health service to an eligible individual’’ before 
the period at the end; and 
(B) in subparagraph (F), by adding at the 
end the following new clause: 
‘‘(iii) INCLUSION OF RURAL HEALTH 
CLINIC SERVICES AND FEDERALLY QUALI-
FIED
HEALTH
CENTER
SERVICES
FUR-
NISHED
USING
TELEHEALTH.—For pur-
poses of this subparagraph, the term ‘tele-
health services’ includes a rural health 
clinic service or Federally qualified health 
center service that is furnished using tele-
health to the extent that payment codes 
corresponding to services identified by the 
Secretary under clause (i) or (ii) are listed 
on the corresponding claim for such rural 
health clinic service or Federally qualified 
health center service.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
January 1, 2021. 
SEC. 8. NATIVE AMERICAN HEALTH FACILITIES. 
(a) IN GENERAL.—Section 1834(m)(4)(C) of the So-
cial Security Act (42 U.S.C. 1395m(m)(4)(C)), as amend-
ed by sections 3, 4, 5, and 7, is amended— 
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(1) in clause (i), by striking ‘‘clause (iii)’’ and 
inserting ‘‘clauses (iii) and (iv)’’; and 
(2) by adding at the end the following new 
clause: 
‘‘(iv) NATIVE AMERICAN HEALTH FA-
CILITIES.—The originating site require-
ments described in clauses (i) and (ii) shall 
not apply with respect to a facility of the 
Indian Health Service, whether operated 
by such Service, or by an Indian tribe (as 
that term is defined in section 4 of the In-
dian Health Care Improvement Act (25 
U.S.C. 1603)) or a tribal organization (as 
that term is defined in section 4 of the In-
dian Self-Determination and Education 
Assistance Act (25 U.S.C. 5304)), or a fa-
cility of the Native Hawaiian health care 
systems authorized under the Native Ha-
waiian Health Care Improvement Act (42 
U.S.C. 11701 et seq.).’’. 
(b) NO ORIGINATING SITE FACILITY FEE FOR NEW 
SITES.—Section 1834(m)(2)(B)(i) of the Social Security 
Act (42 U.S.C. 1395m(m)(2)(B)(i)) is amended, in the 
matter preceding subclause (I), by inserting ‘‘(other than 
an originating site that is only described in clause (iv) of 
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paragraph (4)(C), and does not meet the requirement for 
an originating site under clause (i) of such paragraph)’’ 
after ‘‘the originating site’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
January 1, 2021. 
SEC. 9. WAIVER OF TELEHEALTH RESTRICTIONS DURING 
NATIONAL EMERGENCIES. 
Section 1135(b) of the Social Security Act (42 U.S.C. 
1320b–5(b)) is amended— 
(1) in paragraph (6), by striking ‘‘and’’ after 
the semicolon; 
(2) in paragraph (7), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(8) requirements for payment for telehealth 
services under section 1834(m).’’. 
SEC. 10. USE OF TELEHEALTH IN RECERTIFICATION FOR 
HOSPICE CARE. 
(a) IN GENERAL.—Section 1814(a)(7)(D)(i) of the 
Social Security Act (42 U.S.C. 1395f(a)(7)(D)(i)) is 
amended by inserting ‘‘(including through use of tele-
health, notwithstanding the requirements in section 
1834(m)(4)(C))’’ after ‘‘face-to-face encounter’’. 
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(b) GAO REPORT.—Not later than 3 years after the 
date of enactment of this Act, the Comptroller General 
of the United States shall submit a report to Congress 
evaluating the impact of the amendment made by sub-
section (a) on— 
(1) the number and percentage of beneficiaries 
recertified for the Medicare hospice benefit at 180 
days and for subsequent benefit periods; 
(2) the appropriateness for hospice care of the 
patients recertified through the use of telehealth; 
and 
(3) any other factors determined appropriate by 
the Comptroller General. 
SEC. 11. CLARIFICATION FOR FRAUD AND ABUSE LAWS RE-
GARDING 
TECHNOLOGIES 
PROVIDED 
TO 
BENEFICIARIES. 
Section 1128A(i)(6) of the Social Security Act (42 
U.S.C. 1320a–7a(i)(6)) is amended— 
(1) in subparagraph (I), by striking ‘‘; or’’ and 
inserting a semicolon; 
(2) in subparagraph (J), by striking the period 
at the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following new sub-
paragraph: 
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‘‘(K) the provision of technologies (as de-
fined by the Secretary) on or after the date of 
the enactment of this subparagraph, by a pro-
vider of services or supplier (as such terms are 
defined for purposes of title XVIII) directly to 
an individual who is entitled to benefits under 
part A of title XVIII, enrolled under part B of 
such title, or both, for the purpose of furnishing 
telehealth services, remote patient monitoring 
services, or other services furnished through the 
use of technology (as defined by the Secretary), 
if— 
‘‘(i) the technologies are not offered 
as part of any advertisement or solicita-
tion; and 
‘‘(ii) the provision of the technologies 
meets any other requirements set forth in 
regulations 
promulgated 
by 
the 
Sec-
retary.’’. 
SEC. 12. STUDY AND REPORT ON INCREASING ACCESS TO 
TELEHEALTH SERVICES IN THE HOME. 
(a) MEDPAC STUDY.—The Medicare Payment Advi-
sory Commission (in this section referred to as the ‘‘Com-
mission’’) shall conduct a study on increasing access under 
the Medicare program under title XVIII of the Social Se-
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