; and (2) by adding at the end the following new subparagraph: (C) Exception for waiver of telehealth requirements during public health emergencies For purposes of subsection (b)(8), in addition to the emergency period described in subparagraph (B), an emergency area is a geographical area in which, and an emergency period is the period during which, there exists a public health emergency declared by the Secretary pursuant to section 319 of the Public Health Service Act. . 109. Use of telehealth in recertification for hospice care (a) In general Section 1814(a)(7)(D)(i)(II) of the Social Security Act ( 42 U.S.C. 1395f(a)(7)(D)(i)(II) ) is amended by striking during the emergency period and all that follows through ending on December 31, 2024 and inserting the following: during and after the emergency period described in section 1135(g)(1)(B) . (b) National Academy of Medicine report The Secretary of Health and Human Services shall request the National Academy of Medicine to submit a report to Congress, not later than 3 years after the date of enactment of this Act, evaluating the impact of section 1814(a)(7)(D)(i)(II) of the Social Security Act ( 42 U.S.C. 1395f(a)(7)(D)(i)(II) ), as amended by subsection (a), on— (1) the number and percentage of beneficiaries recertified for the Medicare hospice benefit at 180 days and for subsequent benefit periods; (2) the appropriateness for hospice care of the patients recertified through the use of telehealth; and (3) any other factors determined appropriate by the National Academy of Medicine. II Program integrity 201. Clarification for fraud and abuse laws regarding technologies provided to beneficiaries Section 1128A(i)(6) of the Social Security Act (42 U.S.C. 1320a–7a(i)(6)) is amended— (1) in subparagraph (I), by striking ; or and inserting a semicolon; (2) in subparagraph (J), by striking the period at the end and inserting ; or