IIB 
117TH CONGRESS 
2D SESSION 
H. R. 4040 
IN THE SENATE OF THE UNITED STATES 
JULY 28, 2022 
Received; read twice and referred to the Committee on Finance 
AN ACT 
To amend title XVIII of the Social Security Act to extend 
telehealth flexibilities under the Medicare program, and 
for other purposes. 
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 ‘‘Advancing Telehealth 
Beyond COVID–19 Act of 2022’’. 
SEC. 2. REMOVING GEOGRAPHIC REQUIREMENTS AND EX-
PANDING ORIGINATING SITES FOR TELE-
HEALTH SERVICES. 
Section 1834(m) of the Social Security Act (42 
U.S.C. 1395m(m)) is amended— 
(1) in paragraph (2)(B)(iii)— 
(A) by striking ‘‘With’’ and inserting ‘‘In 
the case that the emergency period described in 
section 1135(g)(1)(B) ends before December 
31, 2024, with’’; and 
(B) by striking ‘‘that are furnished during 
the 151-day period beginning on the first day 
after the end of the emergency period described 
in section 1135(g)(1)(B)’’ and inserting ‘‘that 
are furnished during the period beginning on 
the first day after the end of such emergency 
period and ending December 31, 2024’’; and 
(2) in paragraph (4)(C)(iii)— 
(A) by striking ‘‘With’’ and inserting ‘‘In 
the case that the emergency period described in 
section 1135(g)(1)(B) ends before December 
31, 2024, with’’; and 
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(B) by striking ‘‘that are furnished during 
the 151-day period beginning on the first day 
after the end of the emergency period described 
in section 1135(g)(1)(B)’’ and inserting ‘‘that 
are furnished during the period beginning on 
the first day after the end of such emergency 
period and ending on December 31, 2024’’. 
SEC. 3. EXPANDING PRACTITIONERS ELIGIBLE TO FUR-
NISH TELEHEALTH SERVICES. 
Section 1834(m)(4)(E) of the Social Security Act (42 
U.S.C. 1395m(m)(4)(E)) is amended by striking ‘‘and, for 
the 151-day period beginning on the first day after the 
end of the emergency period described in section 
1135(g)(1)(B)’’ and inserting ‘‘and, in the case that the 
emergency period described in section 1135(g)(1)(B) ends 
before December 31, 2024, for the period beginning on 
the first day after the end of such emergency period and 
ending on December 31, 2024’’. 
SEC. 4. EXTENDING TELEHEALTH SERVICES FOR FEDER-
ALLY QUALIFIED HEALTH CENTERS AND 
RURAL HEALTH CLINICS. 
Section 1834(m)(8)(A) of the Social Security Act (42 
U.S.C. 1395m(m)(8)(A)) is amended by striking ‘‘during 
the 151-day period beginning on the first day after the 
end of such emergency period’’ and inserting ‘‘in the case 
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that such emergency period ends before December 31, 
2024, during the period beginning on the first day after 
the end of such emergency period and ending on December 
31, 2024’’. 
SEC. 5. DELAYING THE IN-PERSON REQUIREMENTS UNDER 
MEDICARE FOR MENTAL HEALTH SERVICES 
FURNISHED 
THROUGH 
TELEHEALTH 
AND 
TELECOMMUNICATIONS TECHNOLOGY. 
(a) DELAY
IN
REQUIREMENTS
FOR
MENTAL 
HEALTH
SERVICES
FURNISHED
THROUGH
TELE-
HEALTH.—Section 1834(m)(7)(B)(i) of the Social Secu-
rity Act (42 U.S.C. 1395m(m)(7)(B)(i)) is amended, in 
the matter preceding subclause (I), by striking ‘‘on or 
after the day that is the 152nd day after the end of the 
period at the end of the emergency sentence described in 
section 1135(g)(1)(B))’’ and inserting ‘‘on or after Janu-
ary 1, 2025 (or, if later, the first day after the end of 
the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B))’’. 
(b) MENTAL HEALTH VISITS FURNISHED BY RURAL 
HEALTH CLINICS.—Section 1834(y) of the Social Security 
Act (42 U.S.C. 1395m(y)) is amended— 
(1) in the heading, by striking ‘‘TO HOSPICE 
PATIENTS’’; and 
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(2) in paragraph (2), by striking ‘‘prior to the 
day that is the 152nd day after the end of the emer-
gency period described in section 1135(g)(1)(B))’’ 
and inserting ‘‘prior to January 1, 2025 (or, if later, 
the first day after the end of the emergency period 
described in section 1135(g)(1)(B))’’. 
(c) MENTAL HEALTH VISITS FURNISHED BY FEDER-
ALLY
QUALIFIED
HEALTH
CENTERS.—Section 
1834(o)(4) of the Social Security Act (42 U.S.C. 
1395m(o)(4) is amended— 
(1) in the heading, by striking ‘‘TO HOSPICE 
PATIENTS’’; and 
(2) in subparagraph (B), by striking ‘‘prior to 
the day that is the 152nd day after the end of the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B))’’ and inserting ‘‘prior to January 1, 
2025 (or, if later, the first day after the end of the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B))’’. 
SEC. 6. ALLOWING FOR THE FURNISHING OF AUDIO-ONLY 
TELEHEALTH SERVICES. 
Section 1834(m)(9) of the Social Security Act (42 
U.S.C. 1395m(m)(9)) is amended by striking ‘‘The Sec-
retary shall continue to provide coverage and payment 
under this part for telehealth services identified in para-
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described in such section 1135(g)(1)(B) and ending on 
December 31, 2024’’. 
SEC. 8. FUNDING FROM MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 
U.S.C. 
1395jjj(b)(1)) 
is 
amended 
by 
striking 
‘‘$7,500,000,000’’ and inserting ‘‘$5,153,000,000’’. 
SEC. 9. PROGRAM INSTRUCTION AUTHORITY. 
Notwithstanding any other provision of law, the Sec-
retary of Health and Human Services may implement the 
provisions of, including amendments made by, sections 2 
through 7 through program instruction or otherwise. 
SEC. 10. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of 
complying with the Statutory Pay-As-You-Go Act of 2010, 
shall be determined by reference to the latest statement 
titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this 
Act, submitted for printing in the Congressional Record 
by the Chairman of the House Budget Committee, pro-
vided that such statement has been submitted prior to the 
vote on passage. 
Passed the House of Representatives July 27, 2022. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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