{
  "legislationId": "119_HR_7444",
  "lastUpdate": "2026-04-17T11:23:41.566Z",
  "history": [
    {
      "timestamp": "2026-04-17T11:23:41.566Z",
      "source_url": "https://www.congress.gov/119/bills/hr7444/BILLS-119hr7444ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7444 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7444 To amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 9, 2026 Mr. Pappas (for himself and Mr. Nunn of Iowa) 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 protect access to telehealth services under the Medicare program. 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 ``Protecting Rural Telehealth Access Act''. SEC. 2. ELIMINATION OF RESTRICTIONS RELATING TO TELEHEALTH SERVICES. (a) Elimination of Geographic Requirements for Originating Sites.-- Section 1834(m)(4)(C) of the Social Security Act (42 U.S.C. 1395m(m)(4)(C)) is amended-- (1) in clause (i), in the matter preceding subclause (I), by striking ``clause (iii)'' and inserting ``clauses (iii) and (iv)''; and (2) by adding at the end the following new clause: ``(iv) Elimination of geographic requirements for originating sites.--The geographic requirements described in clause (i) shall not apply with respect to telehealth services furnished on or after January 1, 2027.''. (b) Elimination of Restrictions in Which Telehealth Services May Be Furnished in the Home.--Section 1834(m)(4)(C)(ii)(X) of the Social Security Act (42 U.S.C. 1395m(m)(4)(C)(i)(X)) is amended to read as follows: ``(X)(aa) For the period beginning on the date of the enactment of this subclause and ending on December 31, 2026, the home of an individual but only for purposes of section 1881(b)(3)(B) or telehealth services described in paragraph (7). ``(bb) For the period beginning on or after January 1, 2027, the home of an individual.''. (c) Elimination of Restrictions on Store-and-Forward Technologies.--The second sentence of section 1834(m)(1) of the Social Security Act (42 U.S.C. 1395m(m)(1)) is amended by striking ``in the case of any Federal telemedicine demonstration program conducted in Alaska or Hawaii,''. SEC. 3. TELEHEALTH FLEXIBILITIES FOR CRITICAL ACCESS HOSPITALS. Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended-- (1) in the first sentence of paragraph (1), by striking ``and (9)'' and inserting ``(9), and (10)''; (2) in paragraph (2)(A), by striking ``paragraph (8)'' and inserting ``paragraphs (8) and (10)''; (3) in paragraph (4)-- (A) in subparagraph (A), by striking ``paragraph (8)'' and inserting ``paragraphs (8) and (10)''; and (B) in subparagraph (F)(i), by striking ``paragraph (8)'' and inserting ``paragraphs (8) and (10)''; and (4) by adding at the end the following new paragraph: ``(10) Telehealth flexibilities for critical access hospitals.-- ``(A) In general.--On or after the date of the enactment of this paragraph-- ``(i) the Secretary shall pay for telehealth services that are furnished via a telecommunications system by a critical access hospital, including any practitioner authorized to provide such services within the facility, that is a qualified provider (as defined in subparagraph (B)) to an eligible telehealth individual enrolled under this part notwithstanding that the critical access hospital providing the telehealth service is not at the same location as the beneficiary, if such services complement a plan of care that includes in-person care at some point, as may be appropriate; ``(ii) the amount of payment to a critical access hospital that serves as a distant site for such a telehealth service shall be determined under subparagraph (C); and ``(iii) for purposes of this subsection-- ``(I) the term `distant site' includes a critical access hospital that furnishes a telehealth service to an eligible telehealth individual; and ``(II) the term `telehealth services' includes behavioral health services and any other outpatient critical access hospital service that is furnished using telehealth to the extent that payment codes corresponding to services identified by the Secretary under clause (i) or (ii) of paragraph (4)(F) are listed on the corresponding claim for such critical access hospital service. ``(B) Definition of qualified provider.--For purposes of this subsection, the term `qualified provider' means, with respect to a telehealth service described in subparagraph (A)(i) that is furnished to an eligible telehealth individual, a critical access hospital that has an established patient relationship with such individual as defined by the State in which the individual is located. ``(C) Payment.--The amount of payment to a critical access hospital that serves as a distant site that furnishes a telehealth service to an eligible telehealth individual under this paragraph shall be equal to 101 percent of the reasonable costs of the hospital in providing such services, unless the hospital makes an election under paragraph (2) of section 1834(g) to be paid for such services based on the methodology described in such paragraph. Telehealth services furnished by a critical access hospital shall be counted for purposes of determining the provider productivity rate of the critical access hospital for purposes of payment under such section. ``(D) Implementation.--Notwithstanding any other provision of law, the Secretary may implement this paragraph through program instruction, interim final rule, or otherwise.''. SEC. 4. EXTENDING MEDICARE TELEHEALTH FLEXIBILITIES FOR FEDERALLY QUALIFIED HEALTH CENTERS AND RURAL HEALTH CLINICS. Section 1834(m)(8) of the Social Security Act (42 U.S.C. 1395m(m)(8)), as amended by section 4113(c) of division FF of the Consolidated Appropriations Act, 2023 (Public Law 117-328), is amended-- (1) in subparagraph (A), in the matter preceding clause (i), by inserting ``, and on or after January 1, 2027'' after ``December 31, 2024''; (2) by striking subparagraph (B) and inserting the following: ``(B) Payment.-- ``(i) In general.--A telehealth service furnished by a Federally qualified health center or a rural health clinic to an eligible telehealth individual pursuant to this paragraph or after the date of the enactment of this subparagraph shall be reimbursed under this title at a separate telehealth payment rate as determined under the methodology established by the Secretary pursuant to clause (ii). ``(ii) Payment methodology.--The Secretary shall establish a methodology for determining the appropriate payment rate for telehealth services described in clause (i). Such methodology shall consider-- ``(I) the geography of Federally qualified health centers and rural health clinics; ``(II) costs associated with the delivery of such telehealth services as allowable costs for the center or clinic; and ``(III) the full cost of providing the services via telehealth. ``(iii) Implementation.-- ``(I) Coding system.--The Secretary shall establish an effective coding system for telehealth services described in clause (i) that is reflective of the services provided at a center or clinic. ``(II) Implementation.-- Notwithstanding any other provision of law, the Secretary may implement this subparagraph through program instruction, interim final rule, or otherwise.''; and (3) by adding at the end the following new subparagraph: ``(C) Requirement during additional period.-- ``(i) In general.--Beginning on January 1, 2027, payment may only be made under this paragraph for a telehealth service described in subparagraph (A)(i) that is furnished to an eligible telehealth individual if such service is furnished by a qualified provider (as defined in clause (ii)). ``(ii) Definition of qualified provider.-- For purposes of this subparagraph, the term `qualified provider' means, with respect to a telehealth service described in subparagraph (A)(i) that is furnished to an eligible telehealth individual, a Federally qualified health center or rural health clinic that has an established patient relationship with such individual as defined by the State in which the individual is located.''. SEC. 5. ALLOWANCE OF CERTAIN TELEHEALTH SERVICES FURNISHED USING AUDIO- ONLY TECHNOLOGY. Section 1834(m)(4) of the Social Security Act (42 U.S.C. 1395m(m)(4)) is amended by adding at the end the following new subparagraph: ``(G) Telecommunications system.-- ``(i) In general.--Notwithstanding paragraph (1) and section 410.78(a)(3) of title 42, Code of Federal Regulations (or any successor regulation), subject to clause (v), on or after January 1, 2027, the term `telecommunications system' includes, in the case of the furnishing of a specified telehealth service (as defined in clause (ii)) a communications system that uses audio-only technology. ``(ii) Specified telehealth service.--In this subparagraph, the term `specified telehealth service' means a telehealth service described in clause (iii) that is furnished by a qualified provider (as defined in clause (iv)). ``(iii) Telehealth service described.-- Subject to clause (vi), a telehealth service described in this clause is a telehealth service consisting of-- ``(I) evaluation and management services; ``(II) behavioral health counseling and educational services; and ``(III) other services determined appropriate by the Secretary. ``(iv) Qualified provider defined.--For purposes of clause (ii), the term `qualified provider' means, with respect to a specified telehealth service that is furnished to an eligible telehealth individual-- ``(I) a physician or practitioner who has an established patient relationship with such individual as defined by the State in which the individual is located; or ``(II) a critical access hospital (as defined in section 1861(mm)(1)), a rural health clinic (as defined in section 1861(aa)(2)), a Federally qualified health center (as defined in section 1861(aa)(4)), a hospital (as defined in section 1861(e)), a hospital-based or critical access hospital-based renal dialysis center (including satellites), a skilled nursing facility (as defined in section 1819(a)), a community mental health center (as defined in section 1861(ff)(3)(B)), or a rural emergency hospital (as defined in section 1861(kkk)(2)). ``(v) Authority.--For purposes of this subparagraph, the Secretary may determine whether it is clinically appropriate to furnish a specified telehealth service via a communications system that uses audio-only technology and whether an in-person initial visit (in addition to any requirement with respect to the furnishing of an item or service in person pursuant to clause (iv)(I)) is required prior to the furnishing of such service using such technology. ``(vi) Review.-- ``(I) In general.--Not later than 5 years after the date of the enactment of this subparagraph, the Secretary shall conduct a review of the furnishing of specified telehealth services through audio-only technology pursuant to this paragraph. Such review shall include an analysis of the impact of the roll out of broadband technology and whether the use of audio-only technology is necessary to ensure access to such telehealth services. ``(II) Redetermination of specified telehealth services.--The Secretary may, based on the review conducted under subclause (I), provide for the addition or deletion of services (and HCPCS codes), as appropriate, to those specified in clause (ii) that may be furnished using audio-only technology and authorized for payment pursuant to this subparagraph. ``(vii) Clarification regarding payment.-- The amount of payment for a specified telehealth service that is furnished using audio-only technology shall be equal to the amount that would have been paid for such service under this subsection had such service been furnished via any other telecommunications system authorized under this subsection.''. SEC. 6. SENSE OF CONGRESS REGARDING EXPANSION OF ELIGIBLE PRACTITIONERS THAT MAY FURNISH TELEHEALTH SERVICES. It is the sense of Congress that the expansion of eligible practitioners that may furnish telehealth services (as defined in section 1834(m)(4)(F) of the Social Security Act (42 U.S.C. 1395m(m)(4)(F))) during the emergency period described in section 1135(g)(1)(B) of such Act (42 U.S.C. 1320b-5(g)(1)(B)) should be extended on a permanent basis. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Protecting Rural Telehealth Access Act\nSummary: This bill makes it easier for Medicare patients to access healthcare services through phone or video calls. Starting in 2027, patients can receive telehealth care from their own homes regardless of their location.\nKey Points: Removal of location limits – telehealth will be available to all Medicare users, not just those in rural areas., Care at home – patients can officially receive medical consultations from the comfort of their own house., Audio-only options – doctors can provide mental health and evaluation services via a simple phone call., Better funding for rural clinics – ensures that small hospitals and clinics are fairly paid for providing remote care.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-17T11:13:05.202Z",
      "source_url": "https://www.congress.gov/119/bills/hr7444/BILLS-119hr7444ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7444 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7444 To amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 9, 2026 Mr. Pappas (for himself and Mr. Nunn of Iowa) 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 protect access to telehealth services under the Medicare program. 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 ``Protecting Rural Telehealth Access Act''. SEC. 2. ELIMINATION OF RESTRICTIONS RELATING TO TELEHEALTH SERVICES. (a) Elimination of Geographic Requirements for Originating Sites.-- Section 1834(m)(4)(C) of the Social Security Act (42 U.S.C. 1395m(m)(4)(C)) is amended-- (1) in clause (i), in the matter preceding subclause (I), by striking ``clause (iii)'' and inserting ``clauses (iii) and (iv)''; and (2) by adding at the end the following new clause: ``(iv) Elimination of geographic requirements for originating sites.--The geographic requirements described in clause (i) shall not apply with respect to telehealth services furnished on or after January 1, 2027.''. (b) Elimination of Restrictions in Which Telehealth Services May Be Furnished in the Home.--Section 1834(m)(4)(C)(ii)(X) of the Social Security Act (42 U.S.C. 1395m(m)(4)(C)(i)(X)) is amended to read as follows: ``(X)(aa) For the period beginning on the date of the enactment of this subclause and ending on December 31, 2026, the home of an individual but only for purposes of section 1881(b)(3)(B) or telehealth services described in paragraph (7). ``(bb) For the period beginning on or after January 1, 2027, the home of an individual.''. (c) Elimination of Restrictions on Store-and-Forward Technologies.--The second sentence of section 1834(m)(1) of the Social Security Act (42 U.S.C. 1395m(m)(1)) is amended by striking ``in the case of any Federal telemedicine demonstration program conducted in Alaska or Hawaii,''. SEC. 3. TELEHEALTH FLEXIBILITIES FOR CRITICAL ACCESS HOSPITALS. Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended-- (1) in the first sentence of paragraph (1), by striking ``and (9)'' and inserting ``(9), and (10)''; (2) in paragraph (2)(A), by striking ``paragraph (8)'' and inserting ``paragraphs (8) and (10)''; (3) in paragraph (4)-- (A) in subparagraph (A), by striking ``paragraph (8)'' and inserting ``paragraphs (8) and (10)''; and (B) in subparagraph (F)(i), by striking ``paragraph (8)'' and inserting ``paragraphs (8) and (10)''; and (4) by adding at the end the following new paragraph: ``(10) Telehealth flexibilities for critical access hospitals.-- ``(A) In general.--On or after the date of the enactment of this paragraph-- ``(i) the Secretary shall pay for telehealth services that are furnished via a telecommunications system by a critical access hospital, including any practitioner authorized to provide such services within the facility, that is a qualified provider (as defined in subparagraph (B)) to an eligible telehealth individual enrolled under this part notwithstanding that the critical access hospital providing the telehealth service is not at the same location as the beneficiary, if such services complement a plan of care that includes in-person care at some point, as may be appropriate; ``(ii) the amount of payment to a critical access hospital that serves as a distant site for such a telehealth service shall be determined under subparagraph (C); and ``(iii) for purposes of this subsection-- ``(I) the term `distant site' includes a critical access hospital that furnishes a telehealth service to an eligible telehealth individual; and ``(II) the term `telehealth services' includes behavioral health services and any other outpatient critical access hospital service that is furnished using telehealth to the extent that payment codes corresponding to services identified by the Secretary under clause (i) or (ii) of paragraph (4)(F) are listed on the corresponding claim for such critical access hospital service. ``(B) Definition of qualified provider.--For purposes of this subsection, the term `qualified provider' means, with respect to a telehealth service described in subparagraph (A)(i) that is furnished to an eligible telehealth individual, a critical access hospital that has an established patient relationship with such individual as defined by the State in which the individual is located. ``(C) Payment.--The amount of payment to a critical access hospital that serves as a distant site that furnishes a telehealth service to an eligible telehealth individual under this paragraph shall be equal to 101 percent of the reasonable costs of the hospital in providing such services, unless the hospital makes an election under paragraph (2) of section 1834(g) to be paid for such services based on the methodology described in such paragraph. Telehealth services furnished by a critical access hospital shall be counted for purposes of determining the provider productivity rate of the critical access hospital for purposes of payment under such section. ``(D) Implementation.--Notwithstanding any other provision of law, the Secretary may implement this paragraph through program instruction, interim final rule, or otherwise.''. SEC. 4. EXTENDING MEDICARE TELEHEALTH FLEXIBILITIES FOR FEDERALLY QUALIFIED HEALTH CENTERS AND RURAL HEALTH CLINICS. Section 1834(m)(8) of the Social Security Act (42 U.S.C. 1395m(m)(8)), as amended by section 4113(c) of division FF of the Consolidated Appropriations Act, 2023 (Public Law 117-328), is amended-- (1) in subparagraph (A), in the matter preceding clause (i), by inserting ``, and on or after January 1, 2027'' after ``December 31, 2024''; (2) by striking subparagraph (B) and inserting the following: ``(B) Payment.-- ``(i) In general.--A telehealth service furnished by a Federally qualified health center or a rural health clinic to an eligible telehealth individual pursuant to this paragraph or after the date of the enactment of this subparagraph shall be reimbursed under this title at a separate telehealth payment rate as determined under the methodology established by the Secretary pursuant to clause (ii). ``(ii) Payment methodology.--The Secretary shall establish a methodology for determining the appropriate payment rate for telehealth services described in clause (i). Such methodology shall consider-- ``(I) the geography of Federally qualified health centers and rural health clinics; ``(II) costs associated with the delivery of such telehealth services as allowable costs for the center or clinic; and ``(III) the full cost of providing the services via telehealth. ``(iii) Implementation.-- ``(I) Coding system.--The Secretary shall establish an effective coding system for telehealth services described in clause (i) that is reflective of the services provided at a center or clinic. ``(II) Implementation.-- Notwithstanding any other provision of law, the Secretary may implement this subparagraph through program instruction, interim final rule, or otherwise.''; and (3) by adding at the end the following new subparagraph: ``(C) Requirement during additional period.-- ``(i) In general.--Beginning on January 1, 2027, payment may only be made under this paragraph for a telehealth service described in subparagraph (A)(i) that is furnished to an eligible telehealth individual if such service is furnished by a qualified provider (as defined in clause (ii)). ``(ii) Definition of qualified provider.-- For purposes of this subparagraph, the term `qualified provider' means, with respect to a telehealth service described in subparagraph (A)(i) that is furnished to an eligible telehealth individual, a Federally qualified health center or rural health clinic that has an established patient relationship with such individual as defined by the State in which the individual is located.''. SEC. 5. ALLOWANCE OF CERTAIN TELEHEALTH SERVICES FURNISHED USING AUDIO- ONLY TECHNOLOGY. Section 1834(m)(4) of the Social Security Act (42 U.S.C. 1395m(m)(4)) is amended by adding at the end the following new subparagraph: ``(G) Telecommunications system.-- ``(i) In general.--Notwithstanding paragraph (1) and section 410.78(a)(3) of title 42, Code of Federal Regulations (or any successor regulation), subject to clause (v), on or after January 1, 2027, the term `telecommunications system' includes, in the case of the furnishing of a specified telehealth service (as defined in clause (ii)) a communications system that uses audio-only technology. ``(ii) Specified telehealth service.--In this subparagraph, the term `specified telehealth service' means a telehealth service described in clause (iii) that is furnished by a qualified provider (as defined in clause (iv)). ``(iii) Telehealth service described.-- Subject to clause (vi), a telehealth service described in this clause is a telehealth service consisting of-- ``(I) evaluation and management services; ``(II) behavioral health counseling and educational services; and ``(III) other services determined appropriate by the Secretary. ``(iv) Qualified provider defined.--For purposes of clause (ii), the term `qualified provider' means, with respect to a specified telehealth service that is furnished to an eligible telehealth individual-- ``(I) a physician or practitioner who has an established patient relationship with such individual as defined by the State in which the individual is located; or ``(II) a critical access hospital (as defined in section 1861(mm)(1)), a rural health clinic (as defined in section 1861(aa)(2)), a Federally qualified health center (as defined in section 1861(aa)(4)), a hospital (as defined in section 1861(e)), a hospital-based or critical access hospital-based renal dialysis center (including satellites), a skilled nursing facility (as defined in section 1819(a)), a community mental health center (as defined in section 1861(ff)(3)(B)), or a rural emergency hospital (as defined in section 1861(kkk)(2)). ``(v) Authority.--For purposes of this subparagraph, the Secretary may determine whether it is clinically appropriate to furnish a specified telehealth service via a communications system that uses audio-only technology and whether an in-person initial visit (in addition to any requirement with respect to the furnishing of an item or service in person pursuant to clause (iv)(I)) is required prior to the furnishing of such service using such technology. ``(vi) Review.-- ``(I) In general.--Not later than 5 years after the date of the enactment of this subparagraph, the Secretary shall conduct a review of the furnishing of specified telehealth services through audio-only technology pursuant to this paragraph. Such review shall include an analysis of the impact of the roll out of broadband technology and whether the use of audio-only technology is necessary to ensure access to such telehealth services. ``(II) Redetermination of specified telehealth services.--The Secretary may, based on the review conducted under subclause (I), provide for the addition or deletion of services (and HCPCS codes), as appropriate, to those specified in clause (ii) that may be furnished using audio-only technology and authorized for payment pursuant to this subparagraph. ``(vii) Clarification regarding payment.-- The amount of payment for a specified telehealth service that is furnished using audio-only technology shall be equal to the amount that would have been paid for such service under this subsection had such service been furnished via any other telecommunications system authorized under this subsection.''. SEC. 6. SENSE OF CONGRESS REGARDING EXPANSION OF ELIGIBLE PRACTITIONERS THAT MAY FURNISH TELEHEALTH SERVICES. It is the sense of Congress that the expansion of eligible practitioners that may furnish telehealth services (as defined in section 1834(m)(4)(F) of the Social Security Act (42 U.S.C. 1395m(m)(4)(F))) during the emergency period described in section 1135(g)(1)(B) of such Act (42 U.S.C. 1320b-5(g)(1)(B)) should be extended on a permanent basis. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o ochronie dostępu do telemedycyny na obszarach wiejskich\",\n  \"pl_summary\": \"Ustawa ułatwia pacjentom korzystanie z porad lekarskich przez telefon i internet w ramach programu Medicare. Dzięki zmianom, od 2027 roku pacjenci będą mogli odbywać wizyty zdalne z własnego domu, bez względu na to, gdzie mieszkają.\",\n  \"pl_key_points\": [\n    \"Zniesienie ograniczeń geograficznych – wizyty online będą dostępne wszędzie, nie tylko na wsiach.\",\n    \"Możliwość leczenia w domu – pacjenci będą mogli łączyć się z lekarzem bezpośrednio ze swojego miejsca zamieszkania.\",\n    \"Wizyty telefoniczne – dopuszczenie porad wyłącznie głosowych (przez telefon) w przypadku zdrowia psychicznego i rutynowych kontroli.\",\n    \"Wsparcie dla szpitali wiejskich – lepsze finansowanie usług zdalnych świadczonych przez placówki na obszarach słabiej zaludnionych.\"\n  ],\n  \"eng_ai_title\": \"Protecting Rural Telehealth Access Act\",\n  \"eng_summary\": \"This bill makes it easier for Medicare patients to access healthcare services through phone or video calls. Starting in 2027, patients can receive telehealth care from their own homes regardless of their location.\",\n  \"eng_key_points\": [\n    \"Removal of location limits – telehealth will be available to all Medicare users, not just those in rural areas.\",\n    \"Care at home – patients can officially receive medical consultations from the comfort of their own house.\",\n    \"Audio-only options – doctors can provide mental health and evaluation services via a simple phone call.\",\n    \"Better funding for rural clinics – ensures that small hospitals and clinics are fairly paid for providing remote care.\"\n  ],\n  \"de_ai_title\": \"Gesetz zum Schutz des Zugangs zur Telemedizin in ländlichen Gebieten\",\n  \"de_summary\": \"Dieses Gesetz erleichtert Medicare-Patienten den Zugang zu medizinischen Leistungen über Telefon oder Video. Ab 2027 können Patienten unabhängig von ihrem Wohnort telemedizinische Behandlungen von zu Hause aus in Anspruch nehmen.\",\n  \"de_key_points\": [\n    \"Aufhebung geografischer Beschränkungen – Online-Besuche sind überall möglich, nicht nur in ländlichen Regionen.\",\n    \"Behandlung zu Hause – Patienten können ärztliche Konsultationen direkt von ihrem Wohnsitz aus wahrnehmen.\",\n    \"Audio-Optionen – Ermöglicht rein telefonische Beratungen für psychische Gesundheit und Routineuntersuchungen.\",\n    \"Unterstützung für ländliche Kliniken – Sicherstellung einer fairen Vergütung für Fernbehandlungen in kleinen Krankenhäusern.\"\n  ],\n  \"fr_ai_title\": \"Loi sur la protection de l'accès à la télésanté en milieu rural\",\n  \"fr_summary\": \"Cette loi facilite l'accès des patients Medicare aux soins médicaux par téléphone ou vidéo. À partir de 2027, les patients pourront consulter un médecin depuis leur domicile, quel que soit leur lieu de résidence.\",\n  \"fr_key_points\": [\n    \"Suppression des limites géographiques – la télémédecine sera accessible partout, pas seulement dans les zones rurales.\",\n    \"Soins à domicile – les patients pourront officiellement recevoir des consultations médicales depuis chez eux.\",\n    \"Options audio uniquement – les médecins pourront proposer des services de santé mentale et d'évaluation par simple appel téléphonique.\",\n    \"Meilleur financement pour les cliniques rurales – garantit que les petits hôpitaux sont rémunérés équitablement pour les soins à distance.\"\n  ],\n  \"es_ai_title\": \"Ley de Protección del Acceso a la Telemedicina Rural\",\n  \"es_summary\": \"Esta ley facilita que los pacientes de Medicare accedan a servicios de salud a través de llamadas telefónicas o video. A partir de 2027, los pacientes podrán recibir atención por telemedicina desde sus hogares, sin importar dónde vivan.\",\n  \"es_key_points\": [\n    \"Eliminación de límites geográficos: las consultas en línea estarán disponibles en todas partes, no solo en zonas rurales.\",\n    \"Atención en el hogar: los pacientes podrán recibir consultas médicas oficialmente desde la comodidad de su casa.\",\n    \"Opciones de solo audio: se permiten consultas por teléfono para salud mental y evaluaciones rutinarias.\",\n    \"Mejor financiamiento para clínicas rurales: asegura que los hospitales pequeños reciban pagos justos por brindar atención remota.\"\n  ],\n  \"it_ai_title\": \"Legge per la protezione dell'accesso alla telemedicina nelle aree rurali\",\n  \"it_summary\": \"Questa legge facilita l'accesso dei pazienti Medicare ai servizi sanitari tramite telefono o video. A partire dal 2027, i pazienti potranno ricevere cure in telemedicina da casa propria, indipendentemente dalla loro posizione.\",\n  \"it_key_points\": [\n    \"Rimozione dei limiti geografici: le visite online saranno disponibili ovunque, non solo nelle zone rurali.\",\n    \"Cure a domicilio: i pazienti potranno ricevere ufficialmente consulenze mediche direttamente da casa.\",\n    \"Opzioni solo audio: i medici potranno fornire servizi di salute mentale e valutazioni tramite una semplice telefonata.\",\n    \"Migliore finanziamento per le cliniche rurali: garantisce che i piccoli ospedali siano pagati equamente per l'assistenza a distanza.\"\n  ],\n  \"nl_ai_title\": \"Wet op de bescherming van toegang tot telegeneeskunde in rurale gebieden\",\n  \"nl_summary\": \"Deze wet maakt het voor Medicare-patiënten gemakkelijker om toegang te krijgen tot gezondheidszorg via telefoon of video. Vanaf 2027 kunnen patiënten vanuit hun eigen huis telegeneeskunde ontvangen, ongeacht waar ze wonen.\",\n  \"nl_key_points\": [\n    \"Opheffing van geografische beperkingen – online bezoeken zijn overal beschikbaar, niet alleen in landelijke gebieden.\",\n    \"Zorg aan huis – patiënten kunnen officieel medische consulten ontvangen vanuit hun eigen woning.\",\n    \"Alleen-audio opties – artsen kunnen diensten voor geestelijke gezondheidszorg en evaluaties aanbieden via een eenvoudig telefoongesprek.\",\n    \"Betere financiering voor rurale klinieken – zorgt ervoor dat kleine ziekenhuizen eerlijk worden betaald voor zorg op afstand.\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\n    \"Health\"\n  ]\n}"
    }
  ]
}