; (2) in paragraph (4)(C)— (A) in clause (i), by striking paragraph (6) and inserting paragraphs (5), (6), and (7) ; and (B) in clause (ii)(X), by inserting or telehealth services described in paragraph (7)(A) before the period at the end; and (3) by adding at the end the following new paragraph: (7) Treatment of substance use disorder services furnished through telehealth (A) Non-application of originating site geographic requirements The geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to telehealth services furnished on or after January 1, 2019, to an eligible telehealth individual with a substance use disorder diagnosis for purposes of treatment of such disorder, as determined by the Secretary, at an originating site described in paragraph (4)(C)(ii) (other than an originating site described in subclause (IX) of such paragraph). (B) Implementation The Secretary may implement the provisions of this paragraph by interim final rule. (C) Report Not later than 5 years after the date of the enactment of this paragraph, the Secretary shall submit to Congress a report on the impact of this paragraph with respect to telehealth services on— (i) the utilization of health care items and services related to substance use disorders, including emergency department visits; and (ii) health outcomes related to substance use disorders, such as opioid overdose deaths. . 103. Comprehensive screenings for seniors (a) Initial preventive physical examination Section 1861(ww) of the Social Security Act ( 42 U.S.C. 1395x(ww) ) is amended— (1) in paragraph (1)— (A) by striking paragraph (2) and and inserting paragraph (2), ; and (B) by inserting and the furnishing of a review of any current opioid prescriptions (as defined in paragraph (4)), after ‘‘upon the agreement with the individual,”; and (2) in paragraph (2)— (A) by redesignating subparagraph (N) as subparagraph (O)