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US. GOVERNMENT
INFORMATION
      GPO














                   118TH CONGRESS                                   REPT. 118-891
                      2d Session    HOUSE   OF REPRESENTATIVES          Part 1







                    PRESERVING TELEHEALTH, HOSPITAL, AND AMBULANCE
                                            ACCESS ACT




                                  DECEMBER 17, 2024.-Ordered to be printed




                    Mr. SMITH  of Missouri, from the Committee on Ways and Means,
                                        submitted the following



                                           REPORT


                                             together with


                                       SUPPLEMENTAL VIEWS

                                         [To accompany H.R. 8261]

                     The  Committee  on Ways  and Means,  to whom  was  referred the
                   bill (H.R. 8261) to amend title XVIII of the Social Security Act to
                   extend  certain flexibilities and payment adjustments under  the
                   Medicare  program, and  for other purposes, having considered the
                   same,  reports favorably thereon  with an  amendment and    rec-
                   ommends   that the bill as amended do pass.

                                              CONTENTS

                                                                                Page
                      I. SUMMARY AND BACKGROUND   ..............................................................  13
                           A. Purpose and  Sum m ary  .....................................................................  13
                           B. Background and Need for Legislation .................... 14
                           C. Legislative  H istory  ............................................................................  15
                              B ackground .....................................................................................  15
                              Com m ittee  H earings  .......................................................................  15
                              Com m ittee  Action  ..........................................................................  15
                           D . D esignated  H earing  ..........................................................................  16
                     II. EXPLANATION     OF  THE  BILL   ...................................................................  16
                           A . Reasons  for  Change  ..........................................................................  16
                           B. Explanation  of Provisions  ................................................................  16
                           C . E ffective  D ate  ....................................................................................  17
                    III. VOTES OF THE COM M ITTEE   ....................................................................  17
                    IV. BUDGET EFFECTS  OF THE BILL ...........................................................  19
                           A. Committee Estimate of Budgetary Effects ..................            19
                           B. Statement Regarding New Budget Authority and Tax Expendi-
                              tures Budget Authority  .................................................................  19
                           C. Cost Estimate Prepared by the Congressional Budget Office .......    19


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