skip to main content

H.R. 1148 (115th): FAST Act of 2017

The text of the bill below is as of Feb 16, 2017 (Introduced).



1st Session

H. R. 1148


February 16, 2017

(for himself, Mrs. Beatty, Mr. Carter of Georgia, Mr. Ryan of Ohio, Mr. Collins of New York, Mr. Roe of Tennessee, Mr. Bilirakis, Mr. Abraham, Mr. Babin, Mr. Turner, and Mr. Johnson of Ohio) 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 jurisdiction of the committee concerned


To amend title XVIII of the Social Security Act to expand access to telehealth-eligible stroke services under the Medicare program.


Short title

This Act may be cited as the Furthering Access to Stroke Telemedicine Act of 2017 or the FAST Act of 2017.


Expanding access to telehealth-eligible stroke services under the Medicare program


In general

Section 1834(m)(4) of the Social Security Act (42 U.S.C. 1395m(m)(4)) is amended—


in subparagraph (C)—


in clause (i), by striking The term and inserting Subject to clause (iii), the term; and


by adding at the end the following new clause:


Telehealth-eligible stroke services

With respect to telehealth-eligible stroke services, the term originating site means any hospital, or any mobile unit equipped with the ability to evaluate possible stroke patients while being transported to a hospital, at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system, regardless of where the hospital or mobile unit is located.



in subparagraph (F)(i) by inserting telehealth-eligible stroke services, after Secretary)),; and


by adding at the end the following new subparagraph:


Telehealth-eligible stroke services

The term telehealth-eligible stroke services means services that are—


related to the diagnosis, evaluation, or treatment of symptoms in an individual of an acute stroke; and


provided to such individual not later than four and a half hours (or such other clinically appropriate amount of time as is determined by the Secretary) after the onset of such symptoms with respect to such individual.



No originating site facility fee for new sites

Section 1834(m)(2)(B) of the Social Security Act (42 U.S.C. 1395m(m)(2)(B)) is amended, in the matter preceding clause (i), by inserting (other than an originating site that is only described in clause (iii) of paragraph (4)(C), and does not meet the requirement for an originating site under clause (i) of such paragraph) after the originating site.


Effective date

The amendments made by this section shall apply to services furnished on or after the date that is 18 months after the date of the enactment of this Act.