,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cejg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ae1 #bjac   
,mr4 ,pet]s ( ,cali=nia 7= himself1 ,mr4
 ,?ompson ( ,cali=nia1 ,mr4 ,wel*1 &    
,mr4 ,h>p]7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,arm$      
,s]vices1 & 9 addition to ! ,committee  
on ,vet]ans' ,affairs1 = 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 titles #aj 
& #ch1 ,unit$ ,/ates ,code1 to exp& !   
use ( teleheal? "u ! ,,tric>e program & 
9 ! ,dep>tm5t ( ,vet]ans ,affairs1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! #ba/ ,c5tury ,c>e =    
,milit>y & ,vet]ans ,act4  #b4          
,teleheal? "u ,,tric>e program  7a7 ,c>e
 provid$ at milit>y m$ical treatm5t     
facilities ,section #ajgg ( title #aj1  
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new subsection3  7g7 ,9 
provid+ heal? c>e to a cov]$ b5efici>y  

"u section #ajgf ( ?is title at a       
milit>y m$ical treatm5t facility1 !     
,secret>y may furni% an item or s]vice  
to ! cov]$ b5efici>y via a              
telecommunications sy/em4  4  7b7 ,c>e  
provid$ at private facilities  7#a7     
,c]ta9 dep5d5ts ,section #ajgi ( title  
#aj1 ,unit$ ,/ates ,code1 is am5d$ by   
add+ at ! end ! foll[+ new subsection3  
7r7  7#a7 ,an item or s]vice furni%$ to 
a cov]$ b5efici>y via a                 
telecommunications sy/em %all be cov]$  
by a plan describ$ 9 p>agraph 7#b7 to ! 
same ext5t ! item or s]vice w\ld be     
cov]$ if furni%$ 9 ! same location ( !  
cov]$ b5efici>y1 & b5efits %all n be    
d5i$ "u su* a plan solely on ! basis t !
 item or s]vice is be+ furni%$ via a    
telecommunications sy/em4 ,= ! purposes 
( reimbursem5t1 lic5sure1 pr(essional   
liability1 & o!r purposes "u ?is section
 ) respect to ! provision ( teleheal?   
s]vices1 practition]s1 suppli]s1 &      
provid]s ( su* s]vices are consid]$ to  
be furni%+ su* s]vices at _! location & 

n at ! orig9at+ site4  7#b7 ,a plan     
describ$ 9 ?is p>agraph is a plan = :i* 
! ,secret>y ent]s into a contract "u    
subsection 7a7 to provide dep5d5ts )    
m$ical c>e4  4  7#b7 ,c]ta9 memb]s & =m]
 memb]s ,section #ajhf ( title #aj1     
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new subsection3  7i7    
7#a7 ,an item or s]vice furni%$ to a    
cov]$ b5efici>y via a telecommunications
 sy/em %all be cov]$ by a plan describ$ 
9 p>agraph 7#b7 to ! same ext5t ! item  
or s]vice w\ld be cov]$ if furni%$ 9 !  
same location ( ! cov]$ b5efici>y1 &    
b5efits %all n be d5i$ "u su* a plan    
solely on ! basis t ! item or s]vice is 
be+ furni%$ via a telecommunications    
sy/em4 ,= ! purposes ( reimbursem5t1    
lic5sure1 pr(essional liability1 & o!r  
purposes "u ?is section ) respect to !  
provision ( teleheal? s]vices1          
practition]s1 suppli]s1 & provid]s ( su*
 s]vices are consid]$ to be furni%+ su* 
s]vices at _! location & n at ! orig9at+
 site4  7#b7 ,a plan describ$ 9 ?is     

p>agraph is a plan = :i* ! ,secret>y    
ent]s into a contract "u subsection 7a7 
to provide p]sons cov]$ by subsection   
7c7 ) heal? b5efits4  4  #c4 ,heal? c>e 
provid$ by ! ,dep>tm5t ( ,vet]ans       
,affairs  7a7 ,9 g5]al ,sub*apt] ,i (   
*apt] #ag ( title #ch1 ,unit$ ,/ates    
,code1 is am5d$ by ins]t+ aft] section  
#agji;,a ! foll[+ new section3          
#agji;,b4 ,provision ( heal? c>e via    
telecommunications sy/em  7a7 ,direct   
c>e ,9 provid+ heal? c>e directly to an 
individual "u ?is *apt] or *apt] #ah (  
?is title1 ! ,secret>y may furni% an    
item or s]vice to ! individual via a    
telecommunications sy/em4  7b7          
,contract$ c>e  7#a7 ,an item or s]vice 
furni%$ to an individual cov]$ by a plan
 describ$ 9 p>agraph 7#b7 via a         
telecommunications sy/em %all be cov]$  
by su* a plan to ! same ext5t ! item or 
s]vice w\ld be cov]$ if furni%$ 9 ! same
 location ( ! individual1 & b5efits %all
 n be d5i$ "u su* a plan solely on !    
basis t ! item or s]vice is be+ furni%$ 

via a telecommunications sy/em4 ,= !    
purposes ( reimbursem5t1 lic5sure1      
pr(essional liability1 & o!r purposes "u
 ?is *apt] & *apt] #ah ) respect to !   
provision ( teleheal? s]vices1          
practition]s1 suppli]s1 & provid]s ( su*
 s]vices are consid]$ to be furni%+ su* 
s]vices at _! location & n at ! orig9at+
 site4  7#b7 ,a plan describ$ 9 ?is     
p>agraph is a plan = :i* ! ,secret>y    
ent]s into a contract or agreem5t "u ?is
 *apt] or *apt] #ah ( ?is title to      
furni% heal? c>e to an individual4  4   
7b7 ,cl]ical am5dm5t ,! table ( sections
 at ! beg9n+ ( su* *apt] is am5d$ by    
ins]t+ aft] ! item relat+ to section    
#agji;,a ! foll[+ new item3  #agji;,b4  
,provision ( heal? c>e via              
telecommunications sy/em4  4  #d4       
,effective date ,! am5dm5ts made by ?is 
,act %all take effect on ,janu>y #a1    
#bjae1 & %all apply to items & s]vices  
furni%$ on or aft] su* date4