,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cgej  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ab1         
#bjac,ms4 ,matsui 7= h]self & ,mr4      
,johnson ( ,ohio7 introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to       
promote ! provision ( teleheal? by      
e/abli%+ a ,f$]al /&>d = teleheal?1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,teleheal?             
,mod]nization ,act ( #bjac4  #b4 ,f9d+s 
,congress f9ds ! foll[+3 7#a7 ,teleheal?
 te*nologies c trans=m heal? c>e deliv]y
 by improv+ access to quality c>e by    
remov+ traditional b>ri]s to heal? c>e  
deliv]y su* z di/ance1 mobility1 & "t   
con/ra9ts4  7#b7 ,teleheal? is a mode ( 
deliv]+ heal? c>e utiliz+ in=mation &   
communication te*nologies to enable !   
diagnosis1 consultation1 treatm5t1 & c>e
 managem5t ( pati5ts by heal? c>e       
provid]s4  7#c7 ,! use ( in=mation &    
telecommunication te*nologies to deliv] 
heal? c>e has ! pot5tial to r$uce co/s1 

improve quality1 *ange conditions (     
practice1 & improve access to heal? c>e1
 p>ticul>ly 9 rural & m$ically und]s]v$ 
areas4  7#d7 ,a lack ( prim>y c>e       
provid]s1 specialty provid]s1 &         
transportation cont9ues to be a         
significant b>ri] to access to heal? c>e
 9 m$ically und]s]v$ rural & urban      
areas4  7#e7 ,p>ts ( ! nation h         
difficulty attract+ & reta9+ heal?      
pr(essionals1 z well z support+ local   
heal? facilities to provide a cont9uum (
 heal? c>e4  7#f7 ,_m heal? c>e provid]s
 9 m$ically und]s]v$ areas are isolat$ f
 m5tors1 colleagues1 & ! in=mation      
res\rces necess>y to support !m         
p]sonally & pr(essionally4  7#g7 ,a     
pat*work ( /ate regulatory environm5ts  
poses legal & regulatory hurdles t are  
inhibit+ ! prolif]ation ( private-sector
 teleheal? innovations & h creat$       
significant unc]ta9ty = ! teleheal?     
community4  7#h7 ,z ( ,june #bjac1 #dj  
out ( #ej /ates h introduc$ legislation 
address+ teleheal? policy1 ) wide       

v>iations 9 h[ teleheal? is def9$4  7#i7
 ,to help cl>ify ?is unc]ta9ty & provide
 ,/ates ) appropriate guidance1         
,congress %\ld provide a workable ,f$]al
 def9ition ( teleheal? t ensures !      
highe/ common d5om9ator ( c>e :ile      
facilitat+ future innovation4  7#aj7 ,! 
fundam5tal heal? c>e provid]-pati5t     
relation%ip _c only be pres]v$ ?r\gh a  
,f$]al def9ition ( teleheal?1 b also c  
be e/abli%$1 augm5t$1 & enhanc$ ?r\gh ! 
use ( teleheal?4  #c4 ,f$]al /&>d =     
teleheal?  7a7 ,9 g5]al ,if a ,/ate     
au?orizes a heal? c>e pr(essional to    
deliv] heal? c>e to an individual1 !    
,/ate %\ld also au?orize ! heal? c>e    
pr(essional to deliv] su* heal? c>e to  
su* individual ?r\gh teleheal?1 subject 
to ! conditions specifi$ 9 subsection   
7b74  7b7 ,conditions ,! foll[+ are     
conditions = ! deliv]y ( heal? c>e ?r\gh
 teleheal? by a heal? c>e pr(essional to
 an individual t ,/ates %\ld consid]    
adopt+3 7#a7 ,accessibility & review (  
m$ical hi/ory ,! heal? c>e pr(essional  

%\ld h access to ! m$ical hi/ory ( !    
individual1 & %\ld review su* m$ical    
hi/ory ) ! individual1 to ! same ext5t t
 ! heal? c>e pr(essional w\ld h access  
to su* m$ical hi/ory & w\ld review su*  
m$ical hi/ory if deliv]+ ! heal? c>e 9  
p]son4  7#b7 ,id5tification ( und]ly+   
conditions & contra9dications ,to !     
ext5t practicable1 ! heal? c>e          
pr(essional %\ld attempt to id5tify !   
conditions und]ly+ ! symptoms1 if any1  
report$ by ! individual be=e su*        
pr(essional provides any diagnosis or   
treatm5t to ! individual4 ,9 ! case t ! 
heal? c>e pr(essional recomm5ds a       
treatm5t to ! individual1 ! heal? c>e   
pr(essional %\ld review ) ! individual !
 contra9dications to ! recomm5d$        
treatm5t4  7#c7 ,diagnosis ,subject to !
 pr(essional discretion ( ! heal? c>e   
pr(essional1 su* pr(essional %\ld h a   
conv]sation ) ! individual adequate to  
e/abli% any diagnosis r5d]$4  7#d7      
,docum5t evaluation1 m$ical records1 &  
provision ( m$ical in=mation ,! heal?   

c>e pr(essional %\ld docum5t !          
evaluation & treatm5t deliv]$ to !      
individual1 if any1 = ! purpose ( g5]at+
 a m$ical record ( ! enc\nt]4 ,at !     
option ( ! individual1 ! heal? c>e      
pr(essional %\ld-- 7,a7 provide !       
individual ) m$ical in=mation1 9 /&>d   
m$ical record =mat1 ab\t su* evaluation 
& treatm5t2 &  7,b7 s5d any docum5tation
 conc]n+ su* evaluation & treatm5t to "o
 or m select$ heal? c>e pr(essionals    
responsible = ! c>e ( ! individual4     
7#e7 ,transp>5cy reg>d+ pr(essional     
cr$5tials ,at ! option ( ! individual1 !
 heal? c>e pr(essional %\ld provide to !
 individual1 9 electronic & pap] =mat1  
in=mation reg>d+ ! heal? c>e education1 
c]tification1 & cr$5tials ( ! heal? c>e 
pr(essional4  7#f7 ,no assurance conc]n+
 items or s]vices ,! heal? c>e          
pr(essional %\ld (f] no assurance to !  
individual t any item or s]vice1 includ+
 a prescription1 w be issu$ or provid$--
 7,a7 9 ex*ange = ! paym5t ( !          
consultation fee *>g$ by ! heal? c>e    

pr(essional2 or  7,b7 solely 9 response 
to ! individual complet+ a =m or        
que/ionnaire4  7#g7 ,prescription       
requirem5ts ,any prescription issu$ by !
 heal? c>e pr(essional z "p ( ! heal?   
c>e deliv]$ to ! individual %\ld meet ! 
foll[+ requirem5ts3 7,a7 ,! prescription
 is issu$ = a legitimate m$ical purpose 
9 ! usual c\rse ( pr(essional practice4 
7,b7 ,! prescription is issu$ by a heal?
 c>e pr(essional :o has obta9$ a m$ical 
hi/ory & conduct$ an evaluation ( !     
individual to :om su* prescription is   
issu$ adequate to e/abli% a diagnosis4  
7,c7 ,! prescription is n = a drug or   
sub/ance 9 s*$ule ,,ii1 ,,iii1 or ,,iv (
 section #bjb7;c7 ( ! ,controll$        
,sub/ances ,act 7#ba ,u4,s4,c4          
#hab7;c774  7,d7 ,! prescription is     
fill$ by an appropriately lic5s$ disp5s+
 entity4  7c7 ,con/ruction ,no?+ 9 ?is  
section %all be con/ru$ to-- 7#a7 *ange 
! application ( ! ,,hipaa privacy       
regulations 7z def9$ 9 section          
#aahj7;b77#c7 ( ! ,social ,security ,act

 7#db ,u4,s4,c4 #acbj;d-#i7;b77#c777 )  
respect to a heal? c>e pr(essional's    
provision ( teleheal?2 or  7#b7 affect !
 /&>d ( c>e = m$ical or cl9ical         
appropriat5ess z e/abli%$ by ,/ate law  
or policy4  7d7 ,def9itions ,= purposes 
( ?is section3 7#a7 ,teleheal? ,! t]m   
teleheal? means1 ) respect to heal? c>e 
t a heal? c>e pr(essional is au?oriz$ to
 deliv] to an individual 9 p]son "u     
,/ate law1 su* heal? c>e deliv]$ by su* 
heal? c>e pr(essional to su* individual 
n 9 p]son1 f any location to any o!r    
location1 & by means ( real-"t video1   
secure *at or secure email1 or integrat$
 telephony4  7#b7 ,heal? c>e pr(essional
 ,! t]m heal? c>e pr(essional means1 )  
respect to heal? c>e1 a physician or    
practition] :o is au?oriz$ "u law to    
deliv] su* heal? c>e 9 p]son4