,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hdgf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,octob] #a1 #bjbj,ms4 
,blunt ,ro*e/] 7= h]self & ,mr4         
,burgess7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce  ,a ,,bill  ,to provide =      
/rategies to increase access to         
teleheal? "u ! ,m$icaid program &       
,*ildr5's ,heal? ,insurance ,program1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,teleheal?         
,improvem5t = ,kids' ,ess5tial ,s]vices 
,act or ! ,,tikes ,act4  #b4 ,/rategies 
to increase access to teleheal? "u      
,m$icaid & ,*ildr5's ,heal? ,insurance  
,program  7a7 ,guidance ,n lat] ?an #a  
ye> aft] ! date ( ! enactm5t ( ?is ,act1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
%all issue & dissem9ate guidance to     
,/ates to cl>ify /rategies to ov]come   
exi/+ b>ri]s & increase access to       
teleheal? "u ! ,m$icaid program "u title
 ,,xix ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #acif et seq47 & ! ,*ildr5's  

,heal? ,insurance ,program "u title     
,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa
 et seq474 ,su* guidance %all include   
te*nical assi/ance & be/ practices      
reg>d+-- 7#a7 teleheal? deliv]y ( cov]$ 
s]vices2  7#b7 recomm5d$ volunt>y bill+ 
codes1 modifi]s1 & place-(-s]vice       
designations = teleheal? & o!r virtual  
heal? c>e s]vices2  7#c7 !              
simplification or alignm5t 7includ+     
?r\gh reciprocity7 ( provid] lic5s+1    
cr$5tial+1 & enrollm5t protocols )      
respect to teleheal? across ,/ates1     
,/ate ,m$icaid plans "u su* title ,,xix1
 & ,m$icaid manag$ c>e organizations1   
includ+ dur+ national public heal?      
em]g5cies2  7#d7 exi/+ /rategies ,/ates 
c use to integrate teleheal? & o!r      
virtual heal? c>e s]vices into          
value-bas$ heal? c>e models2 &  7#e7    
examples ( ,/ates t h us$ waiv]s "u !   
,m$icaid program to te/ exp&$ access to 
teleheal?1 includ+ 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;,b774  7b7 ,/udies  
7#a7 ,teleheal? impact on heal? c>e     
access ,n lat] ?an #a ye> aft] ! date ( 
! enactm5t ( ?is ,act1 ! ,m$icaid &     
,,*ip ,paym5t & ,access ,commission %all
 conduct a /udy1 ) respect to a m9imum (
 #aj ,/ates across geographic regions ( 
! ,unit$ ,/ates1 & submit to ,congress a
 report1 on ! impact ( teleheal? on     
heal? c>e access1 utilization1 co/1 &   
outcomes1 brok5 d[n by race1 e?nicity1  
sex1 age1 disability /atus1 & zip code4 
,su* report %all-- 7,a7 evaluate co/1   
access1 utilization1 outcomes1 & pati5t 
exp]i5ce data f across ! heal? c>e      
field1 includ+ ,/ates1 ,m$icaid manag$  
c>e organizations1 provid]              
organizations1 & o!r organizations t    
provide or pay = teleheal? "u ! ,m$icaid
 program & ,*ildr5's ,heal? ,insurance  
,program2  7,b7 id5tify b>ri]s &        
pot5tial solutions to provid] entry &   
p>ticipation 9 teleheal? t ,/ates are   
exp]i5c+1 z well z b>ri]s to provid+    
teleheal? across ,/ate l9es1 includ+    

dur+ times ( public heal? crisis or     
public heal? em]g5cy2  7,c7 det]m9e !   
frequ5cy at :i* out-(-,/ate teleheal? is
 provid$ to pati5ts enroll$ 9 ! ,m$icaid
 program & ! pot5tial impact on access  
to teleheal? if ,/ate ,m$icaid policies 
7 m align$2 &  7,d7 id5tify & evaluate  
opportunities = m alignm5t among su*    
policies to promote access to teleheal? 
across all ,/ates1 ,/ate ,m$icaid plans 
"u title ,,xix ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif et seq471     
,/ate *ild heal? plans "u title ,,xxi ( 
su* ,act 7#db ,u4,s4,c4 #acig;aa et     
seq471 & ,m$icaid manag$ c>e            
organizations1 includ+ ! pot5tial =     
regional compacts or reciprocity        
agreem5ts4  7#b7 ,f$]al ag5cy teleheal? 
collaboration ,n lat] ?an #a ye> aft] ! 
date ( ! enactm5t ( ?is ,act1 !         
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct a /udy & submit to         
,congress a report evaluat+             
collaboration betwe5 ,f$]al ag5cies )   
respect to teleheal? s]vices furni%$ "u 

! ,m$icaid or ,,*ip program to          
individuals "u ! age ( #ah1 includ+ su* 
s]vices furni%$ to su* individuals 9    
e>ly c>e & education sett+s4 ,su* report
 %all include recomm5dations on-- 7,a7  
opportunities = ,f$]al ag5cies to       
improve collaboration ) respect to su*  
teleheal? s]vices2 &  7,b7 opportunities
 = collaboration betwe5 ,f$]al ag5cies  
to exp& teleheal? access to su*         
individuals enroll$ "u ! ,m$icaid or    
,,*ip program1 includ+ 9 e>ly c>e &     
education sett+s4