[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 3793 Introduced in Senate (IS)]
<DOC>
117th CONGRESS
2d Session
S. 3793
To amend title XI of the Social Security Act to recommend that the
Center for Medicare and Medicaid Innovation test the effect of
technology-enabled care interventions in the home to coordinate care
over time and across settings, improve quality, and lower costs for
certain Medicare Advantage beneficiaries, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
March 10 (legislative day, March 7), 2022
Mr. Scott of South Carolina (for himself and Mr. Warnock) introduced
the following bill; which was read twice and referred to the Committee
on Finance
_______________________________________________________________________
A BILL
To amend title XI of the Social Security Act to recommend that the
Center for Medicare and Medicaid Innovation test the effect of
technology-enabled care interventions in the home to coordinate care
over time and across settings, improve quality, and lower costs for
certain Medicare Advantage beneficiaries, 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 ``Technology-Enabled Care in the Home
(TECH) Act''.
SEC. 2. CENTER FOR MEDICARE AND MEDICAID INNOVATION TESTING OF MEDICARE
ADVANTAGE TELEHEALTH, REMOTE PATIENT MONITORING, AND
OTHER TECHNOLOGY-ENABLED CARE INTERVENTIONS IN THE HOME
DEMONSTRATION PROJECT.
Section 1115A of the Social Security Act (42 U.S.C. 1315a) is
amended--
(1) in subsection (b)(2)(B), by adding at the end the
following new clause:
``(xxviii) Furnishing telehealth, remote
patient monitoring, and other technology-
enabled care interventions in the home to
eligible individuals as described in subsection
(h).''; and
(2) by adding at the end the following new subsection:
``(h) Medicare Advantage Telehealth, Remote Patient Monitoring, and
Other Technology-Enabled Care Interventions in the Home Demonstration
Project (TECH Demonstration Project).--
``(1) Description of demonstration project and
requirements.--
``(A) In general.--The demonstration project
described in this subsection (referred to in this
subsection as the `TECH demonstration project)' is a
demonstration project to test the use of telehealth
services, remote patient monitoring, and other
technology-enabled care interventions in the home for
eligible enrollees authorized under Medicare Advantage
organizations under part C of title XVIII and
restricted to such organizations that are participating
in the CMI's Value-Based Insurance Design model in
2023. The demonstration project will test the
effectiveness of these technology-enabled interventions
on--
``(i) the provision of care in homes and
congregate care settings for the management of
disease progression, patient health, care
quality, patient care experience, and caregiver
well-being; and
``(ii) reducing spending under part C of
title XVIII without reducing quality of care.
``(B) Voluntary participation.--Participation under
the TECH demonstration project shall be voluntary with
respect to both eligible enrollees and Medicare
Advantage organizations.
``(2) Duration.-- The TECH demonstration project shall be
implemented for a 3-year period, beginning not later than 18
months after the date of the enactment of this subsection.
``(3) Enrollment.--The TECH demonstration project shall
establish a comparison group and enroll sufficient numbers of
eligible enrollees to achieve statistically significant
findings on quality and cost for the demonstration project and
for specific sub-populations, including those based on
geography, socioeconomic status, age, race, and ethnicity.
``(4) Definitions.--In this subsection:
``(A) Eligible enrollee.--The term `eligible
enrollee' means a chronically ill enrollee (as defined
in section 1852(a)(3)(D)(iii)).
``(B) Remote patient monitoring.--The term `remote
patient monitoring' means connected digital
technologies and mobile medical devices that collect
clinical grade, patient-generated health data from
individuals in one location and electronically transmit
that information securely to a care team in a different
location for assessment and intervention.
``(C) Telehealth services.--The term `telehealth
services' means telehealth services (as defined in
subparagraph (F) of section 1834(m)(4), but without
regard to geographic or other originating site
requirements described in subparagraph (C) of such
section).
``(D) Other technology-enabled care
interventions.-- The term `technology-enabled care
interventions' means mobile, digital, or electronic
health services and systems that enable the remote,
secure exchange of information primarily between a
health or care provider and a patient in a home or
congregate care setting for the purpose of diagnosing
or managing a health condition.
``(5) Funding.--Out of amounts appropriated under
subsection (f)(1)(C) for the 10-year fiscal period beginning
with fiscal year 2020, $25,000,000 shall be made available to
carry out this subsection.''.
SEC. 3. CHANGES TO THE ADMINISTRATIVE FINALITY POLICY OF THE SOCIAL
SECURITY ADMINISTRATION.
(a) In General.--Section 205(c) of the Social Security Act (42
U.S.C. 401(c)) is amended--
(1) by striking paragraphs (4) and (5) and inserting the
following:
``(4) The Commissioner of Social Security may, if it is
brought to the Commissioner's attention that any entry of wages
or self-employment income in the Commissioner's records for a
year is erroneous or that any item of wages or self-employment
income for such year has been omitted from such records,
correct such entry or include such omitted item in the
individual's records, as the case may be. After the expiration
of the time limitation following any year--
``(A) the Commissioner's records (with changes, if any,
made pursuant to such regulations as the Commissioner shall
establish) of the amounts of wages paid to, and self-employment
income derived by, an individual during any period in such year
shall be conclusive for the purposes of this title;
``(B) the absence of an entry in the Commissioner's records
as to the wages alleged to have been paid by an employer to an
individual during any period in such year shall be presumptive
evidence for the purposes of this title that no such alleged
wages were paid to such individual in such period; and
``(C) the absence of an entry in the Commissioner's records
as to the self-employment income alleged to have been derived
by an individual in such year shall be conclusive for the
purposes of this title that no such alleged self-employment
income was derived by such individual in such year unless it is
shown that the individual filed a tax return of the
individual's self-employment income for such year before the
expiration of the time limitation following such year, in which
case the Commissioner of Social Security shall include in the
Commissioner's records the self-employment income of such
individual for such year.'';
(2) by redesignating paragraphs (6) through (9) as
paragraphs (5) through (8), respectively; and
(3) in paragraph (5), as so redesignated, by striking
``under paragraph (4) or (5)'' and inserting ``made by the
Commissioner of Social Security in accordance with such
regulations as the Commissioner shall establish''.
(b) Requiring SSA To Adjust Administrative Finality Policy.--Not
later than 6 months after the date of enactment, the Commissioner of
Social Security shall promulgate regulations establishing processes and
criteria for correcting the Commissioner's records of the wages and
self-employment income of individuals for purposes of title II of the
Social Security Act (42 U.S.C. 401 et seq.) in accordance with section
205(c)(4) of such Act, as amended by subsection (a).
<all>