,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #egfc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #e1 #bjbj,mr4 ,gian=te 7= himself & ,ms4 ,e%oo7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to advance teleheal? by develop+ a plan = adoption & coord9ation by ,f$]al ag5cies1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,national ,teleheal? ,/rategy & ,data ,advancem5t ,act4 #b4 ,recomm5dations on framework to advance teleheal? 7a7 ,9 g5]al ,section #ccj;,i ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7 to read z foll[s3 7#a7 ,director ,! t]m ,director means ! ,director ( ! ,(fice = ! ,advancem5t ( ,teleheal? z e/abli%$ "u subsection 7c74 2 & 7,b7 9 p>agraph 7#g71 by ins]t+ ,su* t]m includes connect$ c>e4 aft] heal?42 7#b7 9 subsection 7b71 by /rik+ "u section #cja & ins]t+ "u subsection 7d72 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,heal? ,res\rces & ,s]vices ,adm9i/ration & ins]t+ ,(fice ( ! ,secret>y2 & 7ii7 by ins]t+ 7ref]r$ to 9 ?is section z ! ,(fice7 aft] ,teleheal?2 & 7,b7 9 p>agraph 7#b71 by /rik+ "u section #cja & ins]t+ "u subsection 7d72 7#d7 9 subsection 7h71 by /rik+ 1 9 a publication ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ins]t+ on a publicly accessible website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a2 & 7#e7 by /rik+ subsection 7s7 & ins]t+ ! foll[+3 7s7 ,plan & recomm5dations ,to advance teleheal? 7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act develop a plan = ! adoption1 advancem5t1 & coord9ation ( teleheal? by ,f$]al ag5cies2 7,b7 update e two ye>s ! plan develop$ "u subp>agraph 7,a7 & make recomm5dations to improve access to teleheal?1 coord9ation ( teleheal? by ,f$]al ag5cies1 & heal? outcomes ) respect to ! use ( teleheal? z a means to deliv] heal? c>e s]vices z ! ,secret>y det]m9es to be appropriate2 7,c7 /&>dize ,f$]al teleheal? grant processes & data report+ to build a compreh5sive evid5ce base 9 ord] to enable high-quality & effective use ( teleheal? to deliv] heal? c>e s]vices2 7,d7 provide assi/ance to regional & national entities to enable great] use ( teleheal? 9 heal? c>e deliv]y by individuals1 heal? c>e provid]s1 cities1 & ,/ates2 7,e7 provide ,f$]al gov]nance & ov]sight ( ,f$]al exp5ditures on teleheal? & broadb& t facilitate ! deliv]y ( teleheal? s]vices2 & 7,f7 ensure in=mation %>+1 cross-,f$]al collaboration1 & acc\ntability across all ,f$]al ag5cies4 7#b7 ,recomm5dations ,! plan "u p>agraph 7#a77;,a7 %all include recomm5dations to address ea* ( ! foll[+3 7,a7 ,a*iev+ a /&>diz$ application sy/em = ,f$]al teleheal? grants across ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,agriculture1 ! ,dep>tm5t ( ,def5se1 & o!r ag5cies z ! ,secret>y det]m9es to be appropriate4 7,b7 ,e/abli%+ a publicly available database ( all teleheal? grants across ,f$]al ag5cies4 7,c7 ,e/abli%+ a /&>diz$ set ( outcome measures ) a focus on co/ & quality ( c>e deliv]$ via teleheal?4 7,d7 ,requir+ recipi5ts ( ,f$]al teleheal? grants to report /&>diz$ outcomes measures4 7,e7 ,/&>diz+ data collection & report+ across recipi5ts ( ,f$]al teleheal? grants4 7,f7 ,develop+ a public repository = data report$ = rese>* purposes ?r\gh ! /&>diz$ set ( outcome measures "u subp>agraph 7,c7 by recipi5ts ( ,f$]al teleheal? grants4 7,g7 ,protect+ in=mation disclos$ 9 subp>agraph 7,f7 by apply+ ! provisions ( ! ,,hipaa privacy regulation 7z def9$ 9 section #aahj7;b77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#i77 to ! entity receiv+ & disclos+ su* in=mation 9 ! same mann] z su* provisions w\ld apply to su* in=mation if receiv$ or disclos$ by a cov]$ entity 7z su* t]m is def9$ = purposes ( su* regulation74 7,h7 ,inc5tiviz+ rese>* on report$ data to build a /rong base ( evid5ce on ! impacts ( teleheal? on co/ & quality ( c>e4 7,i7 ,additional priority t>get areas z det]m9$ appropriate by ! ,secret>y4 7#c7 ,consultation ,9 develop+ recomm5dations "u subp>agraphs 7,a7 ?r\gh 7,e7 ( p>agraph 7#b71 ! ,secret>y %all consult ) ! foll[+ individuals or _! designees3 7,a7 ,! heads ( ea* ag5cy1 division1 elem5t1 or organization "u ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,b7 ,! ,secret>y ( ,vet]ans ,affairs4 7,c7 ,! ,secret>y ( ,def5se4 7,d7 ,! ,director ( ! ,(fice ( ,managem5t & ,budget4 7,e7 ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates4 7,f7 ,! ,*airman ( ! ,f$]al ,communications ,commission4 7,g7 ,! ,*airman ( ! ,f$]al ,trade ,commission4 7,h7 ,! ,director ( ! ,national ,in/itute ( ,/&>ds & ,te*nology4 7,i7 ,! ,director ( ! ,national ,sci5ce ,f\ndation4 7,j7 ,! ,adm9i/rator ( ! ,national ,a]onautics & ,space ,adm9i/ration4 7,k7 ,! head ( any o!r ,f$]al ag5cy t ! ,secret>y det]m9es to be appropriate4 7#d7 ,public comm5t p]iod ,n lat] ?an #c mon?s aft] develop+ ! plan requir$ "u p>agraph 7#a77;,a71 ! ,secret>y %all publi% 9 ! ,f$]al ,regi/] a notice provid+ = an opportunity = ! public to comm5t on ! recomm5dations develop$ "u subp>agraphs 7,a7 ?r\gh 7,e7 ( p>agraph 7#b74 7#e7 ,reports 7,a7 ,9 g5]al ,! ,secret>y %all submit to ,congress a bi5nial report on ,f$]al exp5ditures on teleheal? & ! progress ( ag5cies adopt+ & effectively us+ teleheal?4 7,b7 ,elem5ts ( report ,ea* report %all include ! foll[+3 7i7 ,an update on ,f$]al inve/m5ts 9 teleheal?4 7ii7 ,an assessm5t ( ! p]c5tage ( ! co/s ( heal? c>e s]vices deliv]$ via teleheal? t are paid us+ ,f$]al funds4 7iii7 ,an update on ef=ts to improve access to teleheal?4 7t7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section-- 7#a7 = grants "u subsection 7d77#a71 #cj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe2 7#b7 = grants "u subsection 7d77#b71 #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe2 & 7#c7 = ! activities describ$ 9 subsection 7s71 #aj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 7b7 ,con=m+ am5dm5t ,section #ccj,k7b77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#af7;b77#a77 is am5d$ by /rik+ ,heal? ,res\rces & ,s]vices ,adm9i/ration & ins]t+ ,(fice ( ! ,secret>y4