Rural Behavioral Health Access Act of 2021
This bill allows for Medicare payment of outpatient critical access hospital (CAH) services consisting of telehealth behavioral therapy, including (1) audio-only services, if an individual does not have access to technology with both audio and visual capabilities; and (2) services provided to an individual who has not received in-person care at the CAH, if there is a plan of care that includes an in-person visit not later than one year after telehealth services are provided.
[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2228 Introduced in House (IH)]
<DOC>
117th CONGRESS
1st Session
H. R. 2228
To allow for payment of outpatient critical access hospital services
furnished through telehealth under the Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 26, 2021
Mr. Kildee (for himself and Mr. Wenstrup) 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
_______________________________________________________________________
A BILL
To allow for payment of outpatient critical access hospital services
furnished through telehealth under the Medicare program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Rural Behavioral Health Access Act
of 2021''.
SEC. 2. ALLOWING FOR PAYMENT OF OUTPATIENT CRITICAL ACCESS HOSPITAL
SERVICES FURNISHED THROUGH TELEHEALTH UNDER THE MEDICARE
PROGRAM.
(a) In General.--Notwithstanding section 1834(m) of the Social
Security Act (42 U.S.C. 1395m(m)) and subject to subsection (b), the
Secretary of Health and Human Services shall provide payment under
section 1834(g) of such Act (42 U.S.C. 1395m(g)) for outpatient
critical access hospital services consisting of behavioral therapy
services furnished by a critical access hospital to an individual on or
after January 1, 2021, via telecommunications technology,
notwithstanding the fact that such individual is not located at such
hospital.
(b) Initiation of Services Via Telehealth.--In the case of an
individual receiving services described in subsection (a) from a
critical access hospital, if such individual has not, prior to
receiving such services, received in-person care at such hospital,
payment shall be made to such hospital in accordance with such
subsection only if such services complement a plan of care that
includes in-person care to be furnished at such hospital not later than
1 year after the date such services are furnished.
(c) Definitions.--For purposes of this section:
(1) Critical access hospital.--The term ``critical access
hospital'' has the meaning given such term in section
1861(mm)(1) of the Social Security Act (42 U.S.C.
1395x(mm)(1)).
(2) Outpatient critical access hospital services.--The term
``outpatient critical access hospital services'' has the
meaning given such term in section 1861(mm)(3) of such Act (42
U.S.C. 1395x(mm)(3)).
(3) Telecommunications technology.--The term
``telecommunications technology'' means a communications system
permitting two-way, real-time interactive communication between
the individuals and health care professional and includes a
communications system consisting of only audio capabilities,
but only if such individual does not have access to a
communications system with audio-visual capabilities.
<all>
Introduced in House
Introduced in House
Referred to the Subcommittee on Health.
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.
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.
Referred to the Subcommittee on Health.
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