,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #gega  ,,in ,,the ,,house ,,of  
,,representatives  ,july #i1 #bjbj,mr4  
,young introduced the following bill2   
which was referred to the ,committee on 
,energy and ,commerce1 and in addition  
to the ,committees on ,ways and ,means1 
and ,agriculture1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to expand    
access in frontier ,states to mental    
health services furnished through       
telehealth1 and for other purposes4  #a4
 ,short title ,this ,act may be cited as
 the ,facilitating ,reforms that ,offer 
,necessary ,telehealth ,in ,every ,rural
 7,,frontier7 ,community ,act4  #b4     
,expanding access to mental health      
services furnished in frontier ,states  
through telehealth  7a7 ,in general     
,section #ahcd7m7 of the ,social        

,security ,act 7#db ,u4,s4,c4 #aciem7m77
 is amended-- 7#a7 in paragraph         
7#b77;,b77i71 in the matter preceding   
subclause 7,i71 by striking paragraph   
7#f77;,c7 and inserting paragraphs      
7#f77;,c7 and 7#i72  7#b7 in paragraph  
7#d77;,c77i71 by striking and 7#g7 and  
inserting 7#g71 and 7#i72 and  7#c7 by  
adding at the end the following new     
paragraph3  7#i7 ,treatment of mental   
health services furnished in frontier   
,states  7,a7 ,in general ,the          
originating site requirements under     
paragraph 7#d77;,c7 shall not apply with
 respect to telehealth services         
furnished on or after ,january #a1      
#bjba1 that are furnished in a frontier 
,state 7as defined in section           
#ahhf7;d77#c77;,e77iii77,,ii77 and are  
mental health services 7as determined by
 the ,secretary71 except that a facility
 fee under paragraph 7#b77;,b77i7 may   
only be paid to an originating site that
 is a site described in any of          
subclauses 7,i7 through 7,,ix7 of       

paragraph 7#d77;,c77ii74  7,b7          
,definition of originating site ,with   
respect to telehealth services described
 in subparagraph 7,a71 the term         
originating site means any fixed or     
mobile location at which the individual 
is located at the time the service is   
furnished4  4  7b7 ,grants for the      
deployment of broadband structure  7#a7 
,in general ,the ,chairman of the       
,federal ,communications ,commission and
 the ,administrator of the ,rural       
,utilities ,service of the ,united      
,states ,department of ,agriculture1 in 
consultation with the ,administrator of 
the ,health ,resources and ,services    
,administration and the ,director of the
 ,indian ,health ,service1 shall award  
grants for the deployment of broadband  
infrastructure in frontier ,states1 as  
defined in section                      
#ahhf7;d77#c77;,e77iii77,,ii7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#c77;,e77iii77,,ii771 to     
support the furnishing of mental health 

services through telehealth pursuant to 
section #ahcd7m77#i7 of such ,act1 as   
added by subsection 7a74  7#b7          
,authorization ,there are authorized to 
be appropriated such sums as are        
necessary for purposes of carrying out  
this subsection4  #c4 ,indian ,health   
,service facilities  7a7 ,in general    
,section #ahcd7m77#d77;,c7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#d77;,c771 as amended by      
section #b7;a71 is amended-- 7#a7 in    
clause 7i71 in the matter preceding     
subclause 7,i71 by inserting 1 and      
subject to clause 7iii7 after and 7#i72 
and  7#b7 by adding at the end the      
following new clause3  7iii7 ,indian    
,health ,service facilities ,the        
originating site requirements described 
in clauses 7i7 and 7ii7 shall not apply 
with respect to a facility of the       
,indian ,health ,service1 whether       
operated by such ,service1 or by an     
,indian tribe 7as that term is defined  
in section #d of the ,indian ,health    

,care ,improvement ,act 7#be ,u4,s4,c4  
#afjc77 or a tribal organization 7as    
that term is defined in section #d of   
the ,indian ,self-,determination and    
,education ,assistance ,act 7#be        
,u4,s4,c4 #ecjd774  4  7b7 ,no          
originating site facility fee for new   
sites ,section #ahcd7m77#b77;,b77i7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7m77#b77;,b77i77 is     
amended1 in the matter preceding        
subclause 7,i71 by inserting 7other than
 an originating site that is only       
described in clause 7iii7 of paragraph  
7#d77;,c71 and does not meet the        
requirement for an originating site     
under clause 7i7 of such paragraph7     
after the originating site4  7c7        
,effective date ,the amendments made by 
this section shall apply to services    
furnished on or after ,january #a1      
#bjba4