Adds two new clauses to the end of 42 U.S.C. 1395m(a)(1)(E): (vi) establishes limits on payment for high-cost durable medical equipment ordered via telehealth (effective 180 days after enactment) unless an in-person service occurred within the prior 6 months and directs the CMS Administrator to define 'high-cost durable medical equipment'; and (vii) requires Medicare administrative contractors to begin reviews (starting 6 months after enactment) with a 12‑month lookback to identify providers prescribing DME via telehealth at least 90% of the time and to audit claims for identified providers.

Adds new paragraphs to 42 U.S.C. 1395m–1(b): a paragraph (6) that limits payment for 'high-cost' laboratory tests ordered via telehealth (effective 180 days after enactment) unless an in-person service occurred within the prior 6 months and directs the CMS Administrator to define 'high-cost laboratory test'; and a paragraph (7) requiring Medicare administrative contractors to begin periodic reviews (starting 6 months after enactment) with a 12‑month lookback to identify providers prescribing laboratory tests via telehealth at least 90% of the time and to audit claims for identified providers.

Adds a new paragraph (10) to subsection (m) of 42 U.S.C. 1395m requiring that, for separately billable telehealth services furnished on or after 180 days after enactment, payment may not be made unless the physician or practitioner submits the claim using their National Provider Identifier (NPI).