,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #ebed  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bb1         
#bjai,ms4 ,sewell ( ,alabama 7= h]self1 
,mr4 ,re$1 & ,ms4 ,de,gette7 introduc$ !
 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 provide =     
cov]age "u ! ,m$ic>e program ( digital  
ret9al imag+ ) remote int]pretation4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,diabetic ,vision ,loss & ,bl9dness   
,prev5tion ,act ( #bjai4  #b4 ,m$ic>e   
cov]age ( digital ret9al imag+ ) remote 
int]pretation  7a7 ,cov]age ,section    
#ahfa ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciex7 is am5d$--  7#a7 9    
subsection 7s77#b7-- 7,a7 9 subp>agraph 
7,,gg71 by /rik+ & at ! end2  7,b7 9    

subp>agraph 7,,hh71 by add+ & at ! end2 
&  7,c7 by ins]t+ aft] subp>agraph      
7,,hh7 ! foll[+ new subp>agraph3  7,,ii7
 digital ret9al imag+ ) remote          
int]pretation 7z def9$ 9 subsection     
7kkk772  2 &  7#b7 by add+ at ! end !   
foll[+ new subsection3  7kkk7 ,digital  
,ret9al ,imag+ ) ,remote ,int]pretation 
,! t]m digital ret9al imag+ ) remote    
int]pretation means a diagno/ic proc$ure
 = ! purpose ( e>ly detection or        
assessm5t ( diabetic ret9opa?y t--  7#a7
 is provid$ n m frequ5tly ?an on an     
annual basis to an individual :o has be5
 diagnos$ ) diabetes & :o does n h prior
 diabetic ret9opa?y kn[n to ! prim>y c>e
 practition] ( ! individual2  7#b7 is   
provid$ by or "u ! g5]al sup]vision ( a 
prim>y c>e practition] 7z def9$ 9       
section #ahcc7x77 or bo>d-c]tifi$       
endocr9ologi/2  7#c7 utilizes a ret9al  
cam]a ) optical resolution compliant ) !
 ,int]national ,organization =          
,/&>dization ,,iso #ajidj to take       
digital images ( /ructures beh9d ! l5s (

 ! eye1 su* z ! ret9a1 *oroid1 & optic  
n]ve2 &  7#d7 involves ! electronic     
transmission ( su* images = evaluation =
 diabetic ret9opa?y & o!r diseases ( !  
eye by a ,/ate-lic5s$ oph?almologi/ or  
optometri/4  4  7b7 ,paym5t ,! paym5t   
am\nt = digital ret9al imag+ ) remote   
int]pretation provid$ pursuant to !     
am5dm5ts made by section 7a7 %all be    
equal to--  7#a7 = ! p]iod beg9n+ on    
,octob] #a1 #bjai1 & end+ on ,decemb]   
#ca1 #bjai1 & = #bjbj1 #ea4ed2 &  7#b7 =
 a subsequ5t ye>1 ! paym5t am\nt        
specifi$ 9 subp>agraph 7#a7 or ?is      
subp>agraph = ! prec$+ ye> increas$ by !
 p]c5tage increase 9 ! ,,mei 7z def9$ 9 
section #ahdb7;i77#c7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acieu7i77#c77 = su* subsequ5t ye>4     
,digital ret9al imag+ ) remote          
int]pretation %all n be consid]$ a      
teleheal? s]vice = purposes ( section   
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m774  7c7 ,pati5t     
education & aw>5ess  7#a7 ,annual eye   

exam recomm5dation ,! ,secret>y ( ,heal?
 & ,human ,s]vices %all ensure t        
diabetes outpati5t self-managem5t tra9+ 
s]vices describ$ 9 section #ahfa7qq7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciex7qq77 educate ,m$ic>e b5efici>ies 
reg>d+ ! importance ( receiv+ an annual 
compreh5sive eye exam4  7#b7 ,pati5t    
aw>5ess ,! ,secret>y %all und]take ef=ts
 to ensure t pati5ts receiv+ digital    
ret9al imag+ ) remote int]pretation z   
describ$ 9 subsection 7kkk7 ( section   
#ahfa ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciex71 z add$ by subsection 
7a71 are aw>e ( ! availability ( &      
cov]age = diabetes outpati5t            
self-managem5t tra9+ s]vices "u         
subsection 7s77#b77,s7 ( su* section4