,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #giib  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,augu/ #g1 #bjbj,mrs4 
,wagn] introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 ! ,judici>y1 &       
,vet]ans' ,affairs1 = 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 exp& access to  
teleheal? s]vices1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,teleheal? ,act4  ,i ,,va ,mission    
,teleheal? ,cl>ification  #aja4         
,lic5sure ( heal? c>e pr(essionals      
provid+ treatm5t via telem$ic9e ,section
 #agcj;,c7b7 ( title #ch1 ,unit$ ,/ates 
,code1 is am5d$ to read z foll[s3  7b7  
,cov]$ heal? c>e pr(essionals ,=        
purposes ( ?is section1 a cov]$ heal?   
c>e pr(essional is any ( ! foll[+       
individuals3 7#a7 ,a heal? c>e          
pr(essional :o-- 7,a7 is an employee ( !

 ,dep>tm5t appo9t$ "u ! au?ority "u     
section #gcjf1 #gdja1 #gdje1 #gdjf1 or  
#gdjh ( ?is title or title #e2  7,b7 is 
au?oriz$ by ! ,secret>y to provide heal?
 c>e "u ?is *apt]2  7,c7 is requir$ to  
adh]e to all /&>ds = quality relat+ to !
 provision ( m$ic9e 9 accordance )      
applicable policies ( ! ,dep>tm5t2 &    
7,d7 has an active1 curr5t1 full1 &     
unre/rict$ lic5se1 regi/ration1 or      
c]tification 9 a ,/ate to practice !    
heal? c>e pr(ession ( ! heal? c>e       
pr(essional4  7#b7 ,a heal? pr(essional 
tra9ee :o-- 7,a7 is appo9t$ "u section  
#gdje or #gdjf ( ?is title2 &  7,b7 is  
"u ! cl9ical sup]vision ( a heal? c>e   
pr(essional describ$ 9 p>agraph 7#a74  4
  ,,ii ,advanc+ ,teleheal? ,beyond      
,,covid-#ai  #bja4 ,p]mitt+ ! ,secret>y 
( ,heal? & ,human ,s]vices to waive     
requirem5ts relat+ to ! furni%+ (       
teleheal? s]vices "u ! ,m$ic>e program  
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$ 
by add+ at ! end ! foll[+ new p>agraph3 

7#i7 ,au?ority to waive teleheal?       
requirem5ts ,not)/&+ any o!r provision (
 ?is subsection1 ! ,secret>y may waive  
any su* provision = any area & "t p]iod 
specifi$ by ! ,secret>y4  4  #bjb4 ,mak+
 p]man5t ! ability ( f$]ally qualifi$   
heal? c5t]s & rural heal? cl9ics to     
furni% teleheal? s]vices "u ! ,m$ic>e   
program ,section #ahcd7m77#h7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#h77 is am5d$-- 7#a7 9 !      
head]1 by /rik+ dur+ em]g5cy p]iod2     
7#b7 9 subp>agraph 7,a71 9 ! matt]      
prec$+ clause 7i71 by /rik+ ,dur+ &     
ins]t+ ,beg9n+ on ! fir/ day (2 &  7#c7 
9 subp>agraph 7,b77i71 by /rik+ dur+ su*
 em]g5cy p]iod4  #bjc4 ,cl>ification =  
fraud & abuse laws reg>d+ te*nologies   
provid$ to b5efici>ies ,section         
#aabh;,a7i77#f7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acbj;a-#g;a7i77#f77
 is am5d$-- 7#a7 9 subp>agraph 7,i71 by 
/rik+ 2 or & ins]t+ a semicolon2  7#b7 9
 subp>agraph 7,j71 by /rik+ ! p]iod at !
 end & ins]t+ 2 or2 &  7#c7 by add+ at !

 end ! foll[+ new subp>agraph3  7,k7 !  
provision ( te*nologies 7z def9$ by !   
,secret>y7 on or aft] ! date ( !        
enactm5t ( ?is subp>agraph1 by a provid]
 ( s]vices or suppli] 7z su* t]ms are   
def9$ = purposes ( title ,,xviii7       
directly to an individual :o is entitl$ 
to b5efits "u "p ,a ( title ,,xviii1    
enroll$ "u "p ,b ( su* title1 or bo?1 = 
! purpose ( furni%+ teleheal? s]vices1  
remote pati5t monitor+ s]vices1 or o!r  
s]vices furni%$ ?r\gh ! use ( te*nology 
7z def9$ by ! ,secret>y71 if-- 7i7 !    
te*nologies are n (f]$ z "p ( any       
adv]tisem5t or solicitation2 &  7ii7 !  
provision ( ! te*nologies meets any o!r 
requirem5ts set =? 9 regulations        
promulgat$ by ! ,secret>y4  4  ,,iii    
,enhance ,access to ,support ,ess5tial  
,behavioral ,heal? ,s]vices  #cja4      
,f9d+s ,congress f9ds z foll[s3 7#a7    
,ne>ly #ah p]c5t ( adults 9 ! ,unit$    
,/ates report$ a m5tal1 behavioral1 or  
emotional disord] 9 #bjae4  7#b7 ,*ildr5
 are also significantly impact$4        

,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 #a 9 #f *ildr5 ages #b   
ye>s ?r\gh #h ye>s h a diagnos$ m5tal1  
behavioral1 or developm5tal disord]1    
indicat+ t disord]s beg9 9 e>ly *ildhood
 & affect lifelong heal?4  7#c7         
,moreov]1 #a 9 #g *ildr5 & adolesc5ts h 
at lea/ "o treatable m5tal heal?        
disord]4  7#d7 ,!re is a critical l9k   
betwe5 m5tal heal? & sub/ance use       
disord]s4 ,accord+ to ! ,sub/ance ,abuse
 & ,m5tal ,heal? ,s]vices ,adm9i/ration1
 #a 9 #d adults ) sev]e m5tal illness _h
 a sub/ance use disord] 9 #bjag4  7#e7  
,moreov]1 *ildr5 :o h _h a major        
depressive episode are m ?an twice z    
likely to use illicit drugs4  7#f7 ,9   
#bjag1 approximately #ai4g million p ag$
 #ab ye>s or old] _h a sub/ance use     
disord] relat$ to _! use ( alcohol or   
illicit drugs 9 ! pa/ ye>4  7#g7        
,despite ?is ov]:elm+ ne$1 access to    
behavioral heal? s]vices rema9s among ! 
mo/ press+ heal? c>e *all5ges 9 our     
c\ntry4  7#h7 ,an e/imat$ #ef p]c5t (   

,am]icans ) a m5tal heal? disord] did n 
receive treatm5t 9 #bjag4  7#i7         
,simil>ly1 half ( *ildr5 & adolesc5ts   
did n receive treatm5t = _! m5tal heal? 
disord] 9 #bjaf4  7#aj7 ,fur!r          
complicat+ access to c>e1 z dem& =      
behavioral heal? s]vices increases 9    
communities across ! ,unit$ ,/ates1 !   
numb] ( psy*iatri/s available to treat  
!m cont9ues to decl9e4  7#aa7 ,!        
population ( practic+ psy*iatri/s decl9$
 by m ?an #aj p]c5t betwe5 ! p]iod (    
#bjjc ?r\gh #bjac1 :ile ! population (  
prim>y c>e physicians & neurologi/s grew
 dur+ ! same p]iod4  7#ab7 ,te*nology   
has evolv$ to connect individuals to    
heal? c>e s]vices 9 new ways1 includ+   
via teleheal?4  7#ac7 ,moreov]1 /udies  
%[ t video visits are an effective      
/rategy to provide m5tal heal? treatm5t 
to *ildr5 &1 9 fact1 may be pref]able 9 
"s cases4  7#ad7 ,dur+ ! #aae?          
,congress1 ,congress recogniz$ !        
pot5tial ( teleheal? to ensure t ^? 9   
urg5t ne$ ( sub/ance use disord]        

treatm5t receive ! c>e !y require4      
7#ae7 ,z pass$ & sign$ into law1        
sections #bjja & #ajji ( ! ,,support =  
,pati5ts & ,communities ,act 7,public   
,law #aae-bga7 exp&s ! use ( teleheal?  
s]vices = ! treatm5t ( opioid use       
disord] & o!r sub/ance use disord]s4    
7#af7 ,x is widely recogniz$ t !re is a 
close relation%ip betwe5 m5tal heal? &  
sub/ance use disord]s4  #cjb4 ,m$ic>e   
treatm5t ( behavioral heal? s]vices     
furni%$ ?r\gh teleheal? ,section        
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m771 z am5d$ by title 
,,ii1 is fur!r am5d$-- 7#a7 9 p>agraph  
7#d77;,c7-- 7,a7 9 clause 7i71 by /rik+ 
& 7#g7 & ins]t+ 7#g71 & 7#aj72 &  7,b7 9
 clause 7ii77,x7-- 7i7 by /rik+ or      
teleheal? s]vices & ins]t+ 1 teleheal?  
s]vices2 &  7ii7 by ins]t+ 1 or         
teleheal? s]vices describ$ 9 p>agraph   
7#aj7 be=e ! p]iod at ! end2 &  7#b7 by 
add+ at ! end ! foll[+ new p>agraph3    
7#aj7 ,treatm5t ( behavioral heal?      
s]vices furni%$ ?r\gh teleheal? ,!      

geographic requirem5ts describ$ 9       
p>agraph 7#d77;,c77i7 %all n apply )    
respect to teleheal? s]vices t are      
behavioral heal? s]vices furni%$ on or  
aft] ,july #a1 #bjbj1 to eligible       
teleheal? individuals1 includ+ initial  
pati5t evaluations1 foll[-up m$ical     
managem5t1 & o!r behavioral heal?       
s]vices1 z det]m9$ by ! ,secret>y1 at an
 orig9at+ site describ$ 9 p>agraph      
7#d77;,c77ii7 7o!r ?an an orig9at+ site 
describ$ 9 subclause 7,,ix7 ( su*       
p>agraph74  4  #cjc4 ,m$icaid m5tal &   
behavioral heal? treatm5t ?r\gh         
teleheal? ,section #ajji ( ! ,,support =
 ,pati5ts & ,communities ,act 7,public  
,law #aae-bga7 is am5d$-- 7#a7 9        
subsection 7b7-- 7,a7 9 ! head]1 by     
/rik+ treatm5t = sub/ance use disord]s &
 ins]t+ treatm5t = sub/ance use disord]s
 & m5tal heal? disord]s & behavioral    
heal? disord]s2  7,b7 9 ! matt] prec$+  
p>agraph 7#a71 by /rik+ ,n lat] ?an #a  
ye> aft] ! date ( enactm5t ( ?is ,act1 !
 ,secret>y & ins]t+ ,! ,secret>y2  7,c7 

9 p>agraph 7#a7-- 7i7 by /rik+ treatm5t 
= sub/ance use disord]s & ins]t+        
treatm5t = sub/ance use disord]s & m5tal
 heal? disord]s & behavioral heal?      
disord]s2 &  7ii7 by ins]t+ psy*o!rapy1 
aft] c\nsel+12  7,d7 9 p>agraph 7#b71 by
 ins]t+ or m5tal heal? disord]s &       
behavioral heal? disord]s aft] sub/ance 
use disord]s2  7,e7 9 p>agraph 7#c71 by 
ins]t+ & m5tal heal? disord]s &         
behavioral heal? disord]s aft] sub/ance 
use disord]s2 &  7,f7 by add+ at ! end1 
bel[ & aft] p>agraph 7#c71 ! foll[+ flu%
 left text3 ,! ,secret>y %all issue !   
guidance "u ?is subsection n lat] ?an #a
 ye> aft] ! date ( ! enactm5t ( ?is     
,act1 ) respect to ! matt]s describ$ 9 !
 previ\s provisions ( ?is subsection    
relat+ to sub/ance use disord]s1 & n    
lat] ?an #b ye>s aft] ! date ( !        
enactm5t ( ?is ,act1 ) respect to !     
matt]s describ$ 9 su* previ\s provisions
 relat+ to m5tal heal? disord]s &       
behavioral heal? disord]s4 2  7#b7 9    
subsection 7c7-- 7,a7 9 ! head]1 by     

/rik+ treatm5t = sub/ance use disord]s &
 ins]t+ treatm5t = sub/ance use disord]s
 & m5tal heal? disord]s & behavioral    
heal? disord]s2  7,b7 9 p>agraph 7#a71  
by /rik+ treatm5t = sub/ance use        
disord]s & ins]t+ treatm5t = sub/ance   
use disord]s & m5tal heal? disord]s &   
behavioral heal? disord]s ea* place x   
appe>s2 &  7,c7 9 p>agraph 7#b7-- 7i7 by
 ins]t+ ) respect to sub/ance use       
disord]s1 aft] p>agraph 7#a712 &  7ii7  
by add+ at ! end ! foll[+ new s5t5ce3 ,n
 lat] ?an #b ye>s aft] ! date ( enactm5t
 ( ?is ,act1 ! ,comptroll] ,g5]al %all  
submit to ,congress a report conta9+ !  
results ( ! evaluation conduct$ "u      
p>agraph 7#a71 ) respect to m5tal heal? 
disord]s & behavioral heal? disord]s1   
toge!r ) recomm5dations = su*           
legislation & adm9i/rative action z !   
,comptroll] ,g5]al det]m9es             
appropriate42 &  7#c7 9 subsection      
7d77#a7-- 7,a7 9 ! matt] prec$+         
subp>agraph 7,a71 by ins]t+ & m5tal     
heal? disord]s & behavioral heal?       

disord]s aft] sub/ance use disord]s2    
7,b7 9 subp>agraph 7,a71 by ins]t+ 1 &  
m5tal heal? disord]s & behavioral heal? 
disord]s aft] opioid use disord]2 &     
7,c7 9 subp>agraph 7,b71 by ins]t+ &    
m5tal heal? disord]s & behavioral heal? 
disord]s aft] sub/ance use disord]s4    
#cjd4 ,effective date ,! am5dm5ts made  
by ?is title %all take effect z if      
includ$ 9 ! enactm5t ( ! ,,support =    
,pati5ts & ,communities ,act4  ,,iv     
,help+ ,ensure ,access to ,local        
,tele,health  #dja4 ,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 7a7 & titles ,,ii & ,,iii1 is
 fur!r am5d$-- 7,a7 9 p>agraph          
7#d77;,c77i71 by /rik+ 7#g71 & 7#aj7 &  
ins]t+ 7#g71 7#h71 & 7#aj72 &  7,b7 by  
add+ at ! end ! foll[+ new subp>agraph3 
7,c7 ,nonapplication ( orig9at+ site    
requirem5ts ,! geographic & site        
requirem5ts describ$ 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  ,v ,teleheal? ,across ,/ate
 ,l9es  #eja4 ,national teleheal?       
program ,subp>t ,i ( "p ,d ( title ,,iii
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bed;b et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #ccj,n4        
,national teleheal? program  7a7 ,uni=m 
national be/ practices  7#a7 ,9 g5]al ,!
 ,secret>y %all1 9 consultation ) a     
range ( /akehold]s includ+ ! entities   
li/$ 9 p>agraph 7#c71 issue guidance on 
uni=m be/ practices = ! provision (     
teleheal? across ,/ate l9es4  7#b7      
,objective ,! objective ( ! be/         
practices issu$ "u p>agraph 7#a7 %all be
 to1 n lat] ?an #e ye>s aft] ! date (   
enactm5t ( ?is section1 provide         
high-quality teleheal? 9 rural areas    
across ! ,unit$ ,/ates4  7#c7           

,consultation ,! entities li/$ 9 ?is    
p>agraph include-- 7,a7 te*nology       
exp]ts2  7,b7 data security exp]ts2     
7,c7 prim>y c>e provid]s2  7,d7         
speciali/ provid]s2  7,e7 m5tal heal?   
provid]s2  7,f7 academic m$ical c5t]s2  
7,g7 ,f$]ally qualifi$ heal? c5t]s1 z   
def9$ 9 section #ahfa7;aa7 ( ! ,social  
,security ,act2  7,h7 ,/ate1 local1 or  
tribal heal? dep>tm5ts2  7,i7 critical  
access hospitals2  7,j7 any ,f$]al ag5cy
 ) exp]tise 9 ! provision (             
telecommunications or teleheal?2 &  7,k7
 consum]s ( teleheal?4  7#d7 ,reports ,!
 ,secret>y %all1 n less ?an once e ye>  
beg9n+ #a ye> aft] ! date ( enactm5t (  
?is section & end+ on ! date on :i* !   
guidance "u p>agraph 7#a7 is issu$1     
report to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives on 
! progress ( su* guidance4  7b7 ,grant  
program  7#a7 ,9 g5]al ,! ,secret>y %all
 = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd  

aw>d grants to eligible entities        
describ$ 9 p>agraph 7#b7 = ! expansion (
 teleheal? programs to rural areas4     
7#b7 ,eligible entity ,to be eligible to
 receive a grant "u ?is subsection1 an  
entity %all-- 7,a7 demon/rate t x is    
op]at+1 on ! date on :i* ! entity       
submits an application "u subp>agraph   
7,b71 an effective teleheal? program 7z 
det]m9$ 9 accordance ) crit]ia e/abli%$ 
by ! ,secret>y72 &  7,b7 submit an      
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may reasonably require1       
includ+ a plan to exp& ! teleheal?      
program op]at$ by ! entity to rural     
areas4  7#c7 ,/udy ,n lat] ?an #c ye>s  
aft] ! date ( enactm5t ( ?is section1 ! 
,secret>y %all-- 7,a7 complete a /udy on
 ! grant program "u ?is subsection1     
includ+ ! successes & *all5ges ( !      
program1 lessons ! ,secret>y has le>n$ )
 respect to ! program1 & be/ practices =
 teleheal? programs2 &  7,b7 submit a   
report on su* /udy to ! ,committee on   

,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives4   
7#d7 ,au?orization ( appropriations ,!re
 is au?oriz$ to be appropriat$ to c>ry  
out ?is subsection1 #bj1jjj1jjj = ea* ( 
fiscal ye>s #bjbj ?r\gh #bjbd4  7c7     
,def9ition ( rural area ,9 ?is section1 
! t]m rural area has ! mean+ giv5 ! t]m 
9 section #ccj;,j7e74  4  #ejb4 ,c5t] = 
,m$ic>e & ,m$icaid ,innovation 7,,cmmi7 
model to inc5tivize ! adoption (        
teleheal? 9 ord] to increase access to  
c>e 9 rural areas ,section              
#aaae;,a7b77#b77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acie;a7b77#b77;,b77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7xxviii7   
,provid+ inc5tives "u title ,,xviii to  
enc\rage ! adoption ( teleheal? 9 ord]  
to increase access to c>e 9 rural areas4
  4  ,,vi ,enhanc+ ,prep>$ness ?r\gh    
,teleheal?  #fja4 ,teleheal? enhancem5ts
 = em]g5cy response ,subsection 7e7 (   
section #cai;,d ( ! ,public ,heal?      

,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7  
is am5d$ to read z foll[s3  7e7         
,teleheal? enhancem5ts = em]g5cy        
response  7#a7 ,evaluation ,! ,secret>y1
 9 consultation ) ! ,f$]al              
,communications ,commission & o!r       
relevant ,f$]al ag5cies1 %all1 e #e     
ye>s-- 7,a7 conduct an inv5tory (       
teleheal? initiatives 9 exi/5ce on !    
date ( enactm5t ( ! ,enhanc+ ,prep>$ness
 ?r\gh ,teleheal? ,act1 includ+ !-- 7i7 
specific location ( networks & heal?    
in=mation te*nology infra/ructure t     
support su* initiatives2  7ii7 m$ical1  
te*nological1 & communications          
capabilities ( su* initiatives2  7iii7  
functionality ( su* initiatives2 &  7iv7
 capacity & ability ( su* initiatives to
 h&le increas$ volume dur+ ! response to
 a public heal? em]g5cy2  7,b7 id5tify  
me?ods to exp& & int]connect ! ,/ate &  
regional heal? in=mation networks fund$ 
by ! ,secret>y1 ! ,/ate & regional      
broadb& networks fund$ by ! ,f$]al      
,communications ,commission1 includ+ su*

 networks support$ by ! rural heal? c>e 
support me*anism pilot program1 & o!r   
teleheal? networks2  7,c7 evaluate ways 
to prep>e =1 monitor1 respond rapidly   
to1 or manage ! ev5ts (1 a public heal? 
em]g5cy ?r\gh ! enhanc$ use ( teleheal? 
te*nologies1 includ+-- 7i7 me*anisms =  
paym5t or reimbursem5t = use ( su*      
te*nologies & p]sonnel dur+ public heal?
 em]g5cies2  7ii7 ! use ( teleheal?     
te*nologies & s]vices by heal? c>e      
provid]s 9 rec5t public heal? em]g5cies2
  7iii7 ways 9 :i* ,/ates us$ teleheal? 
te*nologies & s]vices 9 ,/ate responses 
to public heal? em]g5cies2 &  7iv7      
infra/ructure & res\rce ne$s to ensure  
provid]s h ! necess>y tools1 tra9+1 &   
te*nical assi/ance to provide teleheal? 
s]vices2  7,d7 id5tify me?ods = r$uc+   
legal b>ri]s t det] heal? c>e           
pr(essionals f provid+ teleheal?        
s]vices1 su* z by utiliz+ ,/ate em]g5cy 
heal? c>e pr(essional cr$5tial+         
v]ification sy/ems1 enc\rag+ ,/ates to  
e/abli% & implem5t me*anisms to improve 

int]/ate m$ical lic5sure coop]ation1    
facilitat+ ! ex*ange ( in=mation among  
,/ates reg>d+ inve/igations & adv]se    
actions1 & enc\rag+ ,/ates to waive !   
application ( lic5s+ requirem5ts dur+ a 
public heal? em]g5cy2  7,e7 evaluate    
ways to integrate ! practice ( teleheal?
 )9 ! ,national ,disa/] ,m$ical ,sy/em  
or any rec5t actions tak5 relat$ to su* 
integration2  7,f7 promote great]       
coord9ation among exi/+ ,f$]al int]ag5cy
 teleheal? & heal? in=mation te*nology  
initiatives2 &  7,g7 make recomm5dations
 relat$ to updates on ! use ( teleheal? 
9 public heal? em]g5cies 9 ,f$]al &     
,/ate public heal? prep>$ness plans &   
any actions tak5 to implem5t su*        
recomm5dations4  7#b7 ,report  7,a7 ,9  
g5]al  7i7 ,initial report ,n lat] ?an  
#a ye> aft] ! date ( enactm5t ( !       
,enhanc+ ,prep>$ness ?r\gh ,teleheal?   
,act1 ! ,secret>y %all prep>e & submit a
 report to ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       

,comm]ce ( ! ,h\se ( ,repres5tatives    
reg>d+ ! f9d+s & recomm5dations pursuant
 to p>agraph 7#a74  7ii7 ,subsequ5t     
reports ,! ,secret>y %all submit updat$ 
reports describ$ 9 clause 7i7 to !      
committees describ$ 9 su* clause n lat] 
?an ,janu>y #a1 #bjbc1 & e #e ye>s      
!reaft]4  7,b7 ,consid]ations ,9 prep>+ 
! reports "u subp>agraph 7,a71 !        
,secret>y %all take into consid]ation   
pot5tial b>ri]s to ! adoption (         
teleheal? by pati5ts & provid]s dur+ a  
public heal? em]g5cy1 includ+-- 7i7     
provid] reimbursem5t2  7ii7 insurance   
cov]age2  7iii7 provid] lic5sure2  7iv7 
accessibility ( teleheal? & remote      
te*nologies2 &  7v7 conc]ns ar\nd       
violat+ relevant privacy1 security1 &   
pati5t safety regulations4  4  ,,vii    
,kn[+ ! ,effici5cy & ,efficacy (        
,p]man5t ,teleheal? ,options  #gja4     
,f9d+s ,congress f9ds ! foll[+3 7#a7 ,on
 ,janu>y #ba1 #bjbj1 ! ,unit$ ,/ates    
confirm$ ! ,nation's fir/ case ( ! #bjai
 novel coronavirus 7:i* pres5ts z !     

disease ,,covid-#ai74  7#b7 ,on ,janu>y 
#ca1 #bjbj1 ! ,secret>y ( ,heal? &      
,human ,s]vices 79 ?is title ref]r$ to z
 ! ,secret>y7 decl>$ a public heal?     
em]g5cy 9 response to ,,covid-#ai4  7#c7
 ,by ,m>*1 ! disease rea*$ ! p&emic     
level accord+ to ! ,_w ,heal?           
,organization1 & ! ,presid5t proclaim$ !
 ,,covid-#ai outbreak 9 ! ,unit$ ,/ates 
to con/itute a national em]g5cy4  7#d7  
,?is em]g5cy decl>ation au?orizes !     
,secret>y to tempor>ily waive or modify 
c]ta9 requirem5ts ( ! ,m$ic>e1 ,m$icaid1
 & ,/ate ,*ildr5's ,heal? ,insurance    
programs & ( ! ,heal? ,insurance        
,portability & ,acc\ntability ,act      
,privacy ,rule ?r\gh\t ! duration ( !   
public heal? em]g5cy decl>$ 9 response  
to ! ,,covid-#ai outbreak4  7#e7 ,"u ?is
 au?ority1 ! ,secret>y1 & ! ,adm9i/rator
 ( ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices
 79 ?is title ref]r$ to z !             
,adm9i/rator7 act+ "u ! ,secret>y's     
au?ority1 issu$ num]\s rules1           
regulations1 & waiv]s enabl+ ! expansion

 ( teleheal? s]vices dur+ ! public heal?
 em]g5cy4  7#f7 ,teleheal? s]vices play 
a critical role 9 enhanc+ access to c>e 
= pati5ts :ile simultane\sly r$uc+ !    
risk ( exposure to ! coronavirus = bo?  
pati5ts & provid]s4  7#g7 ,!            
,adm9i/rator exp&$ access to teleheal?  
s]vices "u ! public heal? em]g5cy to all
 ,m$ic>e b5efici>ies 7includ+           
cl9ician-provid$ s]vices to new &       
e/abli%$ pati5ts74  7#h7 ,on ,april #bc1
 #bjbj1 ! ,adm9i/rator releas$ a        
teleheal? toolkit to assi/ ,/ates 9     
exp&+ ! use ( teleheal? ?r\gh ,m$icaid &
 ,,*ip4  7#i7 ,exp&$ teleheal? options  
are valuable = all ,am]icans dur+ ?is   
public heal? crisis1 b especially =     
high-risk pati5ts & rural ,am]icans :o  
already h difficulty access+ c>e4  #gjb4
 ,/udies & reports on ! expansion (     
access to teleheal? s]vices dur+ !      
,,covid-#ai em]g5cy  7a7 ,,hhs  7#a7 ,9 
g5]al ,n lat] ?an #ahj days aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y1 9 
consultation ) ! ,adm9i/rator1 %all     

conduct a /udy & submit to ,congress a  
report on actions tak5 by ! ,secret>y   
dur+ ! em]g5cy p]iod describ$ 9 section 
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b77 to exp& access 
to teleheal? s]vices "u ! ,m$ic>e       
program1 ! ,m$icaid program1 & !        
,*ildr5's ,heal? ,insurance program4    
,su* report %all include ! foll[+3 7,a7 
,a compreh5sive li/ ( teleheal? s]vices 
available "u ! programs describ$ 9      
p>agraph 7#a7 & an explanation ( all    
actions und]tak5 by ! ,secret>y dur+ !  
em]g5cy p]iod describ$ 9 su* p>agraph to
 exp& access to su* s]vices4  7,b7 ,a   
compreh5sive li/ ( types ( provid]s t   
may be reimburs$ = su* s]vices furni%$  
"u su* programs dur+ su* p]iod1 includ+ 
a li/ ( s]vices :i* may only be         
reimburs$ "u su* programs dur+ su* p]iod
 if furni%$ by su* provid]s 9-p]son4    
7,c7 ,a quantitative analysis ( ! use ( 
su* teleheal? s]vices "u su* programs   
dur+ su* p]iod1 includ+ data po9ts on   

use by rural1 m9ority1 l[-income1 &     
eld]ly populations4  7,d7 ,a            
quantitative analysis ( ! use ( su*     
s]vices "u su* programs dur+ su* p]iod =
 m5tal & behavioral heal? treatm5ts4    
7,e7 ,an analysis ( ! public heal?      
impacts ( ! actions describ$ 9          
subp>agraph 7,a74  7#b7 ,publication (  
report ,n lat] ?an #ahj days aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y   
%all publi% on ! public website ( !     
,dep>tm5t ( ,heal? & ,human ,s]vices !  
report describ$ 9 p>agraph 7#a74  7b7   
,,gao  7#a7 ,9 g5]al ,n lat] ?an #baj   
days aft] ! date ( enactm5t ( ?is ,act1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all conduct a /udy & submit to         
,congress a report on-- 7,a7 !          
effici5cy1 managem5t1 & success &       
failures ( ! expansion ( access to      
teleheal? s]vices "u ! ,m$ic>e1         
,m$icaid1 & ,*ildr5's ,heal? ,insurance 
programs dur+ ! em]g5cy p]iod describ$ 9
 subsection 7a77#a72 &  7,b7 any risk 9 
increas$ fraudul5t activity1 & types (  

fraudul5t activity1 associat$ ) su*     
expansion4  7#b7 ,recomm5dations ,!     
report submitt$ "u p>agraph 7#a7 %all   
include recomm5dations on-- 7,a7        
pot5tial improvem5ts to teleheal?       
s]vices1 & expansions ( su* s]vices1 "u 
! programs describ$ 9 p>agraph          
7#a77;,a72 &  7,b7 ways to address any  
fraudul5t activity describ$ 9 p>agraph  
7#a77;,b74  ,,viii ,telem$ic9e ,ev]y:]e 
,lift+ ,ev]yone's ,heal?c>e ,exp]i5ce ,&
 ,long ,t]m ,heal? ,,hsa  #hja4 ,p]man5t
 exemption = teleheal? s]vices  7a7 ,9  
g5]al ,subp>agraph 7,e7 ( section       
#bbc7;c77#b7 ( ! ,int]nal ,rev5ue ,code 
( #aihf is am5d$ by /rik+ ,9 ! case (   
plan ye>s beg9n+ on or be=e ,decemb]    
#ca1 #bjba1 a plan & ins]t+ ,a plan4    
7b7 ,con=m+ am5dm5t ,clause 7ii7 (      
section #bbc7;c77#a77;,b7 ( ! ,int]nal  
,rev5ue ,code ( #aihf is am5d$ by /rik+ 
79 ! case ( plan ye>s beg9n+ on or be=e 
,decemb] #ca1 #bjba74  7c7 ,effective   
date ,! am5dm5ts made by ?is section    
%all apply to plan ye>s beg9n+ aft]     

,decemb] #ca1 #bjba4  ,,ix ,teleheal?   
,response = ,e-prescrib+ ,addiction     
,!rapy ,s]vices  #ija4 ,teleheal? =     
sub/ance use disord] treatm5t  7a7      
,sub/ance use disord] s]vices furni%$   
?r\gh teleheal? "u ,m$ic>e ,section     
#ahcd7m77#g7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7m77#g77 is am5d$  
by add+ at ! end ! foll[+3 ,) respect to
 teleheal? s]vices describ$ 9 ! prec$+  
s5t5ce t are furni%$ on or aft] ,janu>y 
#a1 #bjbj1 no?+ %all preclude ! furni%+ 
( su* s]vices ?r\gh audio or telephone  
only te*nologies 9 ! case :]e a         
physician or practition] has already    
conduct$ an 9-p]son m$ical evaluation or
 a teleheal? evaluation t utilizes bo?  
audio & visual capabilities ) ! eligible
 teleheal? individual44  7b7 ,controll$ 
sub/ances disp5s$ by means ( ! int]net  
,section #cji7;e77#b7 ( ! ,controll$    
,sub/ances ,act 7#ba ,u4,s4,c4          
#hbi7;e77#b77 is am5d$-- 7#a7 9         
subp>agraph 7,a77i7-- 7,a7 by /rik+ at  
lea/ #a 9-p]son m$ical evaluation &     

ins]t+ ! foll[+3 at lea/-- 7,i7 #a      
9-p]son m$ical evaluation  2 &  7,b7 by 
add+ at ! end ! foll[+3  7,,ii7 =       
purposes ( prescrib+ a controll$        
sub/ance 9 s*$ule ,,iii or ,,iv1 #a     
teleheal? evaluation2 or  2 &  7#b7 by  
add+ at ! end ! foll[+3  7,d7 7i7 ,! t]m
 teleheal? evaluation means a m$ical    
evaluation t is conduct$ 9 accordance ) 
applicable ,f$]al & ,/ate laws by a     
practition] 7o!r ?an a ph>maci/7 :o is  
at a location remote f ! pati5t & is    
communicat+ ) ! pati5t us+ a            
telecommunications sy/em ref]r$ to 9    
section #ahcd7m7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciem7m77 t        
includes1 at a m9imum1 audio & video    
equipm5t p]mitt+ two-way1 real-"t       
int]active communication betwe5 ! pati5t
 & di/ant site practition]4  7ii7 ,no?+ 
9 clause 7i7 %all be con/ru$ to imply t 
#a teleheal? evaluation demon/rates t a 
prescription has be5 issu$ = a          
legitimate m$ical purpose )9 ! usual    
c\rse ( pr(essional practice4  7iii7 ,a 

practition] :o prescribes ! drugs or    
comb9ation ( drugs t are cov]$ "u       
section #cjc7;g77#b77;,c7 us+ ! au?ority
 "u subp>agraph 7,a77i77,,ii7 ( ?is     
p>agraph %all adh]e to nationally       
recogniz$ evid5ce-bas$ guidel9es = !    
treatm5t ( pati5ts ) opioid use disord]s
 & a div]sion control plan1 z ^? t]ms   
are def9$ 9 section #h4b ( title #db1   
,code ( ,f$]al ,regulations1 z 9 effect 
on ! date ( enactm5t ( ?is subp>agraph4 
4