IB Union Calendar No. 328 115th CONGRESS 1st Session H. R. 1148 [Report No. 115–444, Part I] IN THE HOUSE OF REPRESENTATIVES February 16, 2017 Mr. Griffith (for himself, Mrs. Beatty , Mr. Carter of Georgia , Mr. Ryan of Ohio , Mr. Collins of New York , Mr. Roe of Tennessee , Mr. Bilirakis , Mr. Abraham , Mr. Babin , Mr. Turner , and Mr. Johnson of Ohio ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned December 6, 2017 Additional sponsors: Mr. Graves of Georgia , Mr. Flores , Mr. Lipinski , Mr. Pascrell , Mrs. Walorski , Mr. Sensenbrenner , Mr. Harris , Ms. McCollum , Mr. Clay , Ms. McSally , Mr. Mooney of West Virginia , Mr. Tonko , Mr. Wenstrup , Mr. Hudson , Mr. O'Rourke , Mr. Meehan , Mr. Harper , Mr. Joyce of Ohio , Mr. Barr , Mr. Cole , Mr. Polis , Mr. Rothfus , Ms. Rosen , Mr. Pocan , Mr. Loudermilk , Mr. David Scott of Georgia , Mr. Nunes , Mr. Schweikert , Ms. Lofgren , Mr. Coffman , Mr. Murphy of Pennsylvania , Mr. Amodei , Mr. Long , Ms. Schakowsky , Mr. Rutherford , Mr. Ruppersberger , Ms. DelBene , Mr. Wilson of South Carolina , Mrs. Blackburn , Ms. Brownley of California , Mr. Schrader , Mr. Cárdenas , Mrs. Davis of California , Mr. Engel , Mr. Blumenauer , Ms. Sewell of Alabama , Mr. Upton , Mr. Ben Ray Luján of New Mexico , Ms. Roybal-Allard , Mr. Kilmer , Mr. Kind , Mr. Michael F. Doyle of Pennsylvania , Mr. Cummings , Mr. Heck , Mr. Welch , Ms. Michelle Lujan Grisham of New Mexico , Mr. Crist , Mr. Costa , Ms. Jenkins of Kansas , Mr. Emmer , Ms. Eshoo , Mr. Bera , Ms. Matsui , Mr. Walz , Mr. Gallego , Mr. Cartwright , Mr. Dunn , Ms. Wasserman Schultz , Mr. McKinley , Mr. Mullin , Ms. Barragán , Mr. Bucshon , Mr. Brendan F. Boyle of Pennsylvania , Mr. Marshall , Mr. Paulsen , Mr. Soto , Mr. Takano , Mr. Ellison , Mrs. McMorris Rodgers , Mr. Himes , Mr. Poliquin , Mr. Stivers , Mr. Rice of South Carolina , Mr. Lowenthal , Mr. Stewart , Ms. Judy Chu of California , Mr. Raskin , Mr. Knight , Mr. Kinzinger , Ms. DeGette , Mr. Cicilline , Mr. Smith of New Jersey , Mr. Jody B. Hice of Georgia , Ms. Esty of Connecticut , Mr. Young of Iowa , Mr. Cook , Mr. Cuellar , Mr. King of Iowa , Mr. Cohen , Mr. Ruiz , Mr. Goodlatte , Mr. Thompson of California , Mr. Curbelo of Florida , Mr. Roskam , Mr. Bishop of Georgia , Mr. Yarmuth , Mr. Vela , Mr. Loebsack , Mr. Foster , Mr. Perlmutter , Mr. Gottheimer , Mr. Fortenberry , Mr. Ferguson , Mrs. Napolitano , Ms. Shea-Porter , Mr. Fitzpatrick , Mr. Barton , Mr. Farenthold , Mr. Smucker , Mr. Peters , Mr. Norman , Mr. Chabot , Mr. Guthrie , Mr. Hastings , Ms. Clarke of New York , Mr. Donovan , Mr. Higgins of New York , Mr. Posey , Mr. Lance , Mr. Crowley , Mr. Kennedy , Mr. Dent , Mrs. Brooks of Indiana , Mr. Shimkus , Mr. Panetta , Mr. Barletta , Mr. Reed , Ms. Sinema , Mr. Sessions , Mr. Cramer , Mr. McGovern , Ms. Moore , Mr. Hollingsworth , Mr. Nolan , Mr. Doggett , Mr. Costello of Pennsylvania , Mr. Khanna , Mr. Brady of Pennsylvania , Ms. Pingree , Mr. Young of Alaska , Mr. Kelly of Pennsylvania , Ms. Slaughter , Mrs. Murphy of Florida , Mr. Lewis of Minnesota , Mr. Blum , Mr. Burgess , Mr. Thompson of Pennsylvania , Mr. Peterson , Mr. Lewis of Georgia , Mr. McNerney , Mr. Katko , Mr. Gonzalez of Texas , Mr. Walberg , Mr. Smith of Missouri , Mr. Byrne , Mr. LaHood , and Mr. Larson of Connecticut December 6, 2017 Reported from the Committee on Energy and Commerce with an amendment Strike out all after the enacting clause and insert the part printed in italic December 6, 2017 The Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed For text of introduced bill, see copy of bill as introduced on February 16, 2017 A BILL To amend title XVIII of the Social Security Act to expand access to telehealth-eligible stroke services under the Medicare program.

1. Short title This Act may be cited as the Furthering Access to Stroke Telemedicine Act of 2017 or the FAST Act of 2017 . 2. Expanding access to telehealth-eligible stroke services under the Medicare program (a) In general Section 1834(m)(4) of the Social Security Act ( 42 U.S.C. 1395m(m)(4) ) is amended— (1) in subparagraph (C)— (A) in clause (i), in the matter preceding subclause (I), by striking The term and inserting Except as provided in clause (iii), the term ; and (B) by adding at the end the following new clause: (iii) Telehealth-eligible stroke services With respect to telehealth-eligible stroke services, the term originating site means any hospital (as defined in section 1861(e)) or critical access hospital (as defined in section 1861(mm)(1)), or any mobile stroke unit, at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system, regardless of where the hospital, critical access hospital, or mobile stroke unit is located. ; (2) in subparagraph (F)(i) by inserting telehealth-eligible stroke services, after Secretary)), ; and (3) by adding at the end the following new subparagraph: (G) Telehealth-eligible stroke services The term telehealth-eligible stroke services means services that are— (i) related to the diagnosis, evaluation, or treatment of symptoms of an acute stroke in an individual; and (ii) furnished to such individual not later than four and a half hours (or such other clinically appropriate amount of time as is determined by the Secretary) after the onset of such symptoms with respect to such individual. . (b) No originating site 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) by redesignating clauses (i) and (ii) as subclauses (I) and (II), respectively (and adjusting the margins accordingly); (2) in subclause (II), as redesignated by paragraph (1), by striking clause (i) or this clause and inserting subclause (I) or this subclause ; (3) by striking Site .—With respect to and inserting Site .— (i) In general With respect to ; (4) by striking subject to section 1833(a)(1)(U) and inserting subject to clause (ii) and section 1833(a)(1)(U) ; and (5) by adding at the end the following new clause: (ii) No originating site facility fee for certain telestroke services No facility fee shall be paid under this subparagraph to an originating site that is described in clause (iii) of paragraph (4)(C) and that would not otherwise meet the requirements for an originating site under paragraph (4)(C) without application of the amendments made by the FAST Act of 2017. . (c) Effective date The amendments made by this section shall apply to services furnished on or after January 1, 2021.

December 6, 2017 Reported from the Committee on Energy and Commerce with an amendment December 6, 2017 The Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed