Section 1905(b) of the Social Security Act (
42 U.S.C. 1396d(b)) is amended, in the first
sentence—
(1)
by striking “and (5)” and inserting “(5)”; and
(2)
by inserting “, and (6) in the case of a frontier State (as defined in section 1886(d)(3)(E)(iii)(II)) or a State where less than 90 percent of the total population has access to fixed terrestrial broadband service with at least 25 megabits per second (Mbps) download speed and 3 Mbps upload speed (according to the most recently available annual Broadband Deployment Report of the Federal Communications Commission) that, as determined by the Secretary, provides medical assistance for telehealth services (including audio-only telehealth services) for a majority of the services for which medical assistance is available under the State plan (or a waiver of such plan) and for which telehealth is appropriate and provides such services at a level that is not less than the level at which the State provided such services on January 1, 2021, the Federal medical assistance percentage, as determined under this subsection and subsection (y), shall be increased by 5 percentage points with respect to medical assistance for telehealth services” before the period.