USE
DISORDER
SERVICES
AND
MENTAL
HEALTH 
SERVICES.— 
(A) IN GENERAL.—Section 1834(m) of the 
Social Security Act (42 U.S.C. 1395m(m)) is 
amended by striking paragraphs (5) through 
(7) and redesignating paragraphs (8) and (9) 
as paragraphs (5) and (6), accordingly. 
(B) 
CONFORMING
CHANGES.—Section 
1834(m) of the Social Security Act (42 U.S.C. 
1395m(m)) is amended— 
(i) in paragraph (1), by striking 
‘‘Subject to paragraphs (8) and (9)’’ and 
inserting ‘‘Subject to paragraphs (5) and 
(6)’’; 
(ii) in paragraph (2)— 
(I) in subparagraph (A), by strik-
ing ‘‘Subject to paragraph (8)’’ and 
inserting ‘‘Subject to paragraph (5)’’; 
and 
(II) in subparagraph (B), by 
striking ‘‘and paragraph (6)(C)’’; and 
(iii) in paragraph (4)— 
(I) in subparagraph (A), by strik-
ing ‘‘Subject to paragraph (8)’’ and 
inserting ‘‘Subject to paragraph (5)’’; 
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(II) in subparagraph (C)— 
(aa) in clause (i), by striking 
‘‘and paragraphs (5), (6), and 
(7)’’; and 
(bb) in clause (ii)(X), by 
striking ‘‘or telehealth services 
described in paragraph (7)’’; and 
(III) in subparagraph (F), by 
striking ‘‘Subject to paragraph (8)’’ 
and inserting ‘‘Subject to paragraph 
(5)’’. 
(2) MENTAL
HEALTH
VISITS
FURNISHED
BY 
FEDERALLY QUALIFIED HEALTH CENTERS.—Section 
1834(o)(4)(B) of the Social Security Act (42 U.S.C. 
1395m(o)(4)(B)) is amended by striking ‘‘prior to 
April 1, 2025’’. 
(3) MENTAL
HEALTH
VISITS
FURNISHED
BY 
RURAL HEALTH CLINICS.—Section 1834(y)(2) of the 
Social Security Act (42 U.S.C. 1395m(y)(2)) is 
amended by striking ‘‘prior to April 1, 2025’’. 
(f) USE OF TELEHEALTH TO CONDUCT FACE-TO- 
FACE ENCOUNTER PRIOR TO RECERTIFICATION OF ELI-
GIBILITY
FOR
HOSPICE
CARE.—Section 
1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 
1395f(a)(7)(D)(i)(II)) is amended— 
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(1) by striking ‘‘during the emergency period’’ 
and all that follows through ‘‘and ending on March 
31, 2025’’ and inserting ‘‘beginning on the first day 
of the emergency period described in section 
1135(g)(1)(B)’’; and 
(2) by inserting ‘‘, except that this subclause 
shall not apply in the case of such an encounter with 
an individual occurring on or after March 31, 2025, 
if such individual is located in an area that is sub-
ject to a moratorium on the enrollment of hospice 
programs under this title pursuant to section 
1866(j)(7), if such individual is receiving hospice 
care from a provider that is subject to enhanced 
oversight under this title pursuant to section 
1866(j)(3), or if such encounter is performed by a 
hospice physician or nurse practitioner who is not 
enrolled under section 1866(j) and is not an opt-out 
physician or practitioner (as defined in section 
1802(b)(6)(D))’’ before the semicolon. 
(g) REQUIRING MODIFIERS FOR TELEHEALTH SERV-
ICES IN CERTAIN INSTANCES.—Section 1834(m) of the 
Social Security Act (42 U.S.C. 1395m(m)) is amended by 
adding at the end the following new paragraph: 
‘‘(10) REQUIRED USE OF MODIFIERS IN CER-
TAIN INSTANCES.—Not later than January 1, 2026, 
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the Secretary shall establish requirements to include 
1 or more codes or modifiers, as determined appro-
priate by the Secretary, in the case of— 
‘‘(A) claims for telehealth services under 
this subsection that are furnished through a 
telehealth virtual platform— 
‘‘(i) by a physician or practitioner 
that contracts with an entity that owns 
such virtual platform; or 
‘‘(ii) for which a physician or practi-
tioner has a payment arrangement with an 
entity for use of such virtual platform; and 
‘‘(B) claims for telehealth services under 
this subsection that are furnished incident to a 
physician’s or practitioner’s professional serv-
ice.’’. 
(h) PROGRAM INSTRUCTION AUTHORITY.—The Sec-
retary of Health and Human Services may implement the 
amendments made by this section through program in-
struction or otherwise. 
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SEC. 3. REQUIRING MODIFIER FOR USE OF TELEHEALTH 
TO 
CONDUCT 
FACE-TO-FACE 
ENCOUNTER 
PRIOR TO RECERTIFICATION OF ELIGIBILITY 
FOR HOSPICE CARE. 
Section 1814(a)(7)(D)(i)(II) of the Social Security 
Act (42 U.S.C. 1395f(a)(7)(D)(i)(II)), as amended by sec-
tion 2(f), is further amended by inserting ‘‘, but only if, 
in the case of such an encounter occurring on or after 
January 1, 2026, any hospice claim includes 1 or more 
modifiers or codes (as specified by the Secretary) to indi-
cate that such encounter was conducted via telehealth’’ 
after ‘‘as determined appropriate by the Secretary’’. 
SEC. 4. EXTENDING ACUTE HOSPITAL CARE AT HOME 
WAIVER FLEXIBILITIES. 
Section 1866G(a)(1) of the Social Security Act (42 
U.S.C. 1395cc–7(a)(1)) is amended by striking ‘‘during 
the period’’ and all that follows through ‘‘March 31, 
2025’’ and inserting ‘‘on or after the first day after the 
end of the emergency period described in section 
1135(g)(1)(B)’’. 
SEC. 5. GUIDANCE ON FURNISHING SERVICES VIA TELE-
HEALTH TO INDIVIDUALS WITH LIMITED 
ENGLISH PROFICIENCY. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this section, the Secretary of 
Health and Human Services, in consultation with 1 or 
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