,,ic  #aad? ,,congress  #b;d ,session   
,s4 #bhgc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bi1 #bjaf   
,ref]r$ to ! ,committee on ,en]gy &     
,comm]ce  ,,an ,,act  ,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      
,indian tribe ,! t]m ,indian tribe has !
 mean+ giv5 ! t]m 9 section #d ( !      
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#c7 ,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#d7 ,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#e7 ,native     
,am]icans ,! t]m ,native ,am]icans has !
 mean+ giv5 ! t]m 9 section #gcf ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bic7 & includes ,indian      
tribes & tribal organizations4  7#f7    
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7#g7 ,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 o!r heal? c>e     
pr(essionals ?r\gh simultane\s          
int]active videoconf]5c+ = ! purpose (  
facilitat+ case-bas$ le>n+1 dissem9at+  
be/ practices1 & evaluat+ outcomes4     

7#h7 ,tribal organization ,! t]m tribal 
organization has ! mean+ giv5 ! t]m 9   
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
#c4 ,exam9ation & report on             
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models  7a7 ,exam9ation 
7#a7 ,9 g5]al ,! ,secret>y %all exam9e  
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models & _! impact on-- 
7,a7 address+ m5tal & sub/ance use      
disord]s1 *ronic diseases & conditions1 
pr5atal & mat]nal heal?1 p$iatric c>e1  
pa9 managem5t1 & palliative c>e2  7,b7  
address+ heal? c>e work=ce issues1 su* z
 specialty c>e %ortages & prim>y c>e    
work=ce recruitm5t1 ret5tion1 & support 
= lifelong le>n+2  7,c7 ! implem5tation 
( public heal? programs1 includ+ ^?     
relat$ to disease prev5tion1 infecti\s  
disease outbreaks1 & public heal?       
surveillance2  7,d7 ! deliv]y ( heal?   
c>e s]vices 9 rural areas1 fronti]      
areas1 heal? pr(essional %ortage areas1 

& m$ically und]s]v$ areas1 & to m$ically
 und]s]v$ populations & ,native         
,am]icans2 &  7,e7 address+ o!r issues !
 ,secret>y det]m9es appropriate4  7#b7  
,consultation ,9 ! exam9ation requir$ "u
 p>agraph 7#a71 ! ,secret>y %all consult
 public & private /akehold]s ) exp]tise 
9 us+ te*nology-enabl$ collaborative    
le>n+ & capacity build+ models 9 heal?  
c>e sett+s4  7b7 ,report  7#a7 ,9 g5]al 
,n lat] ?an #b ye>s aft] ! date (       
enactm5t ( ?is ,act1 ! ,secret>y %all   
submit to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives1 & 
po/ on ! appropriate website ( !        
,dep>tm5t ( ,heal? & ,human ,s]vices1 a 
report bas$ on ! exam9ation "u          
subsection 7a74  7#b7 ,cont5ts ,! report
 requir$ "u p>agraph 7#a7 %all include  
f9d+s f ! exam9ation "u subsection 7a7 &
 ea* ( ! foll[+3 7,a7 ,an analysis (--  
7i7 ! use & integration (               
te*nology-enabl$ collaborative le>n+ &  

capacity build+ models by heal? c>e     
provid]s2  7ii7 ! impact ( su* models on
 heal? c>e provid] ret5tion1 includ+ 9  
heal? pr(essional %ortage areas 9 !     
,/ates & communities 9 :i* su* models h 
be5 adopt$2  7iii7 ! impact ( su* models
 on ! quality (1 & access to1 c>e =     
pati5ts 9 ! ,/ates & communities 9 :i*  
su* models h be5 adopt$2  7iv7 ! b>ri]s 
fac$ by heal? c>e provid]s1 ,/ates1 &   
communities 9 adopt+ su* models2  7v7 ! 
impact ( su* models on ! ability ( local
 heal? c>e provid]s & speciali/s to     
practice to ! full ext5t ( _! education1
 tra9+1 & lic5sure1 includ+ ! effects on
 pati5t wait times = specialty c>e2 &   
7vi7 effici5t & effective practices us$ 
by ,/ates & communities t h adopt$ su*  
models1 includ+ pot5tial                
co/-effectiv5ess ( su* models4  7,b7 ,a 
li/ ( su* models t h be5 fund$ by !     
,secret>y 9 ! #e ye>s imm$iately prec$+ 
su* report1 includ+ ! ,f$]al programs t 
h provid$ fund+ = su* models4  7,c7     
,recomm5dations to r$uce b>ri]s = us+ & 

integrat+ su* models1 & opportunities to
 improve adoption (1 & support =1 su*   
models z appropriate4  7,d7             
,opportunities = increas$ adoption ( su*
 models into programs ( ! ,dep>tm5t (   
,heal? & ,human ,s]vices t are 9 exi/5ce
 z ( ! report4  7,e7 ,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* education & lifelong     
le>n+4  ,pass$ ! ,s5ate ,novemb] #bi1   
#bjaf4;,julie ,e4 ,adams1,secret>y