,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gahg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #aa1 #bjbj,mr4  
,?ompson ( ,p5nsylvania 7= himself &    
,mr4 ,butt]field7 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 = p]man5t paym5ts =         
teleheal? s]vices furni%$ by ,f$]ally   
qualifi$ heal? c5t]s & rural heal?      
cl9ics "u ! ,m$ic>e program4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,help+  
,ensure ,access to ,local ,tele,health  
,act ( #bjbj or ! ,,heal? ,act ( #bjbj4 
#b4 ,provid+ = p]man5t co/-relat$       
paym5ts = teleheal? s]vices furni%$ by  
,f$]ally qualifi$ heal? c5t]s & rural   
heal? cl9ics "u ! ,m$ic>e program &     
p]man5tly remov+ orig9at+ site facility 

& location requirem5ts = di/ant site    
teleheal? s]vices furni%$ by su* c5t]s &
 su* cl9ics  7a7 ,p]man5t teleheal?     
paym5ts ,section #ahcd7m77#h7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#h77 is am5d$-- 7#a7 9 !      
head]1 by /rik+ dur+ em]g5cy p]iod2     
7#b7 9 subp>agraph 7,a71 9 ! matt]      
prec$+ clause 7i71 by /rik+ ,dur+ !     
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 & ins]t+ ,) respect  
to teleheal? s]vices furni%$ on or aft] 
! date ( ! beg9n+ ( ! em]g5cy p]iod     
describ$ 9 section #aace7;g77#a77;,b72 &
  7#c7 by /rik+ subp>agraph 7,b7 &      
ins]t+ ! foll[+ new subp>agraph3  7,b7  
,paym5t  7i7 ,9 g5]al ,a teleheal?      
s]vice furni%$ by a rural heal? cl9ic or
 a ,f$]ally qualifi$ heal? c5t] s]v+ z a
 di/ant site to an individual %all be   
deem$ to be s furni%$ to su* individual 
z an outpati5t ( su* cl9ic or facility  
7z applicable7 = purposes ( p>agraph    
7#a7 or 7#c71 respectively1 ( section   
#ahfa7;aa7 & payable z a rural heal?    

cl9ic s]vice or ,f$]ally qualifi$ heal? 
c5t] s]vice 7z applicable7 "u section   
#ahcc7;a77#c7 or "u ! prospective paym5t
 sy/em e/abli%$ "u section #ahcd7o71    
respectively4  7ii7 ,treatm5t ( co/s =  
,,fqhc ,,pps calculations & ,,rhc ,,air 
calculations ,co/s associat$ ) ! deliv]y
 ( teleheal? s]vices by a ,f$]ally      
qualifi$ heal? c5t] or rural heal? cl9ic
 s]v+ z a di/ant site pursuant to ?is   
p>agraph %all be consid]$ all[able co/s 
= purposes ( ! prospective paym5t sy/em 
e/abli%$ "u section #ahcd7o7 & any      
paym5t me?odologies develop$ "u section 
#ahcc7;a77#c71 z applicable4  4  7b7    
,elim9ation ( orig9at+ site requirem5ts 
= teleheal? s]vices furni%$ by ,f,q,h,cs
 or ,r,h,cs  7#a7 ,9 g5]al ,section     
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m771 z am5d$ by       
subsection 7a71 is fur!r am5d$-- 7,a7 9 
p>agraph 7#d77;,c77i71 by /rik+ & 7#g7 &
 ins]t+ 7#g71 & 7#h72 &  7,b7 by add+ at
 ! end ! foll[+ new subp>agraph3  7,c7  
,nonapplication ( orig9at+ site         

requirem5ts ,! geographic & site        
requirem5ts describ$ 9 p>agraph         
7#d77;,c7 %all n apply ) respect to     
teleheal? s]vices furni%$ by a ,f$]ally 
qualifi$ heal? c5t] or a rural heal?    
cl9ic s]v+ z a di/ant site4  4  7#b7    
,special paym5t rule = orig9at+ sites ) 
respect to teleheal? s]vices furni%$ by 
an ,,fqhc or ,,rhc ,section             
#ahcd7m77#b77;,b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#b77;,b77 
is am5d$-- 7,a7 9 clause 7i71 by /rik+  
clause 7ii7 & ins]t+ clauses 7ii7 &     
7iii72 &  7,b7 by add+ at ! end ! foll[+
 new clause3  7iii7 ,special rule =     
teleheal? s]vices furni%$ by ,f,q,h,cs &
 ,r,h,cs ,no facility fee %all be paid  
"u ?is subp>agraph to an orig9at+ site )
 respect to teleheal? s]vices furni%$ by
 a ,f$]ally qualifi$ heal? c5t] or rural
 heal? cl9ic s]v+ z a di/ant site unless
 su* orig9at+ site is a site describ$ 9 
any ( subclauses 7,i7 ?r\gh 7,,ix7 (    
p>agraph 7#d77;,c77ii74  4  7c7         
,treatm5t ( ,,fqhc & ,,rhc teleheal?    

s]vices z a visit ,! ,secret>y ( ,heal? 
& ,human ,s]vices %all revise section   
#dje4bdfc ( title #db1 ,code ( ,f$]al   
,regulations 7or a successor regulation7
 to provide t1 9 ! case ( a ,f$]ally    
qualifi$ heal? c5t] or a rural heal?    
cl9ic s]v+ z a di/ant site furni%+      
teleheal? s]vices to an individual 9    
accordance ) section #ahcd7m7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m771 su* s]vices s furni%$ are   
consid]$ to con/itute a visit to su*    
c5t] or su* cl9ic 7z applicable7 by su* 
individual4