Federally qualified health centers and rural health clinics

Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended— (1) in paragraph (4)(C)(i), in the matter preceding subclause (I), by striking and (7) and inserting (7), and (8); and (2) in paragraph (8)— (A) in subparagraph (A)— (i) in the matter preceding clause (i), by striking During and all that follows through September 30, 2025 and inserting the following: Beginning on the first day of the emergency period described in section 1135(g)(1)(B); (ii) in clause (ii), by striking and at the end; (iii) by redesignating clause (iii) as clause (iv); and (iv) by inserting after clause (ii) the following new clause: (iii) the geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to such a telehealth service; and; (B) in subparagraph (B)— (i) in the subparagraph heading, by inserting during initial period after rule; (ii) in the first sentence of clause (i) by striking during the periods for which subparagraph (A) applies and inserting during the period beginning on the first day of the emergency period and ending on September 30, 2025; and (iii) in clause (ii), by striking Costs associated and inserting During the period for which clause (i) applies, costs associated; and (C) by adding at the end the following new subparagraph: (C) Payment after initial period (i) In general A telehealth service furnished by a Federally qualified health center or a rural health clinic to an individual pursuant to this paragraph on or after October 1, 2025, shall be deemed to be so furnished to such individual as an outpatient of such clinic or facility (as applicable) for purposes of paragraph (1) or (3), respectively, of section 1861(aa) and payable as a Federally qualified health center service or rural health clinic service (as applicable) under the prospective payment system established under section 1834(o) or under section 1833(a)(3), respectively. (ii) Treatment of costs for FQHC PPS calculations and RHC AIR calculations Costs associated with the furnishing of telehealth services by a Federally qualified health center or rural health clinic serving as a distant site pursuant to this paragraph on or after October 1, 2025, shall be considered allowable costs for purposes of the prospective payment system established under section 1834(o) and any payment methodologies developed under section 1833(a)(3), as applicable..