,,ib  ,union ,cal5d> ,no4 #cbh  #aae?   
,,congress  #a/ ,session  ,h4 ,r4 #aadh 
,report ,no4 #aae-ddd1 ,"p ,i  ,,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$    
,decemb] #f1 #bjag ,additional sponsors3
 ,mr4 ,graves ( ,georgia1 ,mr4 ,flores1 
,mr4 ,lip9ski1 ,mr4 ,pascrell1 ,mrs4    
,walorski1 ,mr4 ,s5s5br5n]1 ,mr4 ,h>ris1
 ,ms4 ,mc,collum1 ,mr4 ,clay1 ,ms4      
,mc,sally1 ,mr4 ,mooney ( ,we/ ,virg9ia1
 ,mr4 ,tonko1 ,mr4 ,w5/rup1 ,mr4        
,hudson1 ,mr4 ,o',r\rke1 ,mr4 ,meehan1  

,mr4 ,h>p]1 ,mr4 ,joyce ( ,ohio1 ,mr4   
,b>r1 ,mr4 ,cole1 ,mr4 ,polis1 ,mr4     
,ro?fus1 ,ms4 ,ros51 ,mr4 ,pocan1 ,mr4  
,l\d]milk1 ,mr4 ,david ,scott (         
,georgia1 ,mr4 ,nunes1 ,mr4 ,s*weik]t1  
,ms4 ,l(gr51 ,mr4 ,c(fman1 ,mr4 ,murphy 
( ,p5nsylvania1 ,mr4 ,amodei1 ,mr4      
,long1 ,ms4 ,s*ak[sky1 ,mr4 ,ru!r=d1    
,mr4 ,rupp]sb]g]1 ,ms4 ,del,bene1 ,mr4  
,wilson ( ,s\? ,c>ol9a1 ,mrs4           
,blackburn1 ,ms4 ,br[nley ( ,cali=nia1  
,mr4 ,s*rad]1 ,mr4 ,crd5as1 ,mrs4 ,davis
 ( ,cali=nia1 ,mr4 ,engel1 ,mr4         
,blum5au]1 ,ms4 ,sewell ( ,alabama1 ,mr4
 ,upton1 ,mr4 ,b5 ,ray ,lujn ( ,new     
,mexico1 ,ms4 ,roybal-,all>d1 ,mr4      
,kilm]1 ,mr4 ,k9d1 ,mr4 ,mi*ael ,f4     
,doyle ( ,p5nsylvania1 ,mr4 ,cumm+s1    
,mr4 ,heck1 ,mr4 ,wel*1 ,ms4 ,mi*elle   
,lujan ,gri%am ( ,new ,mexico1 ,mr4     
,cri/1 ,mr4 ,co/a1 ,ms4 ,j5k9s (        
,kansas1 ,mr4 ,emm]1 ,ms4 ,e%oo1 ,mr4   
,b]a1 ,ms4 ,matsui1 ,mr4 ,walz1 ,mr4    
,gallego1 ,mr4 ,c>twright1 ,mr4 ,dunn1  
,ms4 ,wass]man ,s*ultz1 ,mr4 ,mc,kinley1

 ,mr4 ,mull91 ,ms4 ,b>ragn1 ,mr4        
,buc%on1 ,mr4 ,br5dan ,f4 ,boyle (      
,p5nsylvania1 ,mr4 ,m>%all1 ,mr4        
,pauls51 ,mr4 ,soto1 ,mr4 ,takano1 ,mr4 
,ellison1 ,mrs4 ,mc,morris ,rodg]s1 ,mr4
 ,himes1 ,mr4 ,poliqu91 ,mr4 ,/iv]s1    
,mr4 ,rice ( ,s\? ,c>ol9a1 ,mr4 ,l[5?al1
 ,mr4 ,/ew>t1 ,ms4 ,judy ,*u (          
,cali=nia1 ,mr4 ,rask91 ,mr4 ,knight1   
,mr4 ,k9z+]1 ,ms4 ,de,gette1 ,mr4       
,cicill9e1 ,mr4 ,smi? ( ,new ,j]sey1    
,mr4 ,jody ,b4 ,hice ( ,georgia1 ,ms4   
,e/y ( ,connecticut1 ,mr4 ,"y ( ,i[a1   
,mr4 ,cook1 ,mr4 ,cuell>1 ,mr4 ,k+ (    
,i[a1 ,mr4 ,coh51 ,mr4 ,ruiz1 ,mr4      
,goodlatte1 ,mr4 ,?ompson ( ,cali=nia1  
,mr4 ,curbelo ( ,florida1 ,mr4 ,roskam1 
,mr4 ,bi%op ( ,georgia1 ,mr4 ,y>mu?1    
,mr4 ,vela1 ,mr4 ,loebsack1 ,mr4 ,fo/]1 
,mr4 ,p]lmutt]1 ,mr4 ,got!im]1 ,mr4     
,=t5b]ry1 ,mr4 ,f]guson1 ,mrs4          
,napolitano1 ,ms4 ,%ea-,port]1 ,mr4     
,fitzpatrick1 ,mr4 ,b>ton1 ,mr4         
,f>5?old1 ,mr4 ,smuck]1 ,mr4 ,pet]s1    
,mr4 ,norman1 ,mr4 ,*abot1 ,mr4 ,gu?rie1

 ,mr4 ,ha/+s1 ,ms4 ,cl>ke ( ,new ,york1 
,mr4 ,donovan1 ,mr4 ,higg9s ( ,new      
,york1 ,mr4 ,posey1 ,mr4 ,lance1 ,mr4   
,cr[ley1 ,mr4 ,k5n$y1 ,mr4 ,d5t1 ,mrs4  
,brooks ( ,indiana1 ,mr4 ,%imkus1 ,mr4  
,panetta1 ,mr4 ,b>letta1 ,mr4 ,re$1 ,ms4
 ,s9ema1 ,mr4 ,sessions1 ,mr4 ,cram]1   
,mr4 ,mc,govern1 ,ms4 ,moore1 ,mr4      
,holl+swor?1 ,mr4 ,nolan1 ,mr4 ,doggett1
 ,mr4 ,co/ello ( ,p5nsylvania1 ,mr4     
,khanna1 ,mr4 ,brady ( ,p5nsylvania1    
,ms4 ,p+ree1 ,mr4 ,"y ( ,alaska1 ,mr4   
,kelly ( ,p5nsylvania1 ,ms4 ,slaught]1  
,mrs4 ,murphy ( ,florida1 ,mr4 ,lewis ( 
,m9nesota1 ,mr4 ,blum1 ,mr4 ,burgess1   
,mr4 ,?ompson ( ,p5nsylvania1 ,mr4      
,pet]son1 ,mr4 ,lewis ( ,georgia1 ,mr4  
,mc,nerney1 ,mr4 ,katko1 ,mr4 ,gonzalez 
( ,texas1 ,mr4 ,walb]g1 ,mr4 ,smi? (    
,miss\ri1 ,mr4 ,byrne1 ,mr4 ,la,hood1 & 
,mr4 ,l>son ( ,connecticut  ,decemb] #f1
 #bjag ,report$ f ! ,committee on ,en]gy
 & ,comm]ce ) an am5dm5t ,/rike out all 
aft] ! enact+ clause & ins]t ! "p pr9t$ 
9 italic  ,decemb] #f1 #bjag ,!         

,committee on ,ways & ,means dis*>g$2   
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union & ord]$ to be    
pr9t$ ,= text ( introduc$ bill1 see copy
 ( bill z introduc$ on ,febru>y #af1    
#bjag  ,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$--  7#a7 9       
subp>agraph 7,c7-- 7,a7 9 clause 7i71 9 
! matt] prec$+ subclause 7,i71 by /rik+ 
,! t]m & ins]t+ ,except z provid$ 9     
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  

hospital 7z def9$ 9 section #ahfa7;e77  
or critical access hospital 7z def9$ 9  
section #ahfa7mm77#a771 or any mobile   
/roke unit1 at :i* ! eligible teleheal? 
individual is locat$ at ! "t ! s]vice is
 furni%$ via a telecommunications sy/em1
 reg>dless ( :]e ! hospital1 critical   
access hospital1 or mobile /roke 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 ( an acute /roke 9 an          
individual2 &  7ii7 furni%$ 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$-- 7#a7 by r$esignat+ clauses   
7i7 & 7ii7 z subclauses 7,i7 & 7,,ii71  
respectively 7& adju/+ ! m>g9s          
accord+ly72  7#b7 9 subclause 7,,ii71 z 
r$esignat$ by p>agraph 7#a71 by /rik+   
clause 7i7 or ?is clause & ins]t+       
subclause 7,i7 or ?is subclause2  7#c7  
by /rik+ ,site4--,) respect to & ins]t+ 
,site4-- 7i7 ,9 g5]al ,) respect to  2  
7#d7 by /rik+ subject to section        
#ahcc7;a77#a77,u7 & ins]t+ subject to   
clause 7ii7 & section #ahcc7;a77#a77,u72
 &  7#e7 by add+ at ! end ! foll[+ new  
clause3  7ii7 ,no orig9at+ site facility
 fee = c]ta9 tele/roke s]vices ,no      
facility fee %all be paid "u ?is        
subp>agraph to an orig9at+ site t is    
describ$ 9 clause 7iii7 ( p>agraph      
7#d77;,c7 & t w\ld n o!rwise meet !     
requirem5ts = an orig9at+ site "u       
p>agraph 7#d77;,c7 )\t application ( !  
am5dm5ts made by ! ,,fa/ ,act ( #bjag4  
4  7c7 ,effective date ,! am5dm5ts made 
by ?is section %all apply to s]vices    

furni%$ on or aft] ,janu>y #a1 #bjba4   
,decemb] #f1 #bjag ,report$ f !         
,committee on ,en]gy & ,comm]ce ) an    
am5dm5t ,decemb] #f1 #bjag ,! ,committee
 on ,ways & ,means dis*>g$2 committ$ to 
! ,committee ( ! ,:ole ,h\se on ! ,/ate 
( ! ,union & ord]$ to be pr9t$