I 
117TH CONGRESS 
1ST SESSION H. R. 4347 
To ensure appropriate access to remote physiologic monitoring services 
furnished under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 2, 2021 
Mr. BALDERSON (for himself and Ms. PORTER) 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 subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To ensure appropriate access to remote physiologic 
monitoring services furnished under the Medicare program. 
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 ‘‘Analyzing the Dura-
tion of Remote Monitoring Services Act of 2021’’. 
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SEC. 2. ENSURING APPROPRIATE ACCESS TO REMOTE 
PHYSIOLOGIC MONITORING SERVICES FUR-
NISHED 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 physiologic 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 the last day of the emergency period de-
scribed in section 1135(g)(1)(B) of such Act (42 U.S.C. 
1320b–5(g)(1)(B)) are payable for a minimum of 2 days 
of data collection over a 30-day period (as described at 
85 Fed. Reg. 84544), regardless of whether the individual 
receiving such services has been diagnosed with, or is sus-
pected of having, COVID–19. 
(b) REPORTS.—Not later than 18 months after the 
last day of the emergency period described in subsection 
(a), and again 5 years after the date on which the first 
report is submitted under this subsection, the Secretary 
shall submit to Congress a report specifying the appro-
priate number of days of data collection over a 30-day pe-
riod that should be required for payment for remote phys-
iologic monitoring services furnished under title XVIII of 
the Social Security Act (42 U.S.C. 1395 et seq.) and for 
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any other remote monitoring services payable under such 
title. Such appropriate number of days so specified may 
vary depending on the condition with respect to which 
such services are furnished, taking into account clinical 
protocols for the treatment and management of such con-
dition. In determining such number of days, the Secretary 
shall— 
(1) take into account the experience with such 
remote physiologic monitoring services being payable 
under such title for a minimum of 2 days of data 
collection over a 30-day period during the period be-
ginning on the first day of the emergency period de-
scribed in subsection (a) and ending on the date that 
is 1 year after the last day of such emergency pe-
riod; and 
(2) consult with— 
(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) licensed and practicing osteopathic and 
allopathic physicians, anesthesiologists, physi-
cian assistants, and nurse practitioners; 
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(C) 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, and post- 
acute care and long-term care facilities; 
(D) medical professional organizations and 
medical specialty organizations; 
(E) organizations with expertise in the de-
velopment of or operation of innovative remote 
physiologic monitoring services technologies; 
(F) beneficiary advocacy organizations; 
(G) the American Medical Association Cur-
rent Procedural Terminology Editorial Panel; 
and 
(H) any other entity determined appro-
priate by the Secretary. 
Æ 
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