(1) Remote patient monitoring (in this section 
referred to as ‘‘RPM’’) supports highly coordinated 
care, improves patient outcomes, and can lower costs 
to the Medicare program. 
(2) Three out of five federally designated health 
professional shortage areas are in rural regions, and 
rural residents generally must travel farther than 
urban counterparts to access health care services. 
(3) Medicare reimbursement for RPM is lowest 
in States where the prevalence of heart failure, hy-
pertension, and diabetes are well above the national 
average. 
(4) The practice expenses and malpractice ex-
penses incurred in the delivery of RPM are not lower 
in rural areas and do not widely vary by State. 
SEC. 
3. 
FLOOR 
FOR 
PRACTICE 
EXPENSE 
AND 
MAL-
PRACTICE GEOGRAPHIC INDICES FOR RE-
MOTE PATIENT MONITORING. 
Section 1848(e)(1) of the Social Security Act (42 
U.S.C. 1395w–4(e)(1)) is amended by adding at the end 
the following new subparagraph: 
‘‘(J) FLOOR FOR PRACTICE EXPENSE AND 
MALPRACTICE
GEOGRAPHIC
INDICES
FOR
RE-
MOTE PATIENT MONITORING.—For purposes of 
payment for remote patient monitoring fur-
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nished on or after January 1, 2026, after calcu-
lating the practice expense and malpractice geo-
graphic indices in clauses (i) and (ii) of sub-
paragraph (A) and in subparagraph (B), the 
Secretary shall increase any such index to 1.00 
if such index would otherwise be less than 1.00. 
The preceding sentence shall not be applied in 
a budget neutral manner.’’. 
SEC. 4. ENSURING HIGH-QUALITY REMOTE PATIENT MONI-
TORING UNDER MEDICARE. 
(a) IN GENERAL.—Section 1834 of the Social Secu-
rity Act (42 U.S.C. 1395m) is amended by adding at the 
end the following new subsection: 
‘‘(aa) PAYMENT
FOR
REMOTE
PATIENT
MONI-
TORING.—In the case of remote patient monitoring fur-
nished on or after January 1, 2026, no payment may be 
made under this part for such monitoring furnished by 
a provider of services or supplier unless— 
‘‘(1) a physician, nurse practitioner, clinical 
nurse specialist, or physician assistant is available in 
real time to respond to any physiologic anomaly de-
tected through such monitoring; 
‘‘(2) such monitoring is furnished through a 
system that can transmit physiologic data obtained 
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through such monitoring in a format that is compat-
ible with electronic health records, as needed; and 
‘‘(3) the provider or supplier collects and re-
ports such data as the Secretary may require in 
order to facilitate the evaluation of cost savings to 
the program under this title that are generated by 
the use of remote patient monitoring, except that the 
Secretary may exempt a provider or supplier under 
this paragraph if the Secretary determines that such 
collection and reporting of data would result in un-
reasonable hardship upon such provider or sup-
plier.’’. 
(b) REPORT.— 
(1) IN GENERAL.—Not later than 5 years after 
the date of the enactment of this section, the Sec-
retary of Health and Human Services shall submit 
to Congress a report that includes the following in-
formation, with respect to the 4-year period begin-
ning January 1, 2026: 
(A) An analysis of the estimated savings to 
the Medicare program resulting from earlier 
interventions and fewer days of hospitalization 
among Medicare beneficiaries furnished remote 
patient monitoring (as such term is used for 
purposes of title XVIII of the Social Security 
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Act (42 U.S.C. 1395 et seq.)) during such pe-
riod. 
(B) An analysis of the estimated savings to 
the Medicare program resulting from increased 
adherence to prescription medications among 
Medicare beneficiaries furnished remote patient 
monitoring during such period. 
(C) An analysis of practice expenses as de-
fined in section 1848(j) of the Social Security 
Act (42 U.S.C. 1395w–4(j)) related to the fur-
nishing of remote patient monitoring during 
such period, including expenses related to cel-
lular connectivity and other technology platform 
maintenance. 
(2) DEFINITIONS.—In this subsection: 
(A) MEDICARE
BENEFICIARY.—The term 
‘‘Medicare beneficiary’’ means an individual en-
titled to benefits under part A of title XVIII of 
the Social Security Act (42 U.S.C. 1395c et 
seq.) or enrolled under part B of such title (42 
U.S.C. 1395j et seq.) 
(B) 
MEDICARE
PROGRAM.—The 
term 
‘‘Medicare program’’ means the Medicare pro-
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gram under title XVIII of the Social Security 
Act (42 U.S.C. 1395 et seq.). 
Æ 
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