; (2) in subparagraph (C)— (A) by redesignating clause (v) as clause (vi); and (B) by inserting after clause (iv) the following new clause: (v) Telehealth and remote patient monitoring services. ; and (3) in subparagraph (D)(i)(III), by inserting before the period at the end the following: (and such longer period in the case of the use of telehealth and remote patient monitoring services as the Secretary may specify) . 105. Additional sites to be considered originating sites for purposes of payments for telehealth services under Medicare (a) In general Section 1834(m)(4) of the Social Security Act ( 42 U.S.C. 1395m(m)(4) ) is amended— (1) in subparagraph (C)— (A) in clause (i), by striking The term and inserting Subject to clause (iii), the term ; and (B) by adding at the end the following new clause: (iii) Additional originating sites The term originating site also includes the following sites, whether or not they are located in an area described in clause (i), insofar as such sites are not otherwise included in the definition of originating site under such clause: (I) A critical access hospital (as described in clause (ii)(II)). (II) A sole community hospital (as defined in section 1886(d)(5)(D)(iii)). (III) A home telehealth site (as defined in subparagraph (G)(i)). (IV) A site described in clause (ii) that is located in a county with a population of less than 25,000, according to the most recent decennial census or in an area that was not included in a Metropolitan Statistical Area on any date in 2000. (V) A site described in clause (ii) with respect to services related to the evaluation or treatment of an acute stroke.