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Sustainable Cardiopulmonary Rehabilitation Services in the Home Act
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.
Summary
This bill permanently extends telehealth flexibilities for Medicare-covered cardiopulmonary rehabilitation services that were created during the COVID-19 pandemic. It allows cardiac rehabilitation, intensive cardiac rehabilitation, and pulmonary rehabilitation programs to be delivered to patients in their homes via two-way audio-visual technology, with medical professionals able to provide virtual supervision. The bill removes geographic restrictions that would normally apply to telehealth services for these rehabilitation programs. It directs the Secretary of Health and Human Services to establish standards for designating patients' homes as provider-based locations for hospitals to deliver these rehabilitation services. The changes take effect once the Secretary issues the new standards.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Joyce, John [R-PA-13] (R-PA)
37 cosponsors
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC)
- Rep. Balderson, Troy [R-OH-12] (R-OH)
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL)
- Rep. Bost, Mike [R-IL-12] (R-IL)
- Rep. Bresnahan, Robert P. [R-PA-8] (R-PA)
- Rep. Brownley, Julia [D-CA-26] (D-CA)
- Rep. Buchanan, Vern [R-FL-16] (R-FL)
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR)
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY)
- Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Rep. Davis, Donald G. [D-NC-1] (D-NC)
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA)
- Rep. Guest, Michael [R-MS-3] (R-MS)
- Rep. Keating, William R. [D-MA-9] (D-MA)
- Rep. Lynch, Stephen F. [D-MA-8] (D-MA)
- Rep. Matsui, Doris O. [D-CA-7] (D-CA)
- Rep. McBride, Sarah [D-DE-At Large] (D-DE)
- Rep. Miller, Carol D. [R-WV-1] (R-WV)
- Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA)
- Rep. Moore, Blake D. [R-UT-1] (R-UT)
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC)
- Rep. Obernolte, Jay [R-CA-23] (R-CA)
- Rep. Panetta, Jimmy [D-CA-19] (D-CA)
- Rep. Pappas, Chris [D-NH-1] (D-NH)
- Rep. Peters, Scott H. [D-CA-50] (D-CA)
- Rep. Quigley, Mike [D-IL-5] (D-IL)
- Rep. Ross, Deborah K. [D-NC-2] (D-NC)
- Rep. Schrier, Kim [D-WA-8] (D-WA)
- Rep. Scott, David [D-GA-13] (D-GA)
- Rep. Sewell, Terri A. [D-AL-7] (D-AL)
- Rep. Soto, Darren [D-FL-9] (D-FL)
- Rep. Subramanyam, Suhas [D-VA-10] (D-VA)
- Rep. Titus, Dina [D-NV-1] (D-NV)
- Rep. Valadao, David G. [R-CA-22] (R-CA)
- Rep. Vasquez, Gabe [D-NM-2] (D-NM)
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA)
- Rep. Walberg, Tim [R-MI-5] (R-MI)
Money behind the sponsor
Top reported contributors to John Joyce’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $43,900
- JWF INDUSTRIES $13,570
- SMITH TRANSPORT, INC $13,200
- NESL $13,200
- MARTIN'S FAMOUS PASTRY SHOPPE, INC $12,400
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for John Joyce → · Outside spending →
Actions (2)
- Jan 28, 2025 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. · house
- Jan 28, 2025 Introduced in House
More bills on these subjects (8)
Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE HOUSE OF REPRESENTATIVES
January 28, 2025
Mr. Joyce of Pennsylvania (for himself, Mr. Peters, Mr. Fitzpatrick, and Mr. Panetta) introduced the following bill; which was 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
A BILL
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.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 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 (42 U.S.C. 1395x(eee)(2)) is amended—
(1) in subparagraph (A)(ii), by inserting “, including in the home of an individual when furnished as a telehealth service through two-way audio-visual communications technology, or when such home is designated as a provider-based location of a hospital outpatient department” after “outpatient basis”; and
(2) in subparagraph (B), by inserting “, including through the virtual presence of such physician, physician assistant, nurse practitioner, or clinical nurse specialist, through two- way audio-visual communications technology” after “under the program”.
(b) Expanding Originating Sites.—Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended—
(1) in paragraph (1), by striking “and (9)” through “(as defined in paragraph (4)(E))” and inserting “, (9), and (10), the Secretary shall pay for telehealth services that are furnished via a telecommunications system by a physician (as defined in section 1861(r)) or a practitioner (as defined in paragraph (4)(E)), or by a hospital (as defined in section 1861(e))”;
(2) in paragraph (2)(A), by striking “or practitioner” and inserting “, practitioner, or hospital” in each place that it appears;
(3) in paragraph (4)(A), by striking “or practitioner” and inserting “, practitioner, or hospital”;
(4) in paragraph (4)(C)—
(A) in clause (i), by striking “and (7)” and inserting “(7), and (10)”; and
(B) in clause (ii)(X), by striking “paragraph
(7)” and inserting “paragraphs (7) and (10)”;
(5) in paragraph (4)(F)(i), by striking “paragraph (8)” and inserting “paragraphs (8) and (10)”; and
(6) by adding at the end the following new paragraph:
“(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).”.
(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—
(A) 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
(B) include cardiac rehabilitation programs and intensive cardiac rehabilitation programs (as such terms are defined in section 1861(eee) of the Social Security Act (42 U.S.C. 1395x(eee))), and pulmonary rehabilitation programs (as defined in section 1861(fff) of such Act (42 U.S.C. 1395x(fff))) among telehealth services to be specified under section 1834(m)(4)(F) of such Act (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. <all>
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