,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bejh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #b1 #bjai,mr4    
,?ompson ( ,cali=nia 7= himself1 ,mr4   
,cox ( ,cali=nia1 ,mr4 ,c>t] ( ,georgia1
 & ,mr4 ,kelly ( ,p5nsylvania7 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 provide = a pilot program  
to include respiratory !rapi/s z        
teleheal? practition]s "u ! ,m$ic>e     
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,bett] ,respiration ?r\gh   
,exp&+ ,access to ,tele-,heal? ,act or !
 ,,brea! ,act4  #b4 ,pilot program =    
includ+ respiratory !rapi/s z teleheal? 
practition]s "u ! ,m$ic>e program  7a7  
,9 g5]al ,beg9n+ n lat] ?an #f mon?s    
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,heal? & ,human ,s]vices    

%all e/abli% a #c-ye> pilot program "u  
title ,,xviii ( ! ,social ,security ,act
 ) respect to furni%+ teleheal? disease 
managem5t s]vices to eligible teleheal? 
individuals :o are diagnos$ ) *ronic    
ob/ructive pulmon>y disease = purposes (
 det]m9+ ! value ( includ+ qualify+     
respiratory !rapi/s z teleheal?         
practition]s "u ! ,m$ic>e program to    
improve heal? outcomes =1 r$uce         
unnecess>y em]g5cy dep>tm5t visits &    
hospital admissions & readmissions (1 & 
l[] ! co/ ( c>e provid$ to su*          
individuals4  7b7 ,teleheal? access ,"u 
! pilot program1 cov]age %all be provid$
 "u title ,,xviii ( ! ,social ,security 
,act = teleheal? disease managem5t      
s]vices furni%$ to eligible teleheal?   
individuals :o are diagnos$ ) *ronic    
ob/ructive pulmon>y disease by apply+   
section #ahcd7m7 ( su* ,act 7#db        
,u4,s4,c4 #aciem7m771 z if--  7#a7 !    
ref]5ce 9 p>agraph 7#a7 ( su* section to
 a practition] 7z describ$ 9 section    
#ahdb7;b77#ah77;,c77 7 a ref]5ce to a   

practition] 7z def9$ 9 p>agraph         
7#d77;,e772  7#b7 p>agraph 7#b77;,b7 (  
su* section does n apply to any site t  
satisfies ! def9ition ( ! t]m orig9at+  
site appli$ pursuant to p>agraph 7#c7 & 
t w\ld n o!rwise be includ$ z an        
orig9at+ site )\t application ( su*     
p>agraph2  7#c7 ! def9ition "u p>agraph 
7#d77;,c7 ( su* section = ! t]m orig9at+
 site includ$ z a site describ$ 9 clause
 7ii7 ( su* p>agraph ! place ( resid5ce 
( su* individual1 reg>dless ( :e!r su*  
place ( resid5ce satisfies ! conditions 
describ$ 9 subclause 7,i71 7,,ii71 or   
7,,iii7 ( clause 7i7 ( su* p>agraph2    
7#d7 ! def9ition 9 p>agraph 7#d77;,e7 ( 
su* section = ! t]m practition] includ$ 
qualify+ respiratory !rapi/s2 &  7#e7 ! 
def9ition 9 p>agraph 7#d77;,f7 ( su*    
section = teleheal? s]vices includ$ !   
foll[+ ,,hcpcs codes #ihifj1 #idffd1    
#iidjf1 #iidjg1 & #iijia4  7c7 ,paym5t  
modifi] ,= purposes ( ! pilot program1 !
 ,secret>y %all e/abli% a paym5t modifi]
 to ensure ! collection ( data relevant 

to teleheal? disease managem5t s]vices  
furni%$ directly by a qualify+          
respiratory !rapi/ to eligible teleheal?
 individuals :o are diagnos$ ) *ronic   
ob/ructive pulmon>y disease4  7d7       
,report ,n lat] ?an "o ye> aft] ! la/   
date ( ! pilot program1 ! ,secret>y (   
,heal? & ,human ,s]vices %all submit to 
,congress a report on ! f9d+s ( !       
program1 includ+ if acute c>e           
int]v5tions 7 r$uc$ & ! heal? /atus (   
eligible teleheal? individuals :o are   
diagnos$ ) *ronic ob/ructive pulmon>y   
disease 0 improv$ bas$ on ! l[]         
utilization ( s]vices4  7e7 ,def9itions 
,= purposes ( ?is section3 7#a7 ,! t]m  
eligible teleheal? individual has !     
mean+ giv5 su* t]m 9 section            
#ahcd7m77#d7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7m77#d774  7#b7 ,! 
t]m qualify+ respiratory !rapi/ means a 
respiratory !rapi/ :o-- 7,a7 is         
cr$5tial$ by a national cr$5tial+ bo>d  
recogniz$ by ! ,secret>y ( ,heal? &     
,human ,s]vices2  7,b7 if applicable1 is

 lic5s$ 9 ! ,/ate 9 :i* ! !rapi/        
furni%es ! s]vices involv$2  7,c7 holds 
! cr$5tial ( ,regi/]$ ,respiratory      
,!rapi/2 &  7,d7 has a m9imum ( a       
ba*elor's degree or o!r advanc$ degree 9
 biological or heal? sci5ce4  7#c7 ,!   
t]m teleheal? disease managem5t s]vices 
means any ( ! foll[+ disease managem5t  
s]vices furni%$ via a telecommunications
 sy/em by a qualify+ respiratory !rapi/3
  7,a7 ,self-managem5t education &      
tra9+4  7,b7 ,demon/ration & evaluation 
( inhal] te*niques4  7,c7 ,smok+        
cessation c\nsel+4  7,d7 ,remote pati5t 
monitor+4