Hospice Recertification Flexibility Act

Bill: 118-hr-8278
Sponsor: full_name: Rep. Miller, Carol D. [R-WV-1]
Introduced: 2024-05-07
Policy area: Health
Latest action: action_date: 2024-12-17
text: Referred to the Subcommittee on Health.

Summaries:

tv_txt: I 118th CONGRESS 2d Session H. R. 8278 IN THE HOUSE OF REPRESENTATIVES May 7, 2024 Mrs. Miller of West Virginia introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to extend certain telehealth flexibilities with respect to hospice care under the Medicare program, and to establish a modifier for recertifications of hospice care eligibility conducted through telehealth.

1. Short title This Act may be cited as the Hospice Recertification Flexibility Act . 2. Extension of certain telehealth flexibilities Section 1814(a)(7)(D)(i)(II) of the Social Security Act ( 42 U.S.C. 1395f(a)(7)(D)(i)(II) ) is amended— (1) by striking ending on December 31, 2024 and inserting ending on December 31, 2026 ; 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 January 1, 2025, if such individual is located in an area that is subject 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. 3. Establishment of modifier for recertifications of hospice care eligibility conducted through telehealth 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 section 2, is further amended by inserting , provided that, in the case of such an encounter occurring on or after the date that is 2 years after the date of the enactment of the Hospice Recertification Flexibility Act , such physician or nurse practitioner includes in any claim for such encounter one or more modifiers or codes specified by the Secretary to indicate that such encounter was furnished through telehealth after as determined appropriate by the Secretary .