IB 
Union Calendar No. 328 
115TH CONGRESS 
1ST SESSION H. R. 1148 
[Report No. 115–444, Part I] 
To amend title XVIII of the Social Security Act to expand access to 
telehealth-eligible stroke services under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 16, 2017 
Mr. GRIFFITH (for himself, Mrs. BEATTY, Mr. CARTER of Georgia, Mr. RYAN 
of Ohio, Mr. COLLINS of New York, Mr. ROE of Tennessee, Mr. BILI-
RAKIS, Mr. ABRAHAM, Mr. BABIN, Mr. TURNER, and Mr. JOHNSON of 
Ohio) 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 
DECEMBER 6, 2017 
Additional sponsors: Mr. GRAVES of Georgia, Mr. FLORES, Mr. LIPINSKI, Mr. 
PASCRELL, Mrs. WALORSKI, Mr. SENSENBRENNER, Mr. HARRIS, Ms. 
MCCOLLUM, Mr. CLAY, Ms. MCSALLY, Mr. MOONEY of West Virginia, 
Mr. TONKO, Mr. WENSTRUP, Mr. HUDSON, Mr. O’ROURKE, Mr. MEE-
HAN, Mr. HARPER, Mr. JOYCE of Ohio, Mr. BARR, Mr. COLE, Mr. POLIS, 
Mr. ROTHFUS, Ms. ROSEN, Mr. POCAN, Mr. LOUDERMILK, Mr. DAVID 
SCOTT of Georgia, Mr. NUNES, Mr. SCHWEIKERT, Ms. LOFGREN, Mr. 
COFFMAN, Mr. MURPHY of Pennsylvania, Mr. AMODEI, Mr. LONG, Ms. 
SCHAKOWSKY, Mr. RUTHERFORD, Mr. RUPPERSBERGER, Ms. DELBENE, 
Mr. WILSON of South Carolina, Mrs. BLACKBURN, Ms. BROWNLEY of 
California, Mr. SCHRADER, Mr. CA´RDENAS, Mrs. DAVIS of California, 
Mr. ENGEL, Mr. BLUMENAUER, Ms. SEWELL of Alabama, Mr. UPTON, 
Mr. BEN RAY LUJA´N of New Mexico, Ms. ROYBAL-ALLARD, Mr. KIL-
MER, Mr. KIND, Mr. MICHAEL F. DOYLE of Pennsylvania, Mr. CUM-
MINGS, Mr. HECK, Mr. WELCH, Ms. MICHELLE LUJAN GRISHAM of New 
Mexico, Mr. CRIST, Mr. COSTA, Ms. JENKINS of Kansas, Mr. EMMER, 
Ms. ESHOO, Mr. BERA, Ms. MATSUI, Mr. WALZ, Mr. GALLEGO, Mr. 
CARTWRIGHT, Mr. DUNN, Ms. WASSERMAN SCHULTZ, Mr. MCKINLEY, 
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Mr. MULLIN, Ms. BARRAGA´N, Mr. BUCSHON, Mr. BRENDAN F. BOYLE 
of Pennsylvania, Mr. MARSHALL, Mr. PAULSEN, Mr. SOTO, Mr. TAKANO, 
Mr. ELLISON, Mrs. MCMORRIS RODGERS, Mr. HIMES, Mr. POLIQUIN, 
Mr. STIVERS, Mr. RICE of South Carolina, Mr. LOWENTHAL, Mr. STEW-
ART, Ms. JUDY CHU of California, Mr. RASKIN, Mr. KNIGHT, Mr. 
KINZINGER, Ms. DEGETTE, Mr. CICILLINE, Mr. SMITH of New Jersey, 
Mr. JODY B. HICE of Georgia, Ms. ESTY of Connecticut, Mr. YOUNG of 
Iowa, Mr. COOK, Mr. CUELLAR, Mr. KING of Iowa, Mr. COHEN, Mr. 
RUIZ, Mr. GOODLATTE, Mr. THOMPSON of California, Mr. CURBELO of 
Florida, Mr. ROSKAM, Mr. BISHOP of Georgia, Mr. YARMUTH, Mr. VELA, 
Mr. LOEBSACK, Mr. FOSTER, Mr. PERLMUTTER, Mr. GOTTHEIMER, Mr. 
FORTENBERRY, Mr. FERGUSON, Mrs. NAPOLITANO, Ms. SHEA-PORTER, 
Mr. FITZPATRICK, Mr. BARTON, Mr. FARENTHOLD, Mr. SMUCKER, Mr. 
PETERS, Mr. NORMAN, Mr. CHABOT, Mr. GUTHRIE, Mr. HASTINGS, Ms. 
CLARKE of New York, Mr. DONOVAN, Mr. HIGGINS of New York, Mr. 
POSEY, Mr. LANCE, Mr. CROWLEY, Mr. KENNEDY, Mr. DENT, Mrs. 
BROOKS of Indiana, Mr. SHIMKUS, Mr. PANETTA, Mr. BARLETTA, Mr. 
REED, Ms. SINEMA, Mr. SESSIONS, Mr. CRAMER, Mr. MCGOVERN, Ms. 
MOORE, Mr. HOLLINGSWORTH, Mr. NOLAN, Mr. DOGGETT, Mr. COS-
TELLO of Pennsylvania, Mr. KHANNA, Mr. BRADY of Pennsylvania, Ms. 
PINGREE, Mr. YOUNG of Alaska, Mr. KELLY of Pennsylvania, Ms. 
SLAUGHTER, Mrs. MURPHY of Florida, Mr. LEWIS of Minnesota, Mr. 
BLUM, Mr. BURGESS, Mr. THOMPSON of Pennsylvania, Mr. PETERSON, 
Mr. LEWIS of Georgia, Mr. MCNERNEY, Mr. KATKO, Mr. GONZALEZ of 
Texas, Mr. WALBERG, Mr. SMITH of Missouri, Mr. BYRNE, Mr. LAHOOD, 
and Mr. LARSON of Connecticut 
DECEMBER 6, 2017 
Reported from the Committee on Energy and Commerce with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
DECEMBER 6, 2017 
The Committee on Ways and Means discharged; committed to the Committee 
of the Whole House on the State of the Union and ordered to be printed 
[For text of introduced bill, see copy of bill as introduced on February 16, 2017] 
A BILL 
To amend title XVIII of the Social Security Act to expand 
access to telehealth-eligible stroke services under the 
Medicare program. 
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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 ‘‘Furthering Access to 
Stroke Telemedicine Act of 2017’’ or the ‘‘FAST Act of 
2017’’. 
SEC. 2. EXPANDING ACCESS TO TELEHEALTH-ELIGIBLE 
STROKE SERVICES UNDER THE MEDICARE 
PROGRAM. 
(a) IN GENERAL.—Section 1834(m)(4) of the Social 
Security Act (42 U.S.C. 1395m(m)(4)) is amended— 
(1) in subparagraph (C)— 
(A) in clause (i), in the matter preceding 
subclause (I), by striking ‘‘The term’’ and insert-
ing ‘‘Except as provided in clause (iii), the 
term’’; and 
(B) by adding at the end the following new 
clause: 
‘‘(iii) TELEHEALTH-ELIGIBLE STROKE 
SERVICES.—With respect to telehealth-eligi-
ble stroke services, the term ‘originating 
site’ means any hospital (as defined in sec-
tion 1861(e)) or critical access hospital (as 
defined in section 1861(mm)(1)), or any 
mobile stroke unit, at which the eligible tele-
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