PUBLIC LAW 106-554^APPENDIX F 114 STAT. 2763A-489 332(a)(1)(A) of the Public Health Service Act (42 U.S.C. 254e(a)(l)(A)); "(II) in a county that is not included in a Metropolitan Statistical Area; or "(III) from an entity that participates in a Federal telemedicine demonstration project that has been approved by (or receives funding from) the Secretary of Health and Human Services as ofDecember31, 2000. "(ii) SITES DESCRIBED.— The sites referred to in clause (i) are the following sites: "(I) The office of a physician or practitioner. "(II) A critical access hospital (as defined in section 1861(mm)(l)). "(Ill) A rural health clinic (as defined in section 1861(aa)(s)). "(IV) A Federally qualified health center (as defined in section 186 l(aa)(4)). "(V) A hospital (as defined in section 1861(e)). "(D) PHYSICIAN. — The term 'physician' has the meaning given that term in section 186 l(r). "(E) PRACTITIONER. — The term 'practitioner' has the meaning given that term in section 1842(b)(18)(C). " (F) TELEHEALTH SERVICE.— "(i) IN GENERAL.— The term 'telehealth service' means professional consultations, office visits, and office psychiatry services (identified as of July 1, 2000, by HCPCS codes 99241-99275, 99201-99215, 90804- 90809, and 90862 (and as subsequently modified by the Secretary)), and any additional service specified by the Secretary. "(ii) YEARLY UPDATE. — The Secretary shall establish a process that provides, on an annual basis, for the addition or deletion of services (and HCPCS codes), as appropriate, to those specified in clause (i) for authorized pa5anent under paragraph (1).". (c) CONFORMING AMENDMENT.— Section 1833(a)(1) (42 U.S.C. 13951(1)), as amended by section 105(c), is further amended— (1) by striking "and (T)" and inserting "(T)"; and (2) by inserting before the semicolon at the end the following: ", and (U) with respect to facility fees described in section 1834(m)(2)(B), the amounts paid shall be 80 percent of the lesser of the actual charge or the amounts specified in such section". (d) STUDY AND REPORT ON ADDITIONAL COVERAGE.— (1) STUDY.— The Secretary of Health and Human Services shall conduct a study to identify— (A) settings and sites for the provision of telehealth services that are in addition to those permitted under section 1834(m) of the Social Security Act, as added by subsection (b); (B) practitioners that may be reimbursed under such section for furnishing telehealth services that are in addition to the practitioners that may be reimbursed for such services under such section; and
�
