,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cjgg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #aj1        
#bjac,mr4 ,nunes 7= himself & ,mr4      
,pallone7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
p]mit c]ta9 ,m$ic>e provid]s lic5s$ 9 a 
,/ate to provide telem$ic9e s]vices to  
c]ta9 ,m$ic>e b5efici>ies 9 a diff]5t   
,/ate4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,t,e,l,emedicine = ,m,e,dicare
 ,act ( #bjac or z ! ,,tele-,,m$ ,act ( 
#bjac4  #b4 ,p]mitt+ c]ta9 ,m$ic>e      
provid]s lic5s$ 9 a ,/ate to provide    
telem$ic9e s]vices to c]ta9 ,m$ic>e     
b5efici>ies 9 a diff]5t ,/ate ,title    
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq47 is am5d$ by    

add+ at ! end ! foll[+ new section3     
#ahii;,b4 ,p]mitt+ c]ta9 ,m$ic>e        
provid]s lic5s$ 9 a ,/ate to provide    
telem$ic9e s]vices to c]ta9 ,m$ic>e     
b5efici>ies 9 a diff]5t ,/ate  7a7 ,9   
g5]al ,9 ! case ( a ,m$ic>e p>ticipat+  
physician or practition] :o is lic5s$ or
 o!rwise legally au?oriz$ to provide a  
heal? c>e s]vice 9 a ,/ate1 su*         
physician or practition] may provide su*
 a s]vice z a telem$ic9e s]vice to a    
,m$ic>e b5efici>y :o is 9 a diff]5t     
,/ate1 & any requirem5t t su* physician 
or practition] obta9 a comp>able lic5se 
or o!r comp>able legal au?orization f   
su* diff]5t ,/ate ) respect to !        
provision ( su* heal? c>e s]vice by su* 
physician or practition] to su*         
b5efici>y %all n apply4  7b7 ,en=cem5t  
,) respect to ! provision ( a s]vice    
pursuant to ?is section1 ! lic5s+ or    
au?oriz+ ,/ate has jurisdiction to en=ce
 ! lic5sure or o!r legal au?orization   
requirem5ts ( su* prim>y ,/ate1 includ+ 
?r\gh discipl9>y actions us$ by su*     

,/ate z ( ! day be=e ! date ( ! enactm5t
 ( ?is section4  7c7 ,process ,to       
e/abli% telem$ic9e s]vice def9ition ,n  
lat] ?an #i mon?s aft] ! date ( !       
enactm5t ( ?is section1 ! ,secret>y %all
 issue guidance to ! ,/ates = develop+ a
 def9ition ( ! t]m telem$ic9e s]vices = 
purposes ( apply+ ?is section4 ,=       
purposes ( issu+ su* guidance1 !        
,secret>y %all solicit input f relevant 
/akehold]s1 includ+ pati5ts1 heal? c>e  
provid]s1 ,/ate gov]nm5t (ficials1 heal?
 te*nology develop]s1 insur]s1 employ]s1
 lic5s+ bo>ds1 community heal?          
organizations1 & o!r ,f$]al ag5cies4    
7d7 ,report ,n lat] ?an #ab mon?s aft] !
 date ( ! enactm5t ( ?is section1 !     
,secret>y %all submit to ,congress a    
report on ! plans to develop & exp& !   
use ( curr5t & em]g+ ,int]net &         
communications te*nologies to exp&      
access ( ,m$ic>e b5efici>ies to heal?   
programs4  7e7 ,def9itions ,= purposes (
 ?is section3 7#a7 ,m$ic>e b5efici>y ,! 
t]m ,m$ic>e b5efici>y means an          

individual entitl$ to b5efits "u "p ,a  
or enroll$ "u "p ,b4  7#b7 ,qualify+    
physician or practition] ,! t]m ,m$ic>e 
p>ticipat+ physician or practition]     
means ! foll[+3 7,a7 ,a physician 7z    
def9$ 9 section #ahfa7r77 :o is a       
p>ticipat+ physician or suppli] 7z def9$
 9 section #ahdb7;h77#a774  7,b7 ,a     
practition] 7z def9$ 9 section          
#ahdb7;b77#ah77;,c77 :o is a p>ticipat+ 
physician or suppli] 7z def9$ 9 section 
#ahdb7;h77#a774  7f7 ,con/ruction ,no?+ 
9 ?is section may be con/ru$ to remove1 
limit1 or o!rwise affect any obligation 
( a cov]$ heal? c>e pr(essional "u !    
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hja et seq474  4