,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #cjgg  ,,in ,,the ,,house ,,of  
,,representatives  ,september #aj1      
#bjac,mr4 ,nunes 7for himself and ,mr4  
,pallone7 introduced the following bill2
 which was referred to the ,committee on
 ,ways and ,means1 and in addition to   
the ,committee on ,energy and ,commerce1
 for a period to be subsequently        
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to permit certain        
,medicare providers licensed in a ,state
 to provide telemedicine services to    
certain ,medicare beneficiaries in a    
different ,state4  #a4 ,short title     
,this ,act may be cited as the          
,t,e,l,emedicine for ,m,e,dicare ,act of
 #bjac or as the ,,tele-,,med ,act of   
#bjac4  #b4 ,permitting certain         
,medicare providers licensed in a ,state
 to provide telemedicine services to    

certain ,medicare beneficiaries in a    
different ,state ,title ,,xviii of the  
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 is amended by adding at  
the end the following new section3      
#ahii;,b4 ,permitting certain ,medicare 
providers licensed in a ,state to       
provide telemedicine services to certain
 ,medicare beneficiaries in a different 
,state  7a7 ,in general ,in the case of 
a ,medicare participating physician or  
practitioner who is licensed or         
otherwise legally authorized to provide 
a health care service in a ,state1 such 
physician or practitioner may provide   
such a service as a telemedicine service
 to a ,medicare beneficiary who is in a 
different ,state1 and any requirement   
that such physician or practitioner     
obtain a comparable license or other    
comparable legal authorization from such
 different ,state with respect to the   
provision of such health care service by
 such physician or practitioner to such 
beneficiary shall not apply4  7b7       

,enforcement ,with respect to the       
provision of a service pursuant to this 
section1 the licensing or authorizing   
,state has jurisdiction to enforce the  
licensure or other legal authorization  
requirements of such primary ,state1    
including through disciplinary actions  
used by such ,state as of the day before
 the date of the enactment of this      
section4  7c7 ,process ,to establish    
telemedicine service definition ,not    
later than #i months after the date of  
the enactment of this section1 the      
,secretary shall issue guidance to the  
,states for developing a definition of  
the term telemedicine services for      
purposes of applying this section4 ,for 
purposes of issuing such guidance1 the  
,secretary shall solicit input from     
relevant stakeholders1 including        
patients1 health care providers1 ,state 
government officials1 health technology 
developers1 insurers1 employers1        
licensing boards1 community health      
organizations1 and other ,federal       

agencies4  7d7 ,report ,not later than  
#ab months after the date of the        
enactment of this section1 the          
,secretary shall submit to ,congress a  
report on the plans to develop and      
expand the use of current and emerging  
,internet and communications            
technologies to expand access of        
,medicare beneficiaries to health       
programs4  7e7 ,definitions ,for        
purposes of this section3 7#a7 ,medicare
 beneficiary ,the term ,medicare        
beneficiary means an individual entitled
 to benefits under part ,a or enrolled  
under part ,b4  7#b7 ,qualifying        
physician or practitioner ,the term     
,medicare participating physician or    
practitioner means the following3 7,a7  
,a physician 7as defined in section     
#ahfa7r77 who is a participating        
physician or supplier 7as defined in    
section #ahdb7;h77#a774  7,b7 ,a        
practitioner 7as defined in section     
#ahdb7;b77#ah77;,c77 who is a           
participating physician or supplier 7as 

defined in section #ahdb7;h77#a774  7f7 
,construction ,nothing in this section  
may be construed to remove1 limit1 or   
otherwise affect any obligation of a    
covered health care professional under  
the ,controlled ,substances ,act 7#ba   
,u4,s4,c4 #hja et seq474  4