H. R. 2471—756 
under parts A and B of title XVIII, a Medicare Advantage 
plan offered by a Medicare Advantage organization under 
part C of such title, a reasonable cost reimbursement plan 
under section 1876, a health care prepayment plan under 
section 1833, or a prescription drug plan offered by a PDP 
sponsor under part D of such title) a failure to obtain 
a prior authorization for the item or service for which 
the claim is being submitted’’; 
(b) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in paragraph (2), the 
amendments made by this section shall apply beginning on 
January 1, 2024. 
(2) EXCEPTION IF STATE LEGISLATION REQUIRED.—In the 
case of a State plan for medical assistance under title XIX 
of the Social Security Act that the Secretary of Health and 
Human Services determines requires State legislation (other 
than legislation appropriating funds) in order for the plan to 
meet the additional requirement imposed by the amendments 
made under this section, the State plan shall not be regarded 
as failing to comply with the requirements of such title solely 
on the basis of its failure to meet this additional requirement 
before the first day of the first calendar quarter beginning 
after the close of the first regular session of the State legislature 
that begins after the date of the enactment of this Act. For 
purposes of the previous sentence, in the case of a State that 
has a 2-year legislative session, each year of such session 
shall be deemed to be a separate regular session of the State 
legislature. 
TITLE III—MEDICARE 
Subtitle A—Telehealth Flexibility 
Extensions 
SEC. 301. REMOVING GEOGRAPHIC REQUIREMENTS AND EXPANDING 
ORIGINATING SITES FOR TELEHEALTH SERVICES. 
(a) IN GENERAL.—Section 1834(m) of the Social Security Act 
(42 U.S.C. 1395m(m)) is amended— 
(1) in paragraph (4)(C)— 
(A) in clause (i), in the matter preceding subclause 
(I), by inserting ‘‘clause (iii) and’’ after ‘‘Except as provided 
in’’; and 
(B) by adding at the end the following new clause: 
‘‘(iii) EXPANDING
ACCESS
TO
TELEHEALTH
SERV-
ICES.—With respect to telehealth services identified 
in subparagraph (F)(i) as of the date of the enactment 
of this clause 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), the term ‘originating site’ means any 
site in the United States at which the eligible tele-
health individual is located at the time the service 
is 
furnished 
via 
a 
telecommunications 
system, 
including the home of an individual.’’; and
H. R. 2471—757 
(2) in paragraph (7)(A), by inserting ‘‘or, for the period 
for which clause (iii) of paragraph (4)(C) applies, at any site 
described in such clause’’ before the period at the end. 
(b) NO FACILITY FEE FOR NEW SITES.—Section 1834(m)(2)(B) 
of the Social Security Act (42 U.S.C. 1395m(m)(2)(B)) is amended— 
(1) in clause (i), in the matter preceding subclause (I), 
by striking ‘‘clause (ii)’’ and inserting ‘‘clauses (ii) and (iii)’’; 
and 
(2) by adding at the end the following new clause: 
‘‘(iii) NO
FACILITY
FEE
FOR
NEW
SITES.—With 
respect to telehealth services identified in paragraph 
(4)(F)(i) as of the date of the enactment of this clause 
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), a facility fee shall 
only be paid under this subparagraph to an originating 
site that is described in paragraph (4)(C)(ii) (other 
than subclause (X) of such paragraph).’’. 
SEC. 302. EXPANDING PRACTITIONERS ELIGIBLE TO FURNISH TELE-
HEALTH SERVICES. 
Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) 
is amended— 
(1) in paragraph (1), by striking ‘‘(described in section 
1842(b)(18)(C))’’ and inserting ‘‘(as defined in paragraph (4)(E))’’; 
and 
(2) in paragraph (4)(E), by inserting ‘‘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), shall 
include a qualified occupational therapist (as such term is 
used in section 1861(g)), a qualified physical therapist (as such 
term is used in section 1861(p)), a qualified speech-language 
pathologist (as defined in section 1861(ll)(4)(A)), and a qualified 
audiologist (as defined in section 1861(ll)(4)(B))’’ after ‘‘section 
1842(b)(18)(C)’’. 
SEC. 303. EXTENDING TELEHEALTH SERVICES FOR FEDERALLY QUALI-
FIED HEALTH CENTERS AND RURAL HEALTH CLINICS. 
Section 1834(m)(8) of the Social Security Act (42 U.S.C. 
1395m(m)(8)) is amended— 
(1) in the header, by striking ‘‘DURING EMERGENCY PERIOD’’; 
(2) in subparagraph (A), in the matter preceding clause 
(i), by inserting ‘‘and, during the 151-day period beginning 
on the first day after the end of such emergency period’’ after 
‘‘During 
the 
emergency 
period 
described 
in 
section 
1135(g)(1)(B)’’; and 
(3) in subparagraph (B)(i), by striking ‘‘such emergency 
period’’ and inserting ‘‘the periods for which subparagraph (A) 
applies’’. 
SEC. 304. DELAYING THE IN-PERSON REQUIREMENTS UNDER MEDI-
CARE 
FOR 
MENTAL 
HEALTH 
SERVICES 
FURNISHED 
THROUGH 
TELEHEALTH 
AND 
TELECOMMUNICATIONS 
TECHNOLOGY. 
(a) DELAY IN REQUIREMENTS FOR MENTAL HEALTH SERVICES 
FURNISHED THROUGH TELEHEALTH.—Section 1834(m)(7)(B)(i) of the 
Social Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is amended, in 
the matter preceding subclause (I), by inserting ‘‘on or after the
H. R. 2471—758 
day that is the 152nd day after the end of the emergency period 
described in section 1135(g)(1)(B))’’ after ‘‘telehealth services fur-
nished’’. 
(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 ‘‘ATTENDING PHYSICIAN’’ 
and inserting ‘‘CERTAIN’’; 
(2) by striking ‘‘HOSPICE PATIENTS.—In the case of’’ and 
inserting ‘‘HOSPICE PATIENTS.— 
‘‘(1) 
ATTENDING
PHYSICIAN
SERVICES
FOR
HOSPICE 
PATIENTS.—In the case of’’; and 
(3) by adding at the end the following new paragraph: 
‘‘(2) MENTAL HEALTH VISITS FURNISHED VIA TELECOMMUNI-
CATIONS TECHNOLOGY.—In the case of mental health visits fur-
nished via interactive, real-time, audio and video telecommuni-
cations technology or audio-only interactions, the in-person 
mental health visit requirements established under section 
405.2463(b)(3) of title 42 of the Code of Federal Regulations 
(or a successor regulation) shall not apply prior to the day 
that is the 152nd day after the end of the emergency period 
described in section 1135(g)(1)(B)).’’. 
(c) MENTAL HEALTH VISITS FURNISHED BY FEDERALLY QUALI-
FIED 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 ‘‘ATTENDING PHYSICIAN’’ and 
inserting ‘‘CERTAIN’’; 
(2) by striking ‘‘HOSPICE PATIENTS.—In the case of’’ and 
inserting ‘‘HOSPICE PATIENTS.— 
‘‘(A) ATTENDING
PHYSICIAN
SERVICES
FOR
HOSPICE 
PATIENTS.—In the case of’’; and 
(3) by adding at the end the following new subparagraph: 
‘‘(B) MENTAL
HEALTH
VISITS
FURNISHED
VIA
TELE-
COMMUNICATIONS
TECHNOLOGY.—In the case of mental 
health visits furnished via interactive, real-time, audio and 
video telecommunications technology or audio-only inter-
actions, the in-person mental health visit requirements 
established under section 405.2463(b)(3) of title 42 of the 
Code of Federal Regulations (or a successor regulation) 
shall not apply prior to the day that is the 152nd day 
after the end of the emergency period described in section 
1135(g)(1)(B)).’’. 
SEC. 305. ALLOWING FOR THE FURNISHING OF AUDIO-ONLY TELE-
HEALTH SERVICES. 
Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) 
is amended— 
(1) in paragraph (1), in the first sentence, by striking 
‘‘paragraph (8)’’ and inserting ‘‘paragraphs (8) and (9)’’; and 
(2) by adding at the end the following new paragraph: 
‘‘(9) TREATMENT OF TELEHEALTH SERVICES FURNISHED USING 
AUDIO-ONLY
TELECOMMUNICATIONS
TECHNOLOGY.—The Sec-
retary shall continue to provide coverage and payment under 
this part for telehealth services identified in paragraph (4)(F)(i) 
as of the date of the enactment of this paragraph that are 
furnished via an audio-only telecommunications system during 
the 151-day period beginning on the first day after the end
H. R. 2471—759 
of the emergency period described in section 1135(g)(1)(B). For 
purposes of the previous sentence, the term ‘telehealth service’ 
means a telehealth service identified as of the date of the 
enactment of this paragraph by a HCPCS code (and any suc-
ceeding codes) for which the Secretary has not applied the 
requirements of paragraph (1) and the first sentence of section 
410.78(a)(3) of title 42, Code of Federal Regulations, during 
such emergency period.’’. 
SEC. 
306. 
USE 
OF 
TELEHEALTH 
TO 
CONDUCT 
FACE-TO-FACE 
ENCOUNTER PRIOR TO RECERTIFICATION OF ELIGIBILITY 
FOR HOSPICE CARE DURING EMERGENCY PERIOD. 
Section 1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 
1395f(a)(7)(D)(i)(II)) is amended by inserting ‘‘, and during the 151- 
day period beginning on the first day after the end of such emer-
gency period’’ after ‘‘section 1135(g)(1)(B)’’. 
SEC. 307. EXTENSION OF EXEMPTION FOR TELEHEALTH SERVICES. 
(a) IN GENERAL.—Subparagraph (E) of section 223(c)(2) of the 
Internal Revenue Code of 1986 is amended by inserting ‘‘or in 
the case of months beginning after March 31, 2022, and before 
January 1, 2023,’’ after ‘‘December 31, 2021,’’. 
(b) CERTAIN COVERAGE DISREGARDED.—Clause (ii) of section 
223(c)(1)(B) of the Internal Revenue Code of 1986 is amended 
by inserting ‘‘, or in the case of months beginning after March 
31, 2022, and before January 1, 2023,’’ after ‘‘December 31, 2021’’. 
(c) EFFECTIVE DATE.—The amendments made by this section 
shall take effect on the date of the enactment of this Act. 
SEC. 308. REPORTS ON TELEHEALTH UTILIZATION. 
(a) MEDPAC REPORT.— 
(1) STUDY.— 
(A) IN
GENERAL.—The Medicare Payment Advisory 
Commission (in this subsection referred to as the ‘‘Commis-
sion’’) shall conduct a study on the expansions of telehealth 
services (as defined in section 1834(m)(4)(F) of the Social 
Security Act (42 U.S.C. 1395m(m)(4)(F)) under the Medi-
care program under title XVIII of such Act as a result 
of the COVID-19 public health emergency described in 
section 1135(g)(1)(B) of such Act (42 U.S.C. 1320b– 
5(g)(1)(B)) and the amendments made by sections 301 
through 306 of this title. 
(B) ANALYSIS.—The study under subparagraph (A) 
shall include at least an analysis of each of the following: 
(i) The utilization of telehealth services under the 
Medicare program, which may include analysis by 
service, provider type, geographic area (including anal-
ysis of the provision of telehealth services by clinicians 
located in different States than the Medicare bene-
ficiary receiving such services to the extent that reli-
able data are available), and beneficiary type (including 
reason of entitlement and such beneficiaries who are 
also enrolled under a State plan under title XIX of 
the Social Security Act). 
(ii) Medicare program expenditures on telehealth 
services. 
(iii) Medicare payment policy for telehealth serv-
ices and alternative approaches to such payment policy,
H. R. 2471—760 
including for federally qualified health centers and 
rural health clinics. 
(iv) The implications of expanded Medicare cov-
erage of telehealth services on beneficiary access to 
care and the quality of care, to the extent reliable 
data are available. 
(v) Other areas determined appropriate by the 
Commission. 
(2) REPORT.—Not later than June 15, 2023, the Commission 
shall submit to Congress a report containing the results of 
the study conducted under paragraph (1), together with rec-
ommendations for legislative and administrative action as the 
Commission determines appropriate. 
(b) PUBLICATION OF DATA.—Beginning July 1, 2022, the Sec-
retary of Health and Human Services shall post on the public 
website of the Centers for Medicare & Medicaid Services on a 
quarterly basis data with respect to Medicare claims for telemedi-
cine services, including data on utilization and beneficiary 
characteristics. 
(c) OFFICE
OF
THE INSPECTOR GENERAL REPORT.—Not later 
than June 15, 2023, the Inspector General of the Department of 
Health and Human Services shall submit to Congress a report 
on program integrity risks associated with Medicare telehealth 
services. Such report shall include recommendations to prevent 
waste, fraud, and abuse under the Medicare program as appro-
priate. 
SEC. 309. PROGRAM INSTRUCTION AUTHORITY. 
Notwithstanding any other provision of law, the Secretary of 
Health and Human Services may implement the provisions of, 
including amendments made by, sections 301 through 306 through 
program instruction or otherwise. 
Subtitle B—Additional Medicare 
Provisions 
SEC. 311. REVISION OF THE TIMING OF MEDPAC REPORT ON AMBU-
LANCE COST DATA. 
Section 1834(l)(17)(F)(i) of the Social Security Act (42 U.S.C. 
1395m(l)(17)(F)(i)) is amended by striking ‘‘Not later than March 
15, 2023, and as determined necessary by the Medicare Payment 
Advisory Commission thereafter’’ and inserting ‘‘Not later than 
the second June 15th following the date on which the Secretary 
transmits data for the first representative sample of providers and 
suppliers of ground ambulance services to the Medicare Payment 
Advisory Commission, and as determined necessary by such 
Commission thereafter,’’. 
SEC. 312. ADJUSTING CALCULATION OF HOSPICE CAP AMOUNT UNDER 
MEDICARE. 
Section 1814(i)(2)(B) of the Social Security Act (42 U.S.C. 
1395f(i)(2)(B)) is amended— 
(1) in clause (ii), by striking ‘‘2030’’ and inserting ‘‘2031’’; 
and 
(2) in clause (iii), by striking ‘‘2030’’ and inserting ‘‘2031’’.
H. R. 2471—761 
SEC. 313. MEDICARE IMPROVEMENT FUND. 
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ‘‘$99,000,000’’ and inserting 
‘‘$5,000,000’’. 
TITLE IV—HUMAN SERVICES 
SEC. 401. EXTENSION OF TEMPORARY ASSISTANCE FOR NEEDY FAMI-
LIES AND RELATED PROGRAMS. 
Activities authorized by part A of title IV (other than under 
section 403(c) or 418) and section 1108(b) of the Social Security 
Act shall continue through September 30, 2022, in the manner 
authorized for fiscal year 2021, and out of any money in the 
Treasury of the United States not otherwise appropriated, there 
are hereby appropriated such sums as may be necessary for such 
purpose. 
DIVISION Q—CONSUMER PROTECTION 
TITLE I—FRAUD AND SCAM REDUCTION 
SEC. 101. SHORT TITLE. 
This title may be cited as the ‘‘Fraud and Scam Reduction 
Act’’. 
Subtitle A—Preventing Consumer Scams 
Directed at Seniors 
SEC. 111. SHORT TITLE. 
This subtitle may be cited as the ‘‘Stop Senior Scams Act’’. 
SEC. 112. SENIOR SCAMS PREVENTION ADVISORY GROUP. 
(a) ESTABLISHMENT.—There is established a Senior Scams 
Prevention Advisory Group (in this subtitle referred to as the 
‘‘Advisory Group’’). 
(b) MEMBERS.—The Advisory Group shall be composed of stake-
holders such as the following individuals or the designees of those 
individuals: 
(1) The Chairman of the Federal Trade Commission. 
(2) The Secretary of the Treasury. 
(3) The Attorney General. 
(4) The Director of the Bureau of Consumer Financial 
Protection. 
(5) Representatives from each of the following sectors, 
including trade associations, to be selected by the Federal Trade 
Commission: 
(A) Retail. 
(B) Gift cards. 
(C) Telecommunications. 
(D) Wire-transfer services. 
(E) Senior peer advocates. 
(F) Consumer advocacy organizations with efforts 
focused on preventing seniors from becoming the victims 
of scams.
H. R. 2471—762 
(G) Financial services, including institutions that 
engage in digital currency. 
(H) Prepaid cards. 
(6) A member of the Board of Governors of the Federal 
Reserve System. 
(7) A prudential regulator, as defined in section 1002 of 
the Consumer Financial Protection Act of 2010 (12 U.S.C. 5481). 
(8) The Director of the Financial Crimes Enforcement Net-
work. 
(9) Any other Federal, State, or local agency, industry 
representative, consumer advocate, or entity, as determined 
by the Federal Trade Commission. 
(c) NO
COMPENSATION
FOR
MEMBERS.—A member of the 
Advisory Group shall serve without compensation in addition to 
any compensation received for the service of the member as an 
officer or employee of the United States, if applicable. 
(d) DUTIES.— 
(1) IN GENERAL.—The Advisory Group shall— 
(A) collect information on the existence, use, and suc-
cess of educational materials and programs for retailers, 
financial services, and wire-transfer companies, which— 
(i) may be used as a guide to educate employees 
on how to identify and prevent scams that affect sen-
iors; and 
(ii) includes— 
(I) useful information for retailers, financial 
services, and wire transfer companies for the pur-
pose described in clause (i); 
(II) training for employees on ways to identify 
and prevent senior scams; 
(III) best practices for keeping employees up 
to date on current scams; 
(IV) the most effective signage and placement 
in retail locations to warn seniors about scammers’ 
use of gift cards, prepaid cards, and wire transfer 
services; 
(V) suggestions on effective collaborative 
community education campaigns; 
(VI) available technology to assist in identi-
fying possible scams at the point of sale; and 
(VII) other information that would be helpful 
to retailers, wire transfer companies, financial 
institutions, and their employees as they work to 
prevent fraud affecting seniors; and 
(B) based on the findings in subparagraph (A)— 
(i) identify inadequacies, omissions, or deficiencies 
in those educational materials and programs for the 
categories listed in subparagraph (A) and their execu-
tion in reaching employees to protect older adults; 
and 
(ii) create model materials, best practices guidance, 
or recommendations to fill those inadequacies, omis-
sions, or deficiencies that may be used by industry 
and others to help protect older adults from scams. 
(2) ENCOURAGED USE.—The Chairman of the Federal Trade 
Commission shall—
H. R. 2471—763 
(A) make the materials or guidance created by the 
Federal Trade Commission described in paragraph (1) pub-
licly available; and 
(B) encourage the use and distribution of the materials 
created under this subsection to prevent scams affecting 
seniors by governmental agencies and the private sector. 
(e) REPORTS.—Section 101(c)(2) of the Elder Abuse Prevention 
and Prosecution Act (34 U.S.C. 21711(c)(2)) is amended— 
(1) in subparagraph (A)(iv), by striking the period at the 
end and inserting a semicolon; 
(2) in subparagraph (B), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(C) with respect to the report by the Federal Trade 
Commission, in relevant years, including information on— 
‘‘(i) the newly created materials, guidance, or rec-
ommendations 
of 
the 
Senior 
Scams 
Prevention 
Advisory Group established under section 112 of the 
Stop Senior Scams Act and any relevant views or 
considerations made by members of the Advisory Group 
that were not included in the Advisory Group’s model 
materials or considered an official recommendation by 
the Advisory Group; 
‘‘(ii) the Senior Scams Prevention Advisory Group’s 
findings about senior scams and industry educational 
materials and programs; and 
‘‘(iii) any recommendations on ways stakeholders 
can continue to work together to reduce scams affecting 
seniors.’’. 
(f) TERMINATION.—This subtitle, and the amendments made 
by this subtitle, ceases to be effective on the date that is 5 years 
after the date of enactment of this Act. 
Subtitle B—Senior Fraud Advisory Office 
SEC. 121. SHORT TITLE. 
This subtitle may be cited as the ‘‘Seniors Fraud Prevention 
Act of 2022’’. 
SEC. 122. OFFICE FOR THE PREVENTION OF FRAUD TARGETING SEN-
IORS. 
(a) ESTABLISHMENT OF ADVISORY OFFICE.—The Federal Trade 
Commission (in this section referred to as the ‘‘Commission’’) shall 
establish an office within the Bureau of Consumer Protection for 
the purpose of advising the Commission on the prevention of fraud 
targeting seniors and to assist the Commission with the following: 
(1) OVERSIGHT.—The advisory office shall monitor the 
market for mail, television, internet, telemarketing, and 
recorded message telephone call (in this section referred to 
as ‘‘robocall’’) fraud targeting seniors and shall coordinate with 
other relevant agencies regarding the requirements of this sec-
tion. 
(2) CONSUMER EDUCATION.—The Commission, through the 
advisory office and in consultation with the Attorney General, 
the Secretary of Health and Human Services, the Postmaster
H. R. 2471—764 
General, the Chief Postal Inspector for the United States Postal 
Inspection Service, and other relevant agencies, shall— 
(A) disseminate to seniors and families and caregivers 
of seniors general information on mail, television, internet, 
telemarketing, and robocall fraud targeting seniors, 
including descriptions of the most common fraud schemes; 
(B) disseminate to seniors and families and caregivers 
of seniors information on reporting complaints of fraud 
targeting seniors either to the national toll-free telephone 
number established by the Commission for reporting such 
complaints, or to the Consumer Sentinel Network, operated 
by the Commission, where such complaints will become 
immediately available to appropriate law enforcement 
agencies, including the Federal Bureau of Investigation 
and the attorneys general of the States; 
(C) in response to a specific request about a particular 
entity or individual, provide publicly available information 
of any enforcement action taken by the Commission for 
mail, television, internet, telemarketing, and robocall fraud 
against such entity; and 
(D) maintain a website to serve as a resource for 
information for seniors and families and caregivers of sen-
iors regarding mail, television, internet, telemarketing, 
robocall, and other identified fraud targeting seniors. 
(3) COMPLAINTS.—The Commission, through the advisory 
office and in consultation with the Attorney General, shall 
establish procedures to— 
(A) log and acknowledge the receipt of complaints by 
individuals who believe they have been a victim of mail, 
television, internet, telemarketing, and robocall fraud in 
the Consumer Sentinel Network, and shall make those 
complaints immediately available to Federal, State, and 
local law enforcement authorities; and 
(B) provide to individuals described in subparagraph 
(A), and to any other persons, specific and general informa-
tion on mail, television, internet, telemarketing, and 
robocall fraud, including descriptions of the most common 
schemes using such methods of communication. 
(b) COMMENCEMENT.—The Commission shall commence car-
rying out the requirements of this section not later than 1 year 
after the date of enactment of this Act. 
(c) USE OF EXISTING FUNDS.—No additional funds are author-
ized to be appropriated to carry out this section and the Commission 
shall carry out this section using amounts otherwise made available 
to the Commission. 
TITLE 
II—NICHOLAS 
AND 
ZACHARY 
BURT MEMORIAL CARBON MONOXIDE 
POISONING PREVENTION ACT OF 2022 
SEC. 201. SHORT TITLE. 
This title may be cited as the ‘‘Nicholas and Zachary Burt 
Memorial Carbon Monoxide Poisoning Prevention Act of 2022’’.