{"format":1,"id":"117-hr-4040","congress":117,"number":"H.R. 4040","kind":"bill","group":"bills","title":"Advancing Telehealth Beyond COVID–19 Act of 2022","title_source":"Short Title(s) as Passed House","official_title":"To amend title XVIII of the Social Security Act to extend telehealth flexibilities under the Medicare program, and for other purposes.","titles":[{"type":"Official Title as Introduced","title":"To amend title XVIII of the Social Security Act to extend telehealth flexibilities under the Medicare program, and for other purposes."},{"type":"Short Titles from RFS (Referred to Senate) bill text","title":"Advancing Telehealth Beyond COVID–19 Act of 2022"},{"type":"Display Title","title":"Advancing Telehealth Beyond COVID–19 Act of 2022"},{"type":"Short Title(s) as Passed House","title":"Advancing Telehealth Beyond COVID–19 Act of 2022"},{"type":"Short Title(s) as Introduced","title":"Advancing Telehealth Beyond COVID–19 Act of 2021"}],"outcome":"passed_house","law_number":null,"introduced":"2021-06-22","chambers":{"house":{"status":"roll_call","date":"2022-07-27","vote":{"id":"117-2022-h400","question":"On Passage","title":"Advancing Telehealth Beyond COVID-19 Act","result":"Passed","yea":416,"nay":12,"present":0,"not_voting":2,"source":"https://clerk.house.gov/evs/2022/roll400.xml"}},"senate":{"status":"na","date":null,"vote":null}},"president":{"status":"na","date":null},"vice_president_tie_breaker":null,"latest_action":{"text":"Received in the Senate and Read twice and referred to the Committee on Finance.","date":"2022-07-28"},"nominees":null,"amendments":[],"other_votes":[{"chamber":"house","date":"2022-07-27","question":"On Motion to Recommit","title":"Advancing Telehealth Beyond COVID-19 Act","result":"Failed","yea":205,"nay":221,"present":0,"not_voting":4,"kind":"procedural","source":"https://clerk.house.gov/evs/2022/roll399.xml"}],"crs_summary":{"date":"2022-07-27","stage":"Passed House","blocks":[{"k":"h","t":"Advancing Telehealth Beyond COVID-19 Act of 2022"},{"k":"p","t":"This bill modifies the extension of certain Medicare telehealth flexibilities after the end of the COVID-19 public health emergency."},{"k":"p","t":"Specifically, the bill provides that certain flexibilities continue to apply until December 31, 2024, if the emergency period ends before that date. The bill allows"},{"k":"li","t":"beneficiaries to continue to receive telehealth services at any site, regardless of type or location (e.g., the beneficiary's home);","d":1},{"k":"li","t":"occupational therapists, physical therapists, speech-language pathologists, and audiologists to continue to furnish telehealth services;","d":1},{"k":"li","t":"federally qualified health centers and rural health clinics to continue to serve as the distant site (i.e., the location of the health care practitioner);","d":1},{"k":"li","t":"evaluation and management and behavioral health services to continue to be provided via audio-only technology; and","d":1},{"k":"li","t":"hospice physicians and nurse practitioners to continue to complete certain requirements relating to patient recertifications via telehealth.","d":1},{"k":"p","t":"The bill also delays implementation of certain in-person evaluation requirements for mental health telehealth services until January 1, 2025, or the first day after the end of the emergency period, whichever is later."}],"words":174},"summary":{"main_subject":{"text":"Amends title XVIII of the Social Security Act to extend several Medicare telehealth coverage provisions through December 31, 2024 if the emergency period described in section 1135(g)(1)(B) ends before that date, and to delay certain in-person requirements for mental health services.","cites":[{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H7387282FD53C4BDA90BE5F7349933D9E"},{"label":"Sec. 3","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H13A0F3140E3F47A7B954F9C03024B23B"},{"label":"Sec. 4","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H2718B9B49F314806834059CD621668D8"},{"label":"Sec. 5","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H90F77D10E7E04126A98A95AE661EC32D"},{"label":"Sec. 6","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#HE908117EE03A4ECB8624ABDE808F9662"},{"label":"Sec. 7","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H7A3FE31CD4CB4082A1A37ADDF5ED8757"}]},"core_areas":["Medicare telehealth originating sites and geographic requirements","Practitioners eligible to furnish Medicare telehealth services","Telehealth services at federally qualified health centers and rural health clinics","In-person requirements for Medicare mental health services via telehealth","Audio-only telehealth coverage under Medicare","Telehealth face-to-face encounters for hospice recertification"],"what_it_does":[{"text":"Replaces the 151-day period after the end of the emergency period with a period ending December 31, 2024, if the emergency period ends before that date, for the geographic and originating-site telehealth provisions in section 1834(m).","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H7387282FD53C4BDA90BE5F7349933D9E"}},{"text":"Changes the 151-day period after the end of the emergency period to a period ending December 31, 2024, if the emergency period ends before that date, for the practitioners eligible to furnish telehealth services under section 1834(m)(4)(E).","cite":{"label":"Sec. 3","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H13A0F3140E3F47A7B954F9C03024B23B"}},{"text":"Changes the 151-day period to a period ending December 31, 2024, if the emergency period ends before that date, for federally qualified health centers and rural health clinics under section 1834(m)(8)(A).","cite":{"label":"Sec. 4","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H2718B9B49F314806834059CD621668D8"}},{"text":"Changes the date for the in-person requirements for mental health services furnished through telehealth from the 152nd day after the emergency period ends to January 1, 2025, or the first day after the emergency period ends if later.","cite":{"label":"Sec. 5","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H90F77D10E7E04126A98A95AE661EC32D"}},{"text":"Requires the Secretary to continue coverage and payment for audio-only telehealth services through December 31, 2024, if the emergency period ends before that date.","cite":{"label":"Sec. 6","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#HE908117EE03A4ECB8624ABDE808F9662"}},{"text":"Reduces the amount in section 1898(b)(1) of the Social Security Act from $7,500,000,000 to $5,153,000,000.","cite":{"label":"Sec. 8","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#HC380882587564ADCB28A60CE7ED70E63"}}],"unexpected":[{"category":"off_subject","items":[{"cite":{"label":"Sec. 8","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#HC380882587564ADCB28A60CE7ED70E63"},"heading":"Funding from medicare improvement fund","effect":"Amends section 1898(b)(1) of the Social Security Act, replacing $7,500,000,000 with $5,153,000,000 for funding from the Medicare improvement fund.","amount":null,"quote":"is amended by striking “$7,500,000,000” and inserting “$5,153,000,000”"},{"cite":{"label":"Sec. 10","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#H0C9F9B306E7440359138045F5A200497"},"heading":"Determination of budgetary effects","effect":"Directs that the budgetary effects of the Act under the Statutory Pay-As-You-Go Act of 2010 be determined by reference to the latest PAYGO statement submitted in the Congressional Record by the House Budget Committee Chairman before the vote on passage.","amount":null,"quote":"shall be determined by reference to the latest statement titled “Budgetary Effects of PAYGO Legislation” for this Act"}]},{"category":"process_change","items":[{"cite":{"label":"Sec. 9","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh#HF95CAEE6F6854DA895A23C47177721B9"},"heading":"Program instruction authority","effect":"Allows the Secretary of Health and Human Services to implement sections 2 through 7 through program instruction or otherwise, notwithstanding any other provision of law.","amount":null,"quote":"Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the provisions of, including amendments made by, sections 2 through 7 through program instruction or otherwise."}]}],"version":{"type":"Engrossed in House","date":"2022-07-27","rule":"passed","href":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text/eh"},"current":true,"model":"claude-sonnet-5-5","approved":"2026-10-15","approved_by":"checks"},"sources":{"congress_gov":"https://www.congress.gov/bill/117th-congress/house-bill/4040","text":"https://www.congress.gov/bill/117th-congress/house-bill/4040/text"},"card":{"image":"card/item/117-hr-4040.png","v":"419a0ac6f350","alt":"Votes on Record. H.R. 4040, 117th Congress: Advancing Telehealth Beyond COVID–19 Act of 2022. House: 416 Yea, 12 Nay. Outcome: Passed House, 27 Jul 2022."}}