.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, the Secretary 
shall, after consulting with entities specified in para-
graph (2), submit to Congress a report that includes 
the following: 
(A) A summary and analysis of previous 
experience with such remote monitoring services 
being payable under such title for a minimum 
of 2 days of data collection over a 30-day pe-
riod. 
(B) Recommendations for implementing a 
reimbursement model that takes into account 
patient acuity and cost of providing remote 
monitoring services, including potentially cre-
ating differential reimbursements for periods 
with different durations, such as fewer than 
and more than 16 days. 
(C) An analysis and justification for the 
appropriate place of service and supervision re-
quirements for non-clinical staff reviewing and 
escalating patient data and provide rec-
ommendations. 
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(D) An analysis of the estimated savings 
resulting from earlier interventions and fewer 
days of hospitalizations among patients fur-
nished remote monitoring services. 
(2) SPECIFIED
ENTITIES.—For purposes of 
paragraph (1), the entities specified in this para-
graph are the following: 
(A) Relevant agencies within the Depart-
ment of Health and Human Services (including, 
with respect to issues relating to waste, fraud, 
or abuse, the Inspector General of such Depart-
ment). 
(B) The Department of Veterans Affairs 
(including the Office of Connected Care of such 
Department). 
(C) Licensed and practicing osteopathic 
and allopathic physicians, anesthesiologists, 
physician assistants, and nurse practitioners. 
(D) Hospitals, health systems, academic 
medical centers, and other medical facilities, 
such as acute care hospitals, cancer hospitals, 
psychiatric hospitals, hospital emergency de-
partments, facilities furnishing urgent care 
services, ambulatory surgical centers, Federally 
qualified health centers, rural health clinics, 
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and post-acute care and long-term care facili-
ties. 
(E) Medical professional organizations and 
medical specialty organizations. 
(F) Organizations with expertise in the de-
velopment of or operation of innovative remote 
physiologic monitoring services technologies. 
(G) Beneficiary advocacy organizations. 
(H) The American Medical Association 
Current 
Procedural 
Terminology 
Editorial 
Panel. 
(I) Commercial payers. 
(J) Any other entity determined appro-
priate by the Secretary. 
(c) DEFINITIONS.—In this section: 
(1) REMOTE MONITORING.—The term ‘‘remote 
monitoring’’ means remote physiologic monitoring 
and remote therapeutic monitoring. 
(2) REMOTE PHYSIOLOGIC MONITORING.—The 
term ‘‘remote physiologic monitoring’’ means non- 
face-to-face monitoring and analysis of physiologic 
factors used to understand a patient’s health status, 
including the collection and analysis of patient phys-
iologic data that are used to develop and manage a 
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