H.R. 783

119th CONGRESS 1st Session

To amend title XVIII of the Social Security Act to permanently extend certain in-home cardiopulmonary rehabilitation flexibilities established in response to COVID–19, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES · January 28, 2025 · Sponsor: Mr. Joyce of Pennsylvania

Table of contents

• H.R. 783
  • SEC. 1. Short title
  • SEC. 2. Codifying in-home cardiopulmonary rehabilitation flexibilities established in response to COVID–19

SEC. 1. Short title

• This Act may be cited as the Sustainable Cardiopulmonary Rehabilitation Services in the Home Act.

SEC. 2. Codifying in-home cardiopulmonary rehabilitation flexibilities established in response to COVID–19

• (a) In general
  • Section 1861(eee)(2) of the Social Security Act () is amended— 42 U.S.C. 1395x(eee)(2)
    • in subparagraph (A)(ii), by inserting after ; and
    • in subparagraph (B), by inserting after .
• (b) Expanding originating sites
  • Section 1834(m) of the Social Security Act () is amended— 42 U.S.C. 1395m(m)
    • in paragraph (1), by striking through and inserting (as defined in paragraph (4)(E));
    • in paragraph (2)(A), by striking or practitionerand inserting in each place that it appears;
    • in paragraph (4)(A), by striking or practitionerand inserting , practitioner, or hospital;
    • in paragraph (4)(C)—
      • in clause (i), by striking and (7)and inserting (7), and (10); and
      • in clause (ii)(X), by striking paragraph (7)and inserting paragraphs (7) and (10);
    • in paragraph (4)(F)(i), by striking paragraph (8)and inserting paragraphs (8) and (10); and
      • (10) Treatment of in-home cardiac rehabilitation program, intensive cardiac rehabilitation program, and pulmonary rehabilitation program visits
        • The geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to telehealth services for cardiac rehabilitation programs and intensive cardiac rehabilitation programs (as such terms are defined in section 1861(eee)) and pulmonary rehabilitation programs (as defined in section 1861(fff)) at an originating site described in subclauses (V) and (X) of paragraph (4)(C)(ii).
    • by adding at the end the following new paragraph:
• (c) Rulemaking To establish standards and allow for certain programs To utilize telehealth services
  • (1) In general
    • The Secretary of Health and Human Services shall promulgate rules to—
      • establish standards for the designation of the home of an individual with status as a provider-based organization of a hospital consistent with waivers issued through the Hospital Without Walls program for cardiac rehabilitation, pulmonary rehabilitation, and intensive cardiac rehabilitation; and
      • include cardiac rehabilitation programs and intensive cardiac rehabilitation programs (as such terms are defined in section 1861(eee) of the Social Security Act ()), and pulmonary rehabilitation programs (as defined in section 1861(fff) of such Act ()) among telehealth services to be specified under section 1834(m)(4)(F) of such Act (). 42 U.S.C. 1395x(eee); 42 U.S.C. 1395x(fff); 42 U.S.C. 1395m(m)(4)(F)
  • (2) Effective date
    • The standards established under paragraph (1) shall take effect on the date on which such standards are issued by the Secretary of Health and Human Services.