US SB773 | 2019-2020 | 116th Congress

Status

Spectrum: Bipartisan Bill
Status: Introduced on March 13 2019 - 25% progression, died in committee
Action: 2019-03-13 - Read twice and referred to the Committee on Finance.
Pending: Senate Finance Committee
Text: Latest bill text (Introduced) [PDF]

Summary

Establishes (1) a telehealth service model, and (2) Medicare payment rules with respect to certain services tested under the model. The Centers for Medicare & Medicaid Services (CMS) shall test Medicare coverage of expanded telehealth services, as defined by the bill, in conjunction with existing models that test the use of accountable care organizations, bundled payments, and other coordinated care models under Medicare. The CMS must (1) establish a methodology for determining the amounts of payment for such services, and (2) provide for evaluations of the service model by an independent entity. The CMS shall expand the application of a service tested under the model if (1) the required evaluation demonstrates that the service either reduced Medicare spending without reducing the quality of care or improved the quality of care without increasing spending, and (2) the Chief Actuary of the CMS certifies that such expansion would reduce net program spending. A service that meets these requirements is defined by the bill as a certified enhanced telehealth service. Medicare payment for a certified enhanced telehealth service shall equal 80% of the lesser of (1) the actual charge for the service, or (2) the amount determined using the payment methodology established under the test model. The CMS shall pay for such services without regard to a Medicare beneficiary's location or area of residence.

Tracking Information

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Title

Telehealth Innovation and Improvement Act of 2019

Sponsors


History

DateChamberAction
2019-03-13SenateRead twice and referred to the Committee on Finance.

Same As/Similar To

HB4013 (Same As) 2019-07-26 - Referred to the Subcommittee on Health.

Subjects


US Congress State Sources


Bill Comments

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