; and (B) in clause (ii), in the heading, by striking for home dialysis therapy ; (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) 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 The geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to telehealth services furnished on or after July 1, 2019, to an eligible telehealth individual with a substance use disorder diagnosis for purposes of treatment of such disorder or co-occurring mental health 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 of Health and Human Services (in this section referred to as the Secretary ) may implement the amendments made by this section by interim final rule. (c) Report (1) In general Not later than 5 years after the date of the enactment of this Act, the Secretary shall submit to Congress a report on the impact of the implementation of the amendments made by this section with respect to telehealth services under section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) on— (A) the utilization of health care items and services under title XVIII of such Act ( 42 U.S.C. 1395 et seq.) related to substance use disorders, including emergency department visits