,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #gff  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ca1 #bjag,ms4
 ,velzquez 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   
e/abli% a pilot program to exp&         
teleheal? options "u ! ,m$ic>e program =
 individuals resid+ 9 public h\s+ locat$
 9 heal? pr(essional %ortage areas1 & = 
o!r purposes4  #a4 ,pilot ,program to   
exp& teleheal? options "u ! ,m$ic>e     
program = c]ta9 individuals  7a7 ,9     
g5]al ,section #ahcd7m7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #aciem7m77
 is am5d$ by add+ at ! end ! foll[+ new 
p>agraph3  7#e7 ,pilot program  7,a7 ,9 
g5]al ,dur+ a five-ye> p]iod t beg9s n  
lat] ?an six mon?s aft] ! date ( !      

enactm5t ( ?is p>agraph1 ! ,secret>y    
%all e/abli% & implem5t a pilot program 
t applies ?is subsection1 ) respect to  
an individual describ$ 9 subp>agraph    
7,b71 9 ! mann] 9 :i* ! ,secret>y w\ld  
apply su* subsection if--  7i7 su* pilot
 program 71 = purposes ( ! provision (  
p>agraph 7#a7 relat+ to /ore-&-=w>d     
te*nologies1 a ,f$]al telem$ic9e        
demon/ration program conduct$ 9 ,alaska 
or ,hawaii2  7ii7 any s]vice furni%$ "u 
! pilot program 71 = purposes ( p>agraph
 7#d77;,c77i7 7relat+ to ! furni%+ (    
s]vices at rural sites71 furni%$ at a   
site t is locat$ 9 an area describ$ 9   
subclause 7,i7 ( su* p>agraph or a c\nty
 describ$ 9 subclause 7,,ii7 ( su*      
p>agraph2  7iii7 p>agraph 7#c77;,a7     
requir$ ! ,secret>y to apply !          
provisions ( section #ahdh7;g7 &        
subp>agraphs 7,a7 & 7,b7 ( section      
#ahdb7;b77#ah7 to a physician or        
practition] receiv+ paym5t "u ?is       
subsection 9 ! same mann] z !y apply to 
physicians1 suppli]s 7includ+ ! suppli]s

 t1 pursuant to clause 7vi71 are includ$
 9 ! def9ition ( practition] = purposes 
( ! pilot program71 or practition]s "u  
su* sections2  7iv7 ! t]m teleheal?     
s]vice1 z def9$ 9 p>agraph 7#d77;,f77i71
 includ$1 9 addition to su* ! s]vice    
describ$ 9 su* p>agraph1 any physical1  
respiratory1 occupational1 psy*ological1
 & spee* !rapy = :i* cov]age is provid$ 
"u ?is title :5 ! individual physician  
or practition] provid+ ! s]vice is at ! 
same location z ! b5efici>y2  7v7 ! t]m 
di/ant site1 z def9$ 9 p>agraph         
7#d77;,a71 includ$1 9 addition to !     
sites describ$ 9 su* p>agraph1 ,f$]ally 
qualifi$ heal? c5t]s 7z def9$ 9 section 
#ahfa7;aa77#d77 & rural heal? cl9ics 7z 
def9$ 9 section #ahfa7;aa77#b772 &  7vi7
 ! t]m practition]1 z def9$ 9 p>agraph  
7#d77;,e71 includ$1 9 addition to !     
individuals describ$ 9 su* p>agraph1    
respiratory !rapi/s1 audiologi/s1       
occupational !rapi/s1 physical !rapi/s1 
& spee* language pa?ologi/s4  7,b7      
,individuals describ$ ,an individual    

describ$ 9 ?is subp>agraph is an        
individual :o-- 7i7 is enroll$ "u ?is "p
 :o receives a teleheal? s]vice2 &  7ii7
 resides 9 public h\s+ 7z su* t]m is    
def9$ 9 section #c7;b7 ( ! ,unit$ ,/ates
 ,h\s+ ,act ( #aicg 7#db ,u4,s4,c4      
#adcg;a7b7774  7,c7 ,issuance (         
regulations ,n lat] ?an ! date t is six 
mon?s aft] ! date ( enactm5t ( ?is      
p>agraph1 ! ,secret>y %all issue su*    
regulations z are necess>y to c>ry out !
 pilot program describ$ 9 ?is p>agraph4 
4