SEC. 418. REPORT ON DEMONSTRATION PROJECT PERMITTING SKILLED
NURSING FACILITIES TO BE ORIGINATING TELEHEALTH SITES; AUTHORITY TO IMPLEMENT.
(a) EVALUATION- The Secretary, acting through
the Administrator of the Health Resources and Services Administration in consultation
with the Administrator of the Centers for Medicare & Medicaid Services,
shall evaluate demonstration projects conducted by the Secretary under which
skilled nursing facilities (as defined in section 1819(a) of the Social Security
Act (42 U.S.C. 1395i-3(a)) are treated as originating sites for telehealth services.
(b) REPORT- Not later than January 1, 2005,
the Secretary shall submit to Congress a report on the evaluation conducted
under subsection (a). Such report shall include recommendations on mechanisms
to ensure that permitting a skilled nursing facility to serve as an originating
site for the use of telehealth services or any other service delivered via a
telecommunications system does not serve as a substitute for in-person visits
furnished by a physician, or for in-person visits furnished by a physician assistant,
nurse practitioner or clinical nurse specialist, as is otherwise required by
the Secretary.
(c) AUTHORITY TO EXPAND ORIGINATING TELEHEALTH
SITES TO INCLUDE SKILLED NURSING FACILITIES- Insofar as the Secretary concludes
in the report required under subsection (b) that it is advisable to permit a
skilled nursing facility to be an originating site for telehealth services under
section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)), and that the
Secretary can establish the mechanisms to ensure such permission does not serve
as a substitute for in-person visits furnished by a physician, or for in-person
visits furnished by a physician assistant, nurse practitioner or clinical nurse
specialist, the Secretary may deem a skilled nursing facility to be an originating
site under paragraph (4)(C)(ii) of such section beginning on January 1, 2006.
