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
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•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
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•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
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Superintendent of Documents
2020-02-18T02:58:57-0500
US GPO, Washington, DC 20401
Superintendent of Documents
GPO attests that this document has not been altered since it was disseminated by GPO