1. Expanding access to home dialysis therapy (a) Allowing use of telehealth for monthly end stage renal disease-Related visits (1) In general Paragraph (3) of section 1881(b) of the Social Security Act ( 42 U.S.C. 1395rr(b) ) is amended— (A) by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively; (B) in clause (ii), as redesignated by subparagraph (A)— (i) by inserting subject to subparagraph (B), before on a comprehensive ; and (ii) by striking under this subparagraph and inserting under this clause ; (C) by striking With respect to and inserting (A) With respect to ; and (D) by adding at the end the following new subparagraph: (B) (i) Subject to clause (ii), an individual who is determined to have end stage renal disease and who is receiving home dialysis may choose to receive monthly end stage renal disease-related visits, furnished on or after January 1, 2019, via telehealth. (ii) Clause (i) shall apply to an individual only if the individual receives a face-to-face visit, without the use of telehealth— (I) in the case of the initial three months of home dialysis of such individual, at least monthly; and (II) after such initial three months, at least once every three consecutive months. . (2) Conforming amendment Paragraph (1) of such section is amended by striking paragraph (3)(A) and inserting paragraph (3)(A)(i) . (b) Expanding originating sites for telehealth To include renal dialysis facilities and the home for purposes of monthly end stage renal disease-Related visits (1) In general Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended— (A) in paragraph (4)(C)(ii), by adding at the end the following new subclauses: (IX) A renal dialysis facility, but only for purposes of section 1881(b)(3)(B). (X) The home of an individual, but only for purposes of section 1881(b)(3)(B).