,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gjgh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #a1 #bjbj,ms4   
,kelly ( ,ill9ois 7= h]self1 ,mr4 ,bi%op
 ( ,georgia1 ,ms4 ,jackson ,lee1 ,ms4   
,sewell ( ,alabama1 ,mr4 ,?ompson (     
,mississippi1 ,ms4 ,fudge1 ,mr4         
,butt]field1 ,mr4 ,payne1 ,ms4 ,lee (   
,cali=nia1 & ,mr4 ,coh57 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 /udy ! effects ( *anges to 
teleheal? "u ! ,m$ic>e & ,m$icaid       
programs dur+ ! ,,covid-#ai em]g5cy4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,evaluat+ ,disp>ities & ,outcomes (   
,teleheal? ,dur+ ! ,,covid-#ai ,em]g5cy 
,act ( #bjbj or ! ,,edot ,act ( #bjbj4  
#b4 ,/udy on ! effects ( *anges to      
teleheal? "u ! ,m$ic>e & ,m$icaid       

programs dur+ ! ,,covid-#ai em]g5cy  7a7
 ,9 g5]al ,n lat] ?an #a ye> aft] ! end 
( ! em]g5cy p]iod describ$ 9 section    
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b771 ! ,secret>y ( 
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all conduct a 
/udy & submit to ! ,committee on ,en]gy 
& ,comm]ce & ! ,committee on ,ways &    
,means ( ! ,h\se ( ,repres5tatives & !  
,committee on ,f9ance ( ! ,s5ate an     
int]im report on any *anges made to !   
provision or availability ( teleheal?   
s]vices "u "p ,a or ,b ( title ,,xviii (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acie et seq47 dur+ su* p]iod4 ,su*    
report %all include ! foll[+3 7#a7 ,a   
summ>y ( utilization ( all heal? c>e    
s]vices furni%$ "u su* "p ,a or ,b dur+ 
su* p]iod1 includ+ ! numb] ( teleheal?  
visits 7brok5 d[n by ! numb] ( su*      
visits furni%$ via audio-visual         
te*nology1 ! numb] ( su* visits furni%$ 
via audio-only te*nology1 & ! numb] (   

su* visits furni%$ by a ,f$]ally        
qualifi$ heal? c5t]1 rural heal? cl9ic1 
or community heal? c5t]1 respectively1  
if practicable71 9-p]son outpati5t      
visits1 inpati5t admissions1 & em]g5cy  
dep>tm5t visits4  7#b7 ,a description ( 
any *anges 9 utilization patt]ns = ! c>e
 sett+s describ$ 9 p>agraph 7#a7 ov] !  
c\rse ( su* p]iod comp>$ to su* patt]ns 
prior to su* p]iod4  7#c7 ,an analysis (
 utilization ( teleheal? s]vices "u su* 
"p ,a or ,b dur+ su* p]iod1 brok5 d[n by
 race & e?nicity1 geographic region1 &  
income level 7z measur$ directly or     
indirectly1 su* z by pati5t's zip code  
tabulation area m$ian income z publicly 
report$ by ! ,unit$ ,/ates ,c5sus       
,bureau71 & ( any tr5ds 9 su*           
utilization dur+ su* p]iod1 s brok5 d[n4
 ,su* analysis may n include any        
p]sonally id5tifiable in=mation or      
protect$ heal? in=mation4  7#d7 ,a      
description ( exp5ditures & any sav+s "u
 su* "p ,a or ,b attributable to use (  
su* teleheal? s]vices dur+ su* p]iod4   

7#e7 ,a description ( any in/ances (    
fraud id5tifi$ by ! ,secret>y1 act+     
?r\gh ! ,(fice ( ! ,inspector ,g5]al or 
o!r relevant ag5cies & dep>tm5ts1 )     
respect to su* teleheal? s]vices furni%$
 "u su* "p ,a or ,b dur+ su* p]iod & a  
comp>ison ( ! numb] ( su* in/ances ) !  
numb] ( in/ances ( fraud s id5tifi$ )   
respect to 9-p]son s]vices s furni%$    
dur+ su* p]iod4  7#f7 ,a description (  
any privacy conc]ns ) respect to !      
furni%+ ( su* teleheal? s]vices 7su* z  
cyb]security or ransomw>e conc]ns71     
includ+ a description ( any actions tak5
 by ! ,secret>y1 act+ ?r\gh ! ,heal?    
,sector ,cyb]security ,coord9ation ,c5t]
 or o!r relevant ag5cies & dep>tm5ts1   
dur+ su* p]iod to assi/ heal? c>e       
provid]s secure telecommunications      
sy/ems4  7b7 ,input ,9 conduct+ ! /udy &
 submitt+ ! report "u subsection 7a71 ! 
,secret>y-- 7#a7 may-- 7,a7 consult )   
relevant /akehold]s 7su* z pati5ts1     
m9ority or tribal gr\ps1 m$ical         
pr(essionals1 hospitals1 ,/ate m$ical   

bo>ds1 ,/ate nurs+ bo>ds1 ! ,f$]ation ( 
,/ate ,m$ical ,bo>ds1 ,national ,c\ncil 
( ,/ate ,bo>ds ( ,nurs+1 m$ical         
pr(essional employ]s 7su* z hospitals1  
m$ical gr\ps1 /aff+ companies71         
teleheal? gr\ps1 heal? pr(essional      
liability provid]s1 public & private    
pay]s1 & ,/ate lead]s72 &  7,b7 solicit 
public comm5ts on su* report be=e !     
submission ( su* report2 &  7#b7 %all   
endeavor to include z _m racially1      
e?nically1 geographically1 &            
pr(essionally div]se p]spectives z      
possible4  7c7 ,f9al report ,n lat] ?an 
,decemb] #ca1 #bjbd1 ! ,secret>y %all-- 
7#a7 update & f9alize ! int]im report "u
 subsection 7a72 &  7#b7 submit su*     
updat$ & f9aliz$ report to ! committees 
specifi$ 9 su* subsection4  7d7 ,grants 
= ,m$icaid reports  7#a7 ,9 g5]al ,n    
lat] ?an #b ye>s aft] ! end ( ! em]g5cy 
p]iod describ$ 9 section                
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db                              
,u4,s4,c4#acbj;b-#e7;g77#a77;,b771 !    

,secret>y %all aw>d grants to ,/ates ) a
 ,/ate plan 7or waiv] ( su* plan7 9     
effect "u title ,,xix ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #acifr7 t 
submit an application "u ?is subsection 
= purposes ( enabl+ su* ,/ates to /udy &
 submit reports to ! ,secret>y on any   
*anges made to ! provision or           
availability ( teleheal? s]vices "u su* 
plans 7or su* waiv]s7 dur+ su* p]iod4   
7#b7 ,eligibility ,to be eligible to    
receive a grant "u p>agraph 7#a71 a     
,/ate %all-- 7,a7 provide b5efits =     
teleheal? s]vices "u ! ,/ate plan 7or   
waiv] ( su* plan7 9 effect "u title     
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acifr72  7,b7 be able to     
diff]5tiate teleheal? f 9-p]son visits  
)9 claims data submitt$ "u su* plan 7or 
su* waiv]7 dur+ su* p]iod2 &  7,c7      
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation 7includ+ ! am\nt ( ! grant    
reque/$7 z ! ,secret>y may require4     
7#c7 ,use ( funds ,an ,/ate %all use    

am\nts receiv$ "u a grant "u ?is        
subsection to conduct a /udy & report   
f9d+s reg>d+ ! effects ( *anges to      
teleheal? s]vices (f]$ "u ! ,/ate plan  
7or waiv] ( su* plan7 ( su* ,/ate "u    
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 dur+ su*  
p]iod 9 accordance ) p>agraph 7#d74     
7#d7 ,reports  7,a7 ,int]im report ,n   
lat] #a ye> aft] ! date a ,/ate receives
 a grant "u ?is subsection1 ! ,/ate %all
 submit to ! ,secret>y an int]im report 
t-- 7i7 details any *anges made to !    
provision or availability ( teleheal?   
b5efits 7su* z eligibility1 cov]age1 or 
paym5t *anges7 "u ! ,/ate plan 7or waiv]
 ( su* plan7 ( ! ,/ate "u title ,,xix ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif et seq47 dur+ ! em]g5cy p]iod     
describ$ 9 p>agraph 7#a72 &  7ii7       
conta9s-- 7,i7 a summ>y & description ( 
! type describ$ 9 p>agraphs 7#a7 & 7#b71
 respectively1 ( subsection 7a72 &      
7,,ii7 to ! ext5t practicable1 an       
analysis ( ! type describ$ 9 p>agraph   

7#c7 ( subsection 7a71  except t any    
ref]5ce 9 su* subsection to su* "p ,a or
 ,b %all1 = purposes ( subclauses 7,i7 &
 7,,ii71 be treat$ z a ref]5ce to su*   
,/ate plan 7or waiv]74  7,b7 ,f9al      
report ,n lat] ?an #c ye>s aft] ! date a
 ,/ate receives a grant "u ?is          
subsection1 ! ,/ate %all update &       
f9alize ! int]im report & submit su*    
f9al report to ! ,secret>y4  7,c7       
,report by ,secret>y ,n lat] ?an ! e>li]
 ( ! date t is #a ye> aft] ! submission 
( all f9al reports "u subp>agraph 7,b7 &
 ,decemb] #ca1 #bjbh1 ! ,secret>y %all  
submit to ,congress a report on ! grant 
program1 includ+ a summ>y ( ! reports   
receiv$ f ,/ates "u ?is p>agraph4  7#e7 
,modification au?ority ,! ,secret>y may 
modify any deadl9e describ$ 9 p>agraph  
7#d7 or any in=mation requir$ to be     
includ$ 9 a report made "u ?is          
subsection to provide flexibility =     
,/ates to modify ! scope ( ! /udy &     
timel9e = su* reports4  7#f7 ,te*nical  
assi/ance ,! ,secret>y %all provide su* 

te*nical assi/ance z may be necess>y to 
a ,/ate receiv+ a grant "u ?is          
subsection 9 ord] to assi/ su* /ate 9   
conduct+ /udies & submitt+ reports "u   
?is subsection4  7#g7 ,/ate ,= purposes 
( ?is subsection1 ! t]m ,/ate means ea* 
( ! sev]al ,/ates1 ! ,di/rict (         
,columbia1 & ea* t]ritory ( ! ,unit$    
,/ates4  7e7 ,au?orization (            
appropriations  7#a7 ,m$ic>e ,= !       
purpose ( c>ry+ out subsections 7a7     
?r\gh 7c71 !re are au?oriz$ to be       
appropriat$ su* sums z may be necess>y =
 ea* ( ! fiscal ye>s #bjbj ?r\gh #bjbd4 
7#b7 ,m$icaid ,= ! purpose ( c>ry+ out  
subsection 7d71 !re are au?oriz$ to be  
appropriat$ su* sums z may be necess>y =
 ea* ( ! fiscal ye>s #bjbb ?r\gh #bjbh4