; and (B) by inserting after clause (IV) the following new subclause: (V) In the case of such a service furnished on or after the date that is 4 years after the date of the enactment of the Medicare Telehealth Parity Act of 2017, any site described in clause (ii) that is located in a county within a Metropolitan Statistical Area with a population of at least 100,000 individuals, according to the most recent decennial census. . (2) Payment methods for other patient sites Section 1834(m)(2) of the Social Security Act ( 42 U.S.C. 1395m(m)(2) ) is amended by adding at the end the following new subparagraph: (D) Payment methods for other patient sites With respect to services furnished on or after the date that is 4 years after the date of the enactment of the Medicare Telehealth Parity Act of 2017, the Secretary may develop and implement payment methods that would apply under this subsection in the case of an individual who would be an eligible telehealth individual except that the telehealth services are furnished at a site other than an originating site. Such methods shall be designed to take into account the costs related to the site involved and reduced costs for the distant site. . (d) Incremental coverage of remote patient monitoring services for certain chronic health conditions (1) In general Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ) is amended— (A) in subparagraph (FF), by striking and at the end; (B) in subparagraph (GG), by inserting and at the end; and (C) by inserting after subparagraph (GG) the following new subparagraph: (HH) applicable remote patient monitoring services (as defined in paragraph (1)(A) of subsection (iii))