,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gega  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #i1 #bjbj,mr4   
,"y introduc$ ! foll[+ bill2 :i* 0      
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,agriculture1 = 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 exp& access 9 fronti] ,/ates to     
m5tal heal? s]vices furni%$ ?r\gh       
teleheal?1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,facilitat+ ,re=ms t ,(f] ,necess>y     
,teleheal? ,9 ,e ,rural 7,,fronti]7     
,community ,act4  #b4 ,exp&+ access to  
m5tal heal? s]vices furni%$ 9 fronti]   
,/ates ?r\gh teleheal?  7a7 ,9 g5]al    
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is       
am5d$-- 7#a7 9 p>agraph 7#b77;,b77i71 9 
! matt] prec$+ subclause 7,i71 by /rik+ 

p>agraph 7#f77;,c7 & ins]t+ p>agraphs   
7#f77;,c7 & 7#i72  7#b7 9 p>agraph      
7#d77;,c77i71 by /rik+ & 7#g7 & ins]t+  
7#g71 & 7#i72 &  7#c7 by add+ at ! end !
 foll[+ new p>agraph3  7#i7 ,treatm5t ( 
m5tal heal? s]vices furni%$ 9 fronti]   
,/ates  7,a7 ,9 g5]al ,! orig9at+ site  
requirem5ts "u p>agraph 7#d77;,c7 %all n
 apply ) respect to teleheal? s]vices   
furni%$ on or aft] ,janu>y #a1 #bjba1 t 
are furni%$ 9 a fronti] ,/ate 7z def9$ 9
 section #ahhf7;d77#c77;,e77iii77,,ii77 
& are m5tal heal? s]vices 7z det]m9$ by 
! ,secret>y71 except t a facility fee "u
 p>agraph 7#b77;,b77i7 may only be paid 
to an orig9at+ site t is a site describ$
 9 any ( subclauses 7,i7 ?r\gh 7,,ix7 ( 
p>agraph 7#d77;,c77ii74  7,b7 ,def9ition
 ( orig9at+ site ,) respect to teleheal?
 s]vices describ$ 9 subp>agraph 7,a71 ! 
t]m orig9at+ site means any fix$ or     
mobile location at :i* ! individual is  
locat$ at ! "t ! s]vice is furni%$4  4  
7b7 ,grants = ! deploym5t ( broadb&     
/ructure  7#a7 ,9 g5]al ,! ,*airman ( ! 

,f$]al ,communications ,commission & !  
,adm9i/rator ( ! ,rural ,utilities      
,s]vice ( ! ,unit$ ,/ates ,dep>tm5t (   
,agriculture1 9 consultation ) !        
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration & ! ,director ( !
 ,indian ,heal? ,s]vice1 %all aw>d      
grants = ! deploym5t ( broadb&          
infra/ructure 9 fronti] ,/ates1 z def9$ 
9 section #ahhf7;d77#c77;,e77iii77,,ii7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4                               
#acieww7d77#c77;,e77iii77,,ii771 to     
support ! furni%+ ( m5tal heal? s]vices 
?r\gh teleheal? pursuant to section     
#ahcd7m77#i7 ( su* ,act1 z add$ by      
subsection 7a74  7#b7 ,au?orization ,!re
 are au?oriz$ to be appropriat$ su* sums
 z are necess>y = purposes ( c>ry+ out  
?is subsection4  #c4 ,indian ,heal?     
,s]vice facilities  7a7 ,9 g5]al        
,section #ahcd7m77#d77;,c7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c771 z am5d$ by section 
#b7;a71 is am5d$-- 7#a7 9 clause 7i71 9 

! matt] prec$+ subclause 7,i71 by ins]t+
 1 & subject to clause 7iii7 aft] &     
7#i72 &  7#b7 by add+ at ! end ! foll[+ 
new clause3  7iii7 ,indian ,heal?       
,s]vice facilities ,! orig9at+ site     
requirem5ts describ$ 9 clauses 7i7 &    
7ii7 %all n apply ) respect to a        
facility ( ! ,indian ,heal? ,s]vice1    
:e!r op]at$ by su* ,s]vice1 or by an    
,indian tribe 7z t t]m is def9$ 9       
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 
or a tribal organization 7z t t]m is    
def9$ 9 section #d ( ! ,indian          
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd774 
4  7b7 ,no orig9at+ site facility fee = 
new sites ,section #ahcd7m77#b77;,b77i7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7m77#b77;,b77i77 is     
am5d$1 9 ! matt] prec$+ subclause 7,i71 
by ins]t+ 7o!r ?an an orig9at+ site t is
 only describ$ 9 clause 7iii7 ( p>agraph
 7#d77;,c71 & does n meet ! requirem5t =
 an orig9at+ site "u clause 7i7 ( su*   

p>agraph7 aft] ! orig9at+ site4  7c7    
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjba4