US Congress House Bill 4155 (Prior Session Legislation)

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Spectrum: Bipartisan Bill
Status: Introduced on December 2 2015 - 25% progression, died in committee
Action: 2015-12-04 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

Telehealth Innovation and Improvement Act of 2015 This bill amends titles XI (General Provisions) and XVIII (Medicare) of the Social Security Act to establish: (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. 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. 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 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. CMS shall pay for such services without regard to a Medicare beneficiary's location or area of residence.

Telehealth Innovation and Improvement Act of 2015

Rep. Diane Black [R-TN]

Rep. Scott Peters [D-CA]

Date	Chamber	Action
2015-12-04	House	Referred to the Subcommittee on Health.
2015-12-02	House	Referred to the Subcommittee on Health.
2015-12-02	House	Referred to House Ways and Means
2015-12-02	House	Referred to House Energy and Commerce
2015-12-02	House	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.
2015-12-02	House	Introduced in House

SB2343 (Related) 2015-12-02 - Read twice and referred to the Committee on Finance.

Type	Source
Summary	https://www.congress.gov/bill/114th-congress/house-bill/4155/all-info
Text	https://www.congress.gov/114/bills/hr4155/BILLS-114hr4155ih.pdf