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HR783FEDERALin_committee

Sustainable Cardiopulmonary Rehabilitation Services in the Home Act

January 28, 2025

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently in_committee. The next step in the legislative lifecycle is Floor Vote.

Last action
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Jan 28, 2025

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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The Frame

What this does

If passed, this bill would permanently change how Medicare covers heart and lung rehabilitation by allowing patients to receive care at home rather than exclusively in clinical settings, impacting access for Medicare beneficiaries nationwide.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Medicare beneficiaries

Patients requiring cardiac or pulmonary rehabilitation may receive these services at home via telehealth rather than traveling to a clinical facility.

Hospitals and outpatient departments

Facilities may designate patient homes as provider-based locations and must comply with new standards set by the Secretary of Health and Human Services.

Healthcare providers

Physicians, physician assistants, and nurse practitioners may provide services through virtual presence using audio-visual technology.

What changed

Current stage: in_committee.

What's next

Floor Vote.

Summary

This bill proposes to permanently allow Medicare patients to receive cardiac and pulmonary rehabilitation services at home via . It codifies flexibilities originally introduced during the COVID-19 pandemic, allowing these services to be delivered through two-way audio-visual technology.

Key Facts

  • Permanently authorizes Medicare coverage for cardiac, intensive cardiac, and pulmonary rehabilitation services delivered via telehealth in a patient's home.
  • Allows a patient's home to be designated as a provider-based location of a hospital outpatient department for these specific services.
  • Requires the Secretary of Health and Human Services to establish formal standards for home-based provider designations consistent with the 'Hospital Without Walls' program.
  • Removes geographic location requirements for telehealth cardiac and pulmonary rehabilitation services.
  • Mandates that telehealth services be provided via two-way audio-visual communications technology.
  • Allows for the 'virtual presence' of physicians, physician assistants, nurse practitioners, or clinical nurse specialists during these sessions.
  • Directs the Secretary of Health and Human Services to update regulations to include these programs as specified telehealth services.
  • The new standards take effect on the date they are issued by the Secretary of Health and Human Services.

Why It Matters

If passed, this bill would permanently change how Medicare covers heart and lung rehabilitation by allowing patients to receive care at home rather than exclusively in clinical settings, impacting access for Medicare beneficiaries nationwide.

Frequently Asked Questions

Does this bill change who is eligible for cardiac or pulmonary rehab?
The bill focuses on the location and method of delivery ( at home) rather than changing the clinical eligibility criteria for the programs themselves.
When would these changes take effect?
The provisions take effect on the date the Secretary of Health and Human Services issues the new standards for home-based provider designations.
What technology is required for these home services?
The bill specifies the use of two-way audio-visual communications technology.

News Coverage

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Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Permanent Adoption of Pandemic Flexibilities

The bill represents a clear trend of codifying temporary COVID-19 emergency telehealth waivers into permanent federal law.

Connected Entities

personMr. FitzpatrickCo-sponsor of the bill.Map →
personMr. PanettaCo-sponsor of the bill.Map →
personMr. PetersCo-sponsor of the bill.Map →
organizationDepartment of Health and Human ServicesResponsible for promulgating rules and setting standards for the new telehealth Map →
personMr. JoyceRepresentative from Pennsylvania who introduced the bill.Map →

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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