,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hebh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,octob] #b1 #bjbj,mr4 
,williams introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 ext5d c]ta9     
provisions relat+ to teleheal? s]vices1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,ensur+ ,teleheal? 
,expansion ,act ( #bjbj4  #b4 ,ext5sion 
( c]ta9 provisions relat+ to teleheal?  
s]vices  7a7 ,exemption = teleheal?     
s]vices  7#a7 ,9 g5]al ,subp>agraph 7,e7
 ( section #bbc7;c77#b7 ( ! ,int]nal    
,rev5ue ,code ( #aihf is am5d$ by /rik+ 
,decemb] #ca1 #bjba & ins]t+ ,decemb]   
#ca1 #bjbe4  7#b7 ,c]ta9 cov]age        
disreg>d$ ,clause 7ii7 ( section        
#bbc7;c77#a77;,b7 ( ! ,int]nal ,rev5ue  
,code ( #aihf is am5d$ by /rik+ ,decemb]

 #ca1 #bjba & ins]t+ ,decemb] #ca1      
#bjbe4  7#c7 ,effective date ,! am5dm5ts
 made by ?is subsection %all take effect
 on ! date ( ! enactm5t ( ?is ,act4  7b7
 ,increas+ ,m$ic>e teleheal?            
flexibilities dur+ limit$ p]iod ,section
 #aace7;b77#h7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acbj;b-#e7;b77#h77 
is am5d$ by /rik+ dur+ any portion ( any
 em]g5cy p]iod & ins]t+ dur+ any portion
 ( ! p]iod beg9n+ on ! fir/ day ( !     
em]g5cy p]iod describ$ 9 subsection     
7g77#a77;,b7 & end+ on ,decemb] #ca1    
#bjbe4  7c7 ,enhanc+ ,m$ic>e teleheal?  
s]vices = f$]ally qualifi$ heal? c5t]s &
 rural heal? cl9ics dur+ limit$ p]iod2  
,elim9at+ special paym5t rule = su*     
s]vices  7#a7 ,9 g5]al ,p>agraph 7#h7 ( 
section #ahcd7m7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$ 
to read z foll[s3  7#h7 ,enhanc+        
teleheal? s]vices = f$]ally qualifi$    
heal? c5t]s & rural heal? cl9ics dur+   
limit$ p]iod ,dur+ ! p]iod beg9n+ on !  
fir/ day ( ! em]g5cy p]iod describ$ 9   

section #aace7;g77#a77;,b7 & end+ on    
,decemb] #ca1 #bjbe-- 7,a7 ! ,secret>y  
%all pay = teleheal? s]vices t are      
furni%$ via a telecommunications sy/em  
by a ,f$]ally qualifi$ heal? c5t] or a  
rural heal? cl9ic to an eligible        
teleheal? individual enroll$ "u ?is "p  
not)/&+ t ! ,f$]ally qualifi$ heal? c5t]
 or rural cl9ic provid+ ! teleheal?     
s]vice is n at ! same location z !      
b5efici>y2 &  7,b7 = purposes ( ?is     
subsection-- 7i7 ! t]m di/ant site      
includes a ,f$]ally qualifi$ heal? c5t] 
or rural heal? cl9ic t furni%es a       
teleheal? s]vice to an eligible         
teleheal? individual2 &  7ii7 ! t]m     
teleheal? s]vices includes a rural heal?
 cl9ic s]vice or ,f$]ally qualifi$ heal?
 c5t] s]vice t is furni%$ us+ teleheal? 
to ! ext5t t paym5t codes correspond+ to
 s]vices id5tifi$ by ! ,secret>y "u     
clause 7i7 or 7ii7 ( p>agraph 7#d77;,f7 
are li/$ on ! correspond+ claim = su*   
rural heal? cl9ic s]vice or ,f$]ally    
qualifi$ heal? c5t] s]vice4  4  7#b7    

,con=m+ am5dm5t ,section                
#ahcd7m77#b77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#b77;,a77 
is am5d$ by /rik+ ,subject to p>agraph  
7#h71 ! & ins]t+ ,!4  7#c7 ,effective   
date ,! am5dm5ts made by ?is subsection 
%all take effect z if includ$ 9 !       
enactm5t ( ! ,,c>es ,act 7,public ,law  
#aaf-acf74  7d7 ,tempor>y waiv] (       
requirem5ts = face-to-,face visits      
betwe5 home dialysis pati5ts &          
physicians ,section                     
#ahha7;b77#c77;,b77iii7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acierr7b77#c77;,b77iii77 is am5d$ by   
/rik+ dur+ ! em]g5cy p]iod describ$ 9   
section #aace7;g77#a77;,b7 & ins]t+ dur+
 ! p]iod beg9n+ on ! fir/ day ( !       
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 & end+ on ,decemb]   
#ca1 #bjbe4  7e7 ,use ( teleheal? ,to   
conduct face-to-,face enc\nt] prior to  
rec]tification ( eligibility = hospice  
c>e dur+ limit$ p]iod ,section          
#ahad7;a77#g77;,d77i77,,ii7 ( ! ,social 

,security ,act 7#db ,u4,s4,c4           
#acie;f7a77#g7;,d77i77,,ii77 is am5d$ by
 /rik+ dur+ ! em]g5cy p]iod describ$ 9  
section #aace7;g77#a77;,b7 & ins]t+ dur+
 ! p]iod beg9n+ on ! fir/ day ( !       
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 & end+ on ,decemb]   
#ca1 #bjbe4  7f7 ,enc\rag+ use (        
telecommunications sy/ems = home heal?  
s]vices furni%$ dur+ limit$ p]iod       
,section #cgjg ( ! ,,c>es ,act 7,public 
,law #aaf-acf7 is am5d$ by /rik+ dur+ ! 
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 ( su* ,act 7#db      
,u4,s4,c4 #acbj;b-#e7;g77#a77;,b77 &    
ins]t+ dur+ ! p]iod beg9n+ on ! fir/ day
 ( ! em]g5cy p]iod describ$ 9 section   
#aace7;g77#a77;,b7 ( su* ,act 7#db      
,u4,s4,c4 #acbj;b-#e7;g77#a77;,b77 &    
end+ on ,decemb] #ca1 #bjbe4  #c4       
,tempor>y nonapplication ( orig9at+ site
 requirem5ts ) respect to teleheal?     
s]vices "u ,m$ic>e program ,section     
#ahcd7m77#d77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#d77;,c77 

is am5d$-- 7#a7 9 clause 7i71 by ins]t+ 
be=e p>agraphs 7#e71 7#f71 & 7#g7 !     
foll[+3 clause 7iii7 &2 &  7#b7 by add+ 
at ! end ! foll[+ new clause3  7iii7    
,tempor>y nonapplication ( orig9at+ site
 requirem5ts ,= ! p]iod beg9n+ on ! fir/
 day ( ! em]g5cy p]iod describ$ 9       
section #aace7;g77#a77;,b7 & end+ on    
,decemb] #ca1 #bjbe1 ! t]m orig9at+ site
 means any site at :i* ! eligible       
teleheal? individual is locat$ at ! "t !
 s]vice is furni%$ via a                
telecommunications sy/em4  4  #d4       
,report by ,comptroll] ,g5]al ,!        
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ,congress-- 7#a7 n lat]  
?an ,decemb] #ca1 #bjbc1 a report on !  
success & limitations ( implem5t+ !     
/atutory provisions am5d$ by sections #b
 & #c1 includ+-- 7,a7 details ( any     
sav+s or co/s to ! ,f$]al ,gov]nm5t t   
are attributable to ! implem5tation (   
su* provisions2 &  7,b7 an analysis ( h[
 ! implem5tation ( su* provisions h     
impact$ rural hospitals2 &  7#b7 n lat] 

?an ,decemb] #ca1 #bjbe1 updates reg>d+ 
! report describ$ 9 p>agraph 7#a74