,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #eaii  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bj1         
#bjai,mr4 ,lujn 7= himself1 ,mr4        
,burgess1 ,ms4 ,torres ,small ( ,new    
,mexico1 ,mr4 ,k9z+]1 ,ms4 ,haal&1 &    
,mr4 ,gian=te7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act to exp& ! capacity 
to improve heal? outcomes & increase    
access to specializ$ c>e4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,exp&+  
,capacity = ,heal? ,outcomes ,act (     
#bjai or ! ,,e*o ,act ( #bjai4  #b4     
,exp&+ capacity = heal? outcomes ,title 
,,iii ( ! ,public ,heal? ,s]vice ,act is
 am5d$ by ins]t+ aft] section #ccj,m    
7#db ,u4,s4,c4 #bed;c-#ai7 ! foll[+3    
#ccj,n4 ,exp&+ capacity = heal? outcomes
  7a7 ,def9itions ,9 ?is section3 7#a7  
,eligible entity ,! t]m eligible        
entity--  7,a7 means an entity t        
provides1 or supports ! provision (1    
heal? c>e s]vices-- 7i7 9 rural areas1  

fronti] areas1 heal? pr(essional %ortage
 areas1 or m$ically und]s]v$ areas2 or  
7ii7 to m$ically und]s]v$ populations or
 ,native ,am]icans1 includ+ ,indian     
,tribes1 ,tribal organizations1 or urban
 ,indian organizations2 &  7,b7 may     
include entities lead+1 or capable (    
lead+1 a te*nology-enabl$ collaborative 
le>n+ & capacity build+ model or engag+ 
9 te*nology-enabl$ collaborative tra9+ (
 p>ticipants 9 su* model4  7#b7 ,heal?  
pr(essional %ortage area ,! t]m heal?   
pr(essional %ortage area means a heal?  
pr(essional %ortage area designat$ "u   
section #ccb4  7#c7 ,indian tribe ,!    
t]ms ,indian ,tribe & ,tribal           
organization h ! mean+s giv5 ! t]ms     
,indian tribe & tribal organization 9   
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#d7 ,m$ically        
und]s]v$ population ,! t]m m$ically     
und]s]v$ population has ! mean+ giv5 !  
t]m 9 section #ccj7;b77#c74  7#e7       
,native ,am]icans ,! t]m ,native        

,am]icans has ! mean+ giv5 su* t]m 9    
section #gcf & includes ,indian ,tribes 
& ,tribal organizations4  7#f7          
,te*nology-enabl$ collaborative le>n+ & 
capacity build+ model ,! t]m            
te*nology-enabl$ collaborative le>n+ &  
capacity build+ model means a di/ance   
heal? education model t connects heal?  
c>e pr(essionals1 & p>ticul>ly          
speciali/s1 ) multiple o!r heal? c>e    
pr(essionals ?r\gh simultane\s          
int]active videoconf]5c+ = ! purpose (  
facilitat+ case-bas$ le>n+1 dissem9at+  
be/ practices1 & evaluat+ outcomes4     
7#g7 ,urban ,indian organization ,!     
urban ,indian organization has ! mean+  
giv5 ! t]m ,urban ,indian organization 9
 section #d ( ! ,indian ,heal? ,c>e     
,improvem5t ,act4  7b7 ,program e/abli%$
 ,! ,secret>y %all1 z appropriate1 aw>d 
grants to evaluate1 develop1 &1 z       
appropriate1 exp& ! use (               
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models1 to improve      
ret5tion ( heal? c>e provid]s & increase

 access to heal? c>e s]vices1 su* z ^?  
to address *ronic diseases & conditions1
 infecti\s diseases1 m5tal heal?1       
sub/ance use disord]s1 pr5atal & mat]nal
 heal?1 p$iatric c>e1 pa9 managem5t1    
palliative c>e1 & o!r specialty c>e 9   
rural areas1 fronti] areas1 heal?       
pr(essional %ortage areas1 or m$ically  
und]s]v$ areas & = m$ically und]s]v$    
populations or ,native ,am]icans1       
includ+ ,indian ,tribes & ,tribal       
organizations4  7c7 ,use ( funds  7#a7  
,9 g5]al ,grants aw>d$ "u subsection 7b7
 %all be us$ =-- 7,a7 ! developm5t &    
acquisition ( in/ructional programm+1 & 
! tra9+ ( heal? c>e provid]s & o!r      
pr(essionals t provide or assi/ 9 !     
provision ( s]vices ?r\gh models        
describ$ 9 subsection 7b71 su* z tra9+  
on be/ practices = data collection &    
lead+ or p>ticipat+ 9 su*               
te*nology-enabl$ activities consi/5t )  
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models2  7,b7 in=mation 
collection & evaluation activities to   

/udy ! impact ( su* models on pati5t    
outcomes & heal? c>e provid]s1 & to     
id5tify be/ practices = ! expansion &   
use ( su* models2 or  7,c7 o!r          
activities consi/5t ) a*iev+ !          
objectives ( ! grants aw>d$ "u ?is      
section1 z det]m9$ by ! ,secret>y4  7#b7
 ,o!r uses ,9 addition to any ( ! uses  
"u p>agraph 7#a71 grants aw>d$ "u       
subsection 7b7 may be us$ =--  7,a7     
equipm5t to support ! use & expansion ( 
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models1 includ+ = h>dw>e
 & s(tw>e t enables di/ance le>n+1 heal?
 c>e provid] support1 & ! secure ex*ange
 ( electronic heal? in=mation2 or  7,b7 
support = heal? c>e provid]s & o!r      
pr(essionals t provide or assi/ 9 !     
provision ( s]vices ?r\gh su* models4   
7d7 ,l5g? ( grants ,grants aw>d$ "u     
subsection 7b7 %all be = a p]iod ( up to
 #e ye>s4  7e7 ,grant requirem5ts ,!    
,secret>y may require entities aw>d$ a  
grant "u ?is section to collect         
in=mation on ! effect ( ! use (         

te*nology-enabl$ collaborative le>n+ &  
capacity build+ models1 su* z on heal?  
outcomes1 access to heal? c>e s]vices1  
quality ( c>e1 & provid] ret5tion 9     
areas & populations describ$ 9          
subsection 7b74 ,! ,secret>y may aw>d a 
grant or contract to assi/ 9 !          
coord9ation ( su* models1 includ+ to    
assess outcomes associat$ ) ! use ( su* 
models 9 grants aw>d$ "u subsection 7b71
 includ+ = ! purpose describ$ 9         
subsection 7c77#a77;,b74  7f7           
,application ,an eligible entity t seeks
 to receive a grant "u subsection 7b7   
%all submit to ! ,secret>y an           
application1 at su* "t1 9 su* mann]1 &  
conta9+ su* in=mation z ! ,secret>y may 
require4 ,su* application %all include  
plans to assess ! effect (              
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models on pati5t        
outcomes & heal? c>e provid]s4  7g7     
,access to broadb& ,9 adm9i/]+ grants "u
 ?is section1 ! ,secret>y may coord9ate 
) o!r ag5cies to ensure t fund+         

opportunities are available to support  
access to reliable1 high-spe$ int]net = 
grantees4  7h7 ,te*nical assi/ance ,!   
,secret>y %all provide 7ei!r directly   
?r\gh ! ,dep>tm5t ( ,heal? & ,human     
,s]vices or by contract7 te*nical       
assi/ance to eligible entities1 includ+ 
recipi5ts ( grants "u subsection 7b71 on
 ! developm5t1 use1 & evaluation (      
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models 9 ord] to exp&   
access to heal? c>e s]vices provid$ by  
su* entities1 includ+ = m$ically        
und]s]v$ areas & to m$ically und]s]v$   
populations or ,native ,am]icans1       
includ+ ,indian ,tribes & ,tribal       
organizations4  7i7 ,rese>* & evaluation
 ,! ,secret>y1 9 consultation )         
/akehold]s ) appropriate exp]tise 9 su* 
models1 %all develop a /rategic plan to 
rese>* & evaluate ! evid5ce = su*       
models4 ,! ,secret>y %all use su* plan  
to in=m ! activities c>ri$ out "u ?is   
section4  7j7 ,report by ,secret>y ,n   
lat] ?an #d ye>s aft] ! date ( enactm5t 

( ?is section1 ! ,secret>y %all prep>e &
 submit to ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives1 & 
po/ on ! int]net website ( ! ,dep>tm5t (
 ,heal? & ,human ,s]vices1 a report     
includ+1 at m9imum--  7#a7 a description
 ( any new & cont9u+ grants aw>d$ to    
entities "u subsection 7b7 & ! specific 
purpose & am\nts ( su* grants2  7#b7 an 
ov]view (-- 7,a7 ! evaluations conduct$ 
"u subsection 7b72  7,b7 te*nical       
assi/ance provid$ "u subsection 7h72 &  
7,c7 activities conduct$ by entities    
aw>d$ grants "u subsection 7b72 &  7#c7 
a description ( any significant f9d+s or
 developm5ts relat$ to pati5t outcomes  
or heal? c>e provid]s & be/ practices = 
eligible entities exp&+1 us+1 or        
evaluat+ te*nology-enabl$ collaborative 
le>n+ & capacity build+ models1 includ+ 
?r\gh ! activities describ$ 9 subsection
 7h74  7k7 ,au?orization (              
appropriations ,!re is au?oriz$ to be   

appropriat$ to c>ry out ?is section1    
#bj1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4  4