,,ii  #aad? ,,congress  #a/ ,session    
,s4 #adfe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjae ,mr4   
,kirk introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
exp& access to /roke teleheal? s]vices  
"u ! ,m$ic>e program4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,fur!r+       
,access to ,/roke ,telem$ic9e ,act or ! 
,,fa/ ,act4  #b4 ,exp&+ access to /roke 
teleheal? s]vices "u ! ,m$ic>e program  
7a7 ,9 g5]al ,section #ahcd7m77#d77;,c7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7m77#d77;,c7 is am5d$-- 
7#a7 9 clause 7i71 by /rik+ ,! t]m &    
ins]t+ ,subject to clause 7iii71 ! t]m2 
&  7#b7 by add+ at ! end ! foll[+ new   
clause3  7iii7 ,/roke teleheal? s]vices 
,) respect to s]vices relat$ to !       
evaluation or treatm5t ( an acute /roke 
t are provid$ )9 ! evid5ce-bas$ w9d[ (  
treatm5t1 ! t]m orig9at+ site means any 
site at :i* ! eligible teleheal?        

individual is locat$ at ! "t ! s]vice is
 furni%$ via a telecommunications sy/em1
 reg>dless ( :]e ! site is locat$4  4   
7b7 ,no orig9at+ site facility fee = new
 sites ,section #ahcd7m77#b77;,b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#b77;,b77 is am5d$1 9 ! matt] 
prec$+ clause 7i71 by ins]t+ 7o!r ?an an
 orig9at+ site t is only describ$ 9     
clause 7iii7 ( p>agraph 7#d77;,c71 &    
does n meet ! requirem5t = an orig9at+  
site "u clause 7i7 ( su* p>agraph7 aft] 
! orig9at+ site4  7c7 ,effective date ,!
 am5dm5ts made by ?is section %all apply
 to s]vices furni%$ on or aft] ! date t 
is #a ye> aft] ! date ( ! enactm5t ( ?is
 ,act4