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Feb 16, 2017viewing Reported in House 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 See what changed
Feb 16, 2017 Introduced in House 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

H.R. 1148 — what changed

Furthering Access to Stroke Telemedicine Act

From Introduced in House to Reported in House. 1 section amended between Introduced in House and Reported in House.

Sec. 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)

changed in clause (i), in the matter preceding subclause (I), by striking “The term” and inserting ~~“Subject to~~ “Except as provided in clause (iii), the term”; and

(B)

by adding at the end the following new clause:

changed “(iii) Telehealth-eligible stroke services—With respect to telehealth-eligible stroke services, the term originating site means any ~~hospital,~~ hospital (as defined in section 1861(e)) or critical access hospital (as defined in section 1861(mm)(1)), or any mobile ~~unit equipped with the ability to evaluate possible~~ stroke ~~patients while being transported to a hospital,~~ 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~~ 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—

changed “(i) related to the diagnosis, evaluation, or treatment of symptoms ~~in an individual~~ of an acute ~~stroke;~~ stroke in an individual; and

changed “(ii) ~~provided~~ 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)

changed 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, in the matter preceding clause (i), by inserting “(other than an originating site that is only described in clause (iii) of paragraph (4)(C), and does not meet the requirement for an originating site under clause (i) of such paragraph)” after “the originating site”.amended—

(1)

added by redesignating clauses (i) and (ii) as subclauses (I) and (II), respectively (and adjusting the margins accordingly);

(2)

added in subclause (II), as redesignated by paragraph (1), by striking “clause (i) or this clause” and inserting “subclause (I) or this subclause”;

(3)

added by striking “Site.—With respect to” and inserting

added “(i) In general—With respect to”

(4)

added by striking “subject to section 1833(a)(1)(U)” and inserting “subject to clause (ii) and section 1833(a)(1)(U)”; and

(5)

added by adding at the end the following new clause:

added “(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)

changed Effective date— The amendments made by this section shall apply to services furnished on or after ~~the date that is 18 months after the date of the enactment of this Act.~~January 1, 2021.

H.R. 1148 — what changed

Sec. 2 Expanding access to telehealth-eligible stroke services under the Medicare program

Cite this provision

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