; or (II) improve the quality of patient care without increasing spending. (ii) The Chief Actuary of the Centers for Medicare & Medicaid Services certifies that such waiver would reduce (or would not result in any increase in) net program spending under this title. (iii) The Secretary determines that such waiver would not deny or limit the coverage or provision of benefits under this title for individuals. (D) Public comment The Secretary shall establish a process by which stakeholders may (on at least an annual basis) submit requests for a waiver under this paragraph. . 12. Expanding the use of telehealth for mental health services Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ), as amended by sections 3(b), 4, and 11, is amended by adding at the end the following new paragraph: (8) Treatment of mental health services delivered via telehealth (A) In general Restrictions applicable to the coverage of telehealth services under this subsection described in subparagraph (B) shall not apply with respect to telehealth services that are mental health services (as determined by the Secretary) and are furnished on or after January 1, 2018. (B) Restrictions described For purposes of this paragraph, restrictions applicable to the coverage of telehealth services under this subsection shall include requirements relating to qualifications for an originating site under paragraph (4)(C)(ii), any geographic limitations under paragraph (4)(C)(i) (other than applicable State law requirements, including State licensure requirements), any limitation on the use of store-and-forward technologies described in paragraph (1), any limitation on the type of health care provider who may furnish such services (other than the requirement that the provider is a Medicare-enrolled provider), or any limitation on specific codes designated as telehealth services that are covered under this title pursuant to this subsection (provided such codes are clinically appropriate to furnish remotely). . 13. HHS evaluation and report on the