,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cdhb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bg1 #bjag,mr4  
,johnson ( ,ohio 7= himself & ,ms4      
,matsui7 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& ! use ( teleheal? "u ! ,m$ic>e     
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,evid5ce-,bas$ ,teleheal? ,expansion    
,act ( #bjag4  #b4 ,exp&+ ! use (       
teleheal? ?r\gh ! waiv] ( c]ta9         
requirem5ts ,section #ahcd7m7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$ by add+ at ! end !  
foll[+ new p>agraph3  7#e7 ,au?ority to 
waive requirem5ts & limitations if c]ta9
 conditions met  7,a7 ,9 g5]al ,9 ! case

 ( teleheal? s]vices furni%$ on or aft] 
,janu>y #a1 #bjah1 ! ,secret>y may waive
 any re/riction applicable to ! cov]age 
( teleheal? s]vices "u ?is subsection   
describ$ 9 subp>agraph 7,b7 ) respect to
 c]ta9 provid]s ( s]vices1 suppli]s1    
provid] gr\ps1 sites ( c>e1 s]vices1    
conditions1 individuals receiv+ !       
s]vices1 or ,/ates1 z det]m9$ by !      
,secret>y1 if ea* ( ! requirem5ts       
describ$ 9 subp>agraph 7,c7 is met )    
respect to ! waiv]4  7,b7 ,re/rictions  
describ$ ,= purposes ( ?is p>agraph1    
re/rictions applicable to ! cov]age (   
teleheal? s]vices "u ?is subsection %all
 include requirem5ts relat+ to          
qualifications = an orig9at+ site "u    
p>agraph 7#d77;,c77ii71 any geographic  
limitations "u p>agraph 7#d77;,c77i7    
7o!r ?an applicable ,/ate law           
requirem5ts1 includ+ ,/ate lic5sure     
requirem5ts71 any limitation on ! use ( 
/ore-&-=w>d te*nologies describ$ 9      
p>agraph 7#a71 any limitation on ! type 
( heal? c>e provid] :o may furni% su*   

s]vices 7o!r ?an ! requirem5t t !       
provid] is a ,m$ic>e-enroll$ provid]71  
or any limitation on specific codes     
designat$ z teleheal? s]vices t are     
cov]$ "u ?is title pursuant to ?is      
subsection 7provid$ su* codes are       
cl9ically appropriate to furni%         
remotely74  7,c7 ,requirem5ts = waiv] ,!
 requirem5ts describ$ 9 ?is subp>agraph 
are1 ) respect to ! waiv] ( a re/riction
 describ$ 9 subp>agraph 7,b71 ! foll[+3 
7i7 ,! ,secret>y det]m9es t ! waiv] is  
expect$ to-- 7,i7 r$uce sp5d+ "u ?is    
title )\t r$uc+ ! quality ( c>e2 or     
7,,ii7 improve ! quality ( pati5t c>e   
)\t increas+ sp5d+4  7ii7 ,! ,*ief      
,actu>y ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices c]tifies t su* waiv] w\ld r$uce
 7or w\ld n result 9 any increase 97 net
 program sp5d+ "u ?is title4  7iii7 ,!  
,secret>y det]m9es t su* waiv] w\ld n   
d5y or limit ! cov]age or provision (   
b5efits "u ?is title = individuals4     
7,d7 ,public comm5t ,! ,secret>y %all   
e/abli% a process by :i* /akehold]s may 

7on at lea/ an annual basis7 submit     
reque/s = a waiv] "u ?is p>agraph4  4