Page 1 Telehealth Enhancement Act of 2015

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HR 2066 - Telehealth Enhancement Act of 2015

Rep. Harper (R-MS), Rep. Thompson (D-CA), Rep. Black (R-TN) & Rep. Welch (D-VT)

Author Intent: To promote and expand telehealth application under Medicare and
other health care programs.

BILL DRAFT CURRENT LAW

Positive Incentives for Medicare’s Hospital Readmissions Hospitals are subject to the hospital readmis-
Reduction Program sion payment adjustment factor for excess
Provides hospitals, under Medicare’s Hospital readmissions readmissions. No additional positive incentive
reduction program, with an additional payment that would be exists.
made to a hospital from the shared savings achieved from a
better than expected performance in reducing hospital read-
missions.
Medicare Health Homes for Individuals with Chronic A state has the option to make a state plan
Diseases amendment to provide for medical assistance
The Secretary may contract with the appropriate State Medic- to eligible individuals with chronic conditions
aid agency for a state that opted, under its State Plan, to who select a designated provider, a team of
provide coordinated care through a health home for individuals health care professionals operating with such a
with chronic conditions. provider, or a health team as the individual’s
health home through its Medicaid program.
As a quality measure and condition for provider payment, plan
must include the use of remote patient monitoring (RPM).
Entities under this program shall follow evidence-based
guidelines.

Limitations on telehealth under 1834(m), such as restrictions
on the location and facility type of the originating site, shall not
apply.

Specialty Medical Homes N/A
The Secretary may contract with a national or multi-state
regional center of excellence with an affiliated local provider
network to provide targeted, accessible, continuous, and
coordinated care through one or more medical homes to
individuals with a long-term illness or medical condition that
requires regular medical treatment, advising, and monitoring.

The medical home must have a plan for using health informa-
tion technology in providing services, including the use of
wireless patient technology and RPM. They must also have a
health assessment tool to identify individuals most likely to
benefit from RPM.

Limitations under 1834(m) shall not apply.
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