H.R. 8840
Fair Care Act of 2026
Sponsor: Bruce Westerman · 0 cosponsors
Official summary
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Text of the bill
I Modernization of health savings accounts
A Modernization of health savings accounts and contributions
B Assistance to health savings accounts
II Improving Private Health Insurance
A Maintaining Protections for Patients with Preexisting Conditions
B Expanding Coverage Options
C Improving Commercial Health Insurance
III Competition, Transparency and Accountability
A Provider and Insurer Competition
B Price Transparency
C Prescription Drug Competition and Innovation
D Prescription Drug and Pharmacy Benefit Manager Transparency
E Medicare and Medicaid Prescription Drug Reforms
F Medical Malpractice Reform
IV Medicare and Medicaid Reforms
A Medicaid Reforms
B Medicare Reforms
C Medicare Choice and Competition
D Telehealth Improvements and Expansion
(a) Expansion of originating sites. Section 1834(m)(4)(C) of the Social Security Act (42 U.S.C. 1395m(m)(4)(C)), as amended by the preceding sections, is amended—
(1) in clause (i), by striking and (10) and inserting and (10), and subject to clause (iii),; and
(2) by adding at the end the following new clause:
(iii) Rural health clinics and Federally qualified health centers. The term originating site shall also include any Federally qualified health center and any rural health clinic (as such terms are defined in section 1861(aa)) at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system, whether or not the individual is 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, subject to applicable State law requirements, including State licensure requirements.
(b) Expansion of distant sites. Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended—
(1) in the first sentence of paragraph (1)—
(A) by striking or a practitioner (described in section 1842(b)(18)(C)) and inserting , a practitioner (described in section 1842(b)(18)(C)), a Federally qualified health center, or a rural health clinic; and
(B) by striking or practitioner and inserting , practitioner, Federally qualified health center, or rural health clinic;
(2) in paragraph (2)(A)—
(A) by inserting or to a Federally qualified health center or rural health clinic that serves as a distant site after a distant site; and
(B) by striking such physician or practitioner and inserting such physician, practitioner, Federally qualified health center, or rural health clinic; and
(3) in paragraph (4)—
(A) in subparagraph (A), by inserting and includes a Federally qualified health center or rural health clinic that furnishes a telehealth service to an eligible individual before the period at the end; and
(B) in subparagraph (F), by adding at the end the following new clause:
(iii) Inclusion of rural health clinic services and Federally qualified health center services furnished using telehealth. For purposes of this subparagraph, the term telehealth services includes a rural health clinic service or Federally qualified health center service that is furnished using telehealth to the extent that payment codes corresponding to services identified by the Secretary under clause (i) or (ii) are listed on the corresponding claim for such rural health clinic service or Federally qualified health center service.
(c) Effective date. The amendments made by this section shall apply to services furnished on or after January 1, 2026.