Plain English summary not yet available
The full original text is available below. Check back soon as we process this bill.
I
116TH CONGRESS
2D SESSION
H. R. 5833
To amend title XVIII of the Social Security Act to permit the use of
certain psychological evaluation via telehealth for Medicare coverage of
neurostimulation services for the treatment of chronic pain.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 10, 2020
Mr. LATTA 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 juris-
diction of the committee concerned
A BILL
To amend title XVIII of the Social Security Act to permit
the use of certain psychological evaluation via telehealth
for Medicare coverage of neurostimulation services for
the treatment of chronic pain.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
VerDate Sep 11 2014
04:00 Feb 13, 2020
Jkt 099200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H5833.IH
H5833
kjohnson on DSK79L0C42PROD with BILLS
2
•HR 5833 IH
SECTION 1. PERMITTING CERTAIN PSYCHOLOGICAL EVAL-
1
UATIONS VIA TELEHEALTH FOR MEDICARE
2
COVERAGE OF NEUROSTIMULATION SERV-
3
ICES FOR THE TREATMENT OF CHRONIC
4
PAIN.
5
(a) PERMITTING USE OF PSYCHOLOGICAL EVALUA-
6
TION VIA TELEHEALTH FOR PURPOSES OF CERTAIN COV-
7
ERAGE OF NEUROSTIMULATION SERVICES.—Section 1834
8
of the Social Security Act (42 U.S.C. 1395m) is amended
9
by adding at the end the following:
10
‘‘(x) USE
OF PSYCHOLOGICAL EVALUATION VIA
11
TELEHEALTH
FOR
PURPOSES
OF
COVERAGE
OF
12
NEUROSTIMULATION SERVICES FOR THE TREATMENT OF
13
CHRONIC PAIN.—Notwithstanding any other provision of
14
this title, beginning January 1, 2021, for coverage under
15
this part of neurostimulation services, as identified under
16
the National Coverage Determination section 160.7, titled
17
Medicare National Coverage Determination for Electrical
18
Nerve Stimulators, as in effect on January 1, 2020 for
19
the treatment of chronic pain, any requirement for a psy-
20
chological evaluation prior to receipt of the service may
21
be satisfied through such an evaluation via telehealth.’’.
22
(b) INCLUSION OF CERTAIN PSYCHOLOGICAL EVAL-
23
UATIONS
AS
TELEHEALTH
SERVICES.—Section
24
1834(m)(4)(F)(i) of the Social Security Act (42 U.S.C.
25
1395m(4)(F)(i)) is amended by inserting before the period
26
VerDate Sep 11 2014
20:16 Feb 14, 2020
Jkt 099200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H5833.IH
H5833
kjohnson on DSK79L0C42PROD with BILLS
3
•HR 5833 IH
at the end the following: ‘‘, and, beginning January 1,
1
2021, shall include psychological evaluations (identified by
2
CPT codes 96130, 96131, 96136, 96137, 96138, and
3
96139 and any successor codes and additional codes the
4
Secretary determines may be necessary to perform the
5
psychological evaluation furnished prior to the provision
6
of neurostimulation services) furnished prior to the provi-
7
sion of neurostimulation services (as described in section
8
1834(x)) for the purpose of treating chronic pain’’.
9
Æ
VerDate Sep 11 2014
04:00 Feb 13, 2020
Jkt 099200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6301
E:\BILLS\H5833.IH
H5833
kjohnson on DSK79L0C42PROD with BILLS