,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #biaj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1 #bjah
 ,mr4 ,roberts 7for himself1 ,mr4       
,nelson1 ,mr4 ,cornyn1 ,mr4 ,warner1    
,mr4 ,thune1 ,mr4 ,carper1 and ,ms4     
,stabenow7 introduced the following     
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to evaluate access to services and   
treatment for substance use disorders   
and to telehealth services and remote   
patient monitoring for pediatric        
populations under ,medicaid4  #a4 ,short
 title  ,this ,act may be cited as the  
,telehealth for ,children's ,access to  
,services and ,treatment ,act or the    
,tele,c,a,s,t ,act 4  #b4 ,definitions  
,in this ,act3 7#a7 ,comptroller        
,general ,the term ,comptroller ,general
 means the ,comptroller ,general of the 
,united ,states4  7#b7 ,school-based    
health center ,the term school-based    
health center has the meaning given that
 term in section #baaj7;c77#i7 of the   

,social ,security ,act 7#db ,u4,s4,c4   
#acig;jj7c77#i774  7#c7 ,secretary ,the 
term ,secretary means the ,secretary of 
,health and ,human ,services4  7#d7     
,telehealth services ,the term          
telehealth services includes remote     
patient monitoring and other key        
modalities such as live video or        
synchronous telehealth1                 
store-and-forward or asynchronous       
telehealth1 mobile health1 telephonic   
consultation1 and electronic consult    
including provider-to-provider          
e-consults4  7#e7 ,underserved area ,the
 term underserved area means a health   
professional shortage area 7as defined  
in section #ccb7;a77#a77;,a7 of the     
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bed;e7a77#a77;,a777 and a    
medically underserved area 7according to
 a designation under section            
#ccj7;b77#c77;,a7 of the ,public ,health
 ,service ,act 7#db ,u4,s4,c4           
#bed;b7b77#c77;,a7774  #c4 ,,gao        
evaluation of children's access to      

services and treatment for substance use
 disorders under ,medicaid  7a7 ,study  
,the ,comptroller ,general shall        
evaluate children's access to services  
and treatment for substance use         
disorders under ,medicaid4 ,the         
evaluation shall include an analysis of 
,state options for improving children's 
access to such services and treatment   
and for improving outcomes1 including by
 increasing the number of ,medicaid     
providers who offer services or         
treatment for substance use disorders in
 a school-based health center using     
telehealth services1 particularly in    
rural and underserved areas4 ,the       
evaluation shall include an analysis of 
,medicaid provider reimbursement rates  
for services and treatment for substance
 use disorders4  7b7 ,report ,not later 
than #a year after the date of enactment
 of this ,act1 the ,comptroller ,general
 shall submit to ,congress a report     
containing the results of the evaluation
 conducted under subsection 7a71        

together with recommendations for such  
legislation and administrative action as
 the ,comptroller ,general determines   
appropriate4  #d4 ,report on reducing   
barriers to using telehealth services   
and remote patient monitoring for       
pediatric populations under ,medicaid   
7a7 ,in general ,not later than #a year 
after the date of enactment of this     
,act1 the ,secretary1 acting through the
 ,administrator of the ,centers for     
,medicare  ,medicaid ,services1 shall   
issue a report to the ,committee on     
,finance of the ,senate and the         
,committee on ,energy and ,commerce of  
the ,house of ,representative           
identifying best practices and potential
 solutions for reducing barriers to     
using telehealth services to furnish    
services and treatment for substance use
 disorders among pediatric populations  
under ,medicaid4 ,the report shall      
include--  7#a7 analyses of the best    
practices1 barriers1 and potential      
solutions for using telehealth services 

to diagnose and provide services and    
treatment for children with substance   
use disorders1 including opioid use     
disorder2 and  7#b7 identification and  
analysis of the differences1 if any1 in 
furnishing services and treatment for   
children with substance use disorders   
using telehealth services and using     
services delivered in person1 such as1  
and to the extent feasible1 with respect
 to--  7,a7 utilization rates2  7,b7    
costs2  7,c7 avoidable inpatient        
admissions and readmissions2  7,d7      
quality of care2 and  7,e7 patient1     
family1 and provider satisfaction4  7b7 
,publication ,the ,secretary shall      
publish the report required under       
subsection 7a7 on a public ,internet    
website of the ,department of ,health   
and ,human ,services4