,,ii  #aad? ,,congress  #b;d ,session   
,s4 #bhgc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bh1 #bjaf ,mr4 
,hat* 7= himself & ,mr4 ,s*atz7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to require /udies & reports 
exam9+ ! use (1 & opportunities to use1 
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models to improve       
programs ( ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices1 & = o!r purposes4  #a4 ,%ort 
title  ,?is ,act may be cit$ z ! ,exp&+ 
,capacity = ,heal? ,outcomes ,act or !  
,,e*o ,act4  #b4 ,def9itions ,9 ?is     
,act3 7#a7 ,heal? pr(essional %ortage   
area ,! t]m heal? pr(essional %ortage   
area means a heal? pr(essional %ortage  
area designat$ "u section #ccb ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;e74  7#b7 ,m$ically      
und]s]v$ area ,! t]m m$ically und]s]v$  
area has ! mean+ giv5 ! t]m m$ically    
und]s]v$ community 9 section #gii;,b ( !

 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #biep74  7#c7 ,m$ically       
und]s]v$ population ,! t]m m$ically     
und]s]v$ population has ! mean+ giv5 !  
t]m 9 section #ccj7;b7 ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bed;b7b774  7#d7 ,secret>y ,! t]m      
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#e7 ,te*nology-enabl$
 collaborative le>n+ & capacity build+  
model ,! t]m te*nology-enabl$           
collaborative le>n+ & capacity build+   
model means a di/ance heal? education   
model t connects speciali/s ) multiple  
prim>y c>e provid]s ?r\gh simultane\s   
int]active videoconf]5c+ = ! purpose (  
facilitat+ case-bas$ le>n+1 dissem9at+  
be/ practices1 & evaluat+ outcomes4  #c4
 ,/udies & reports on te*nology-enabl$  
collaborative le>n+ & capacity build+   
models  7a7 ,prioritization  7#a7 ,9    
g5]al ,! ,secret>y1 9 collaboration ) ! 
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all exam9e     
te*nology-enabl$ collaborative le>n+ &  

capacity build+ models & ! ability ( su*
 models to improve pati5t c>e & provid] 
education4  7#b7 ,consid]ations ,!      
exam9ation requir$ "u p>agraph 7#a7 %all
 include an exam9ation ( ! ability (    
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models to address ea* ( 
! foll[+3  7,a7 ,m5tal heal? & sub/ance 
use disord]s1 includ+ prescription drug 
& opioid abuse4  7,b7 ,*ronic c>e =     
pati5ts ( all ages1 includ+ *ildr51 )   
*ronic diseases4  7,c7 ,complex c>e or  
c>e = ! sicke/ & mo/ vuln]able pati5ts1 
includ+ p$iatric pati5ts4  7,d7 ,prim>y 
c>e work=ce recruitm5t1 ret5tion1 &     
support = life-long le>n+4  7,e7        
,specialty c>e %ortages4  7,f7 ,public  
heal? programs1 includ+ disease         
prev5tion1 outbreaks1 & surveillance4   
7,g7 ,implem5tation ( disease prev5tion 
guidel9es4  7,h7 ,heal? c>e 9 rural     
areas1 fronti] areas1 heal? pr(essional 
%ortage areas1 m$ically und]s]v$        
populations1 & m$ically und]s]v$ areas4 
7,i7 ,advanc$ c>e plann+ & palliative   

c>e4  7,j7 ,trauma-in=m$ c>e4  7,k7     
,pregnancy c>e & mat]nal heal?4  7,l7   
,o!r heal? conditions & heal? work=ce   
issues t ! ,secret>y det]m9es           
appropriate4  7#c7 ,consultation ,9 !   
exam9ation ( te*nology-enabl$           
collaborative le>n+ & capacity build+   
models requir$ "u p>agraph 7#a71 !      
,secret>y1 9 collaboration ) !          
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 %all consult    
public & private /akehold]s ) exp]tise  
us+ su* models 9 heal? c>e sett+s4  7#d7
 ,f$]al /udy ,n lat] ?an #b ye>s aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y1
 9 collaboration ) ! ,adm9i/rator ( !   
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 %all publi% a /udy bas$  
on ! exam9ation ( te*nology-enabl$      
collaborative le>n+ & capacity build+   
models requir$ "u p>agraph 7#a74 ,su*   
/udy %all include an analysis ( ea* ( ! 
foll[+3  7,a7 ,! use & integration ( su*
 models by heal? provid]s4  7,b7 ,!     
impact ( su* models on heal? provid]    

ret5tion & heal? provid] %ortages 9 !   
,/ates 9 :i* su* models h be5 adopt$4   
7,c7 ,recomm5dations reg>d+ ! role ( su*
 models 9 cont9u+ m$ical education &    
lifelong le>n+1 includ+ ! role (        
academic m$ical c5t]s1 provid]          
organizations1 & community provid]s 9   
su* tra9+4  7,d7 ,! b>ri]s to adoption  
by prim>y c>e provid]s & academic m$ical
 c5t]s4  7,e7 ,! impact ( su* models on 
! ability ( local heal? provid]s &      
speciali/s to p]=m at ! top ( _!        
lic5sure1 includ+ ! effects on pati5t   
wait times = specialty c>e4  7b7 ,,gao  
/udy  7#a7 ,9 g5]al ,n lat] ?an #a ye>  
aft] ! date ( enactm5t ( ?is ,act1 !    
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all prep>e & publi% a report on        
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models4 ,su* report %all
 analyze ea* ( ! foll[+3  7,a7 ,! use & 
integration ( su* models by heal?       
provid]s across ! ,/ates4  7,b7 ,h[ !   
,secret>y has support$ ! use ( su*      
models ?r\gh programs ( ! ,dep>tm5t (   

,heal? & ,human ,s]vices4  7,c7 ,!      
impact ( su* models on heal? c>e1       
includ+ ! impact on pati5t quality ( c>e
 & pati5t access to c>e1 9 ! ,/ates 9   
:i* su* models h be5 adopt$4  7,d7 ,!   
reasons = successful ,/ate & community  
adoption ( su* models4  7,e7 ,! b>ri]s =
 ,/ates & communities to adopt su*      
models4  7,f7 ,effici5cies & pot5tial   
co/ sav+s f su* models4  7,g7 ,h[       
,f$]al1 ,/ate1 & local gov]nm5ts are    
fund+ su* models1 if at all4  7,h7      
,opportunities = increas$ adoption ( su*
 models 9 ag5cies ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 includ+ !           
integration ( su* models into exi/+     
programs4  7#b7 ,consid]ations ,!       
analysis conduct$ ?r\gh ! report "u     
p>agraph 7#a7 %all consid] ! ability (  
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models to address ea* ( 
! foll[+3  7,a7 ,m5tal heal? & sub/ance 
use disord]s1 includ+ prescription drug 
& opioid abuse4  7,b7 ,*ronic c>e =     
pati5ts ( all ages1 includ+ *ildr51 )   

*ronic diseases4  7,c7 ,complex c>e or  
c>e = ! sicke/ & mo/ vuln]able pati5ts1 
includ+ p$iatric pati5ts4  7,d7 ,prim>y 
c>e work=ce recruitm5t1 ret5tion1 &     
support = life-long le>n+4  7,e7        
,specialty c>e %ortages4  7,f7 ,public  
heal? programs1 includ+ disease         
prev5tion1 outbreaks1 & surveillance4   
7,g7 ,implem5tation ( disease prev5tion 
guidel9es4  7,h7 ,heal? c>e 9 rural     
areas1 fronti] areas1 heal? pr(essional 
%ortage areas1 m$ically und]s]v$        
populations1 & m$ically und]s]v$ areas4 
7,i7 ,advanc$ c>e plann+ & palliative   
c>e4  7,j7 ,trauma-in=m$ c>e4  7,k7     
,pregnancy c>e & mat]nal heal?4  7c7    
,report to ,congress ,n lat] ?an #ah    
mon?s aft] ! publication ( ! report     
conduct$ by ! ,comptroll] ,g5]al ( !    
,unit$ ,/ates "u subsection 7b71 !      
,secret>y %all submit a report to       
,congress address+ ea* ( ! foll[+3  7#a7
 ,h[ ! f9d+s f ! report publi%$ "u      
subsection 7b7 h be5 address$4  7#b7    
,recomm5dations to ,congress bas$ on !  

f9d+s ( ! /udy publi%$ "u subsection    
7a77#d74  7#c7 ,a complete li/+ (       
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models t h be5 fund$ by 
! ,dep>tm5t ( ,heal? & ,human ,s]vices4 
7#d7 ,a toolkit reg>d+ be/ practices =  
implem5t+ su* models 9 ! ,/ates4