,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #aadh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #af1         
#bjag,mr4 ,griffi? 7= himself1 ,mrs4    
,beatty1 ,mr4 ,c>t] ( ,georgia1 ,mr4    
,ryan ( ,ohio1 ,mr4 ,coll9s ( ,new      
,york1 ,mr4 ,roe ( ,t5nessee1 ,mr4      
,bilirakis1 ,mr4 ,abraham1 ,mr4 ,bab91  
,mr4 ,turn]1 & ,mr4 ,johnson ( ,ohio7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = 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 title ,,xviii ( !     
,social ,security ,act to exp& access to
 teleheal?-eligible /roke s]vices "u !  
,m$ic>e program4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,fur!r+ ,access to 
,/roke ,telem$ic9e ,act ( #bjag or !    
,,fa/ ,act ( #bjag4  #b4 ,exp&+ access  
to teleheal?-eligible /roke s]vices "u !
 ,m$ic>e program  7a7 ,9 g5]al ,section 

#ahcd7m77#d7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7m77#d77 is am5d$--
  7#a7 9 subp>agraph 7,c7-- 7,a7 9      
clause 7i71 by /rik+ ,! t]m & ins]t+    
,subject to clause 7iii71 ! t]m2 &  7,b7
 by add+ at ! end ! foll[+ new clause3  
7iii7 ,teleheal?-eligible /roke s]vices 
,) respect to teleheal?-eligible /roke  
s]vices1 ! t]m orig9at+ site means any  
hospital1 or any mobile unit equipp$ ) !
 ability to evaluate possible /roke     
pati5ts :ile be+ transport$ to a        
hospital1 at :i* ! eligible teleheal?   
individual is locat$ at ! "t ! s]vice is
 furni%$ via a telecommunications sy/em1
 reg>dless ( :]e ! hospital or mobile   
unit is locat$4  2  7#b7 9 subp>agraph  
7,f77i7 by ins]t+ teleheal?-eligible    
/roke s]vices1 aft] ,secret>y7712 &     
7#c7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,g7 ,teleheal?-eligible  
/roke s]vices ,! t]m teleheal?-eligible 
/roke s]vices means s]vices t are-- 7i7 
relat$ to ! diagnosis1 evaluation1 or   
treatm5t ( symptoms 9 an individual ( an

 acute /roke2 &  7ii7 provid$ to su*    
individual n lat] ?an f\r & a half h\rs 
7or su* o!r cl9ically appropriate am\nt 
( "t z is det]m9$ by ! ,secret>y7 aft] !
 onset ( su* symptoms ) respect to su*  
individual4  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 #ah mon?s aft] !   
date ( ! enactm5t ( ?is ,act4