,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hgee  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,novemb] #af1         
#bjbj,ms4 ,%]rill 7= h]self1 ,mr4       
,mc,kinley1 ,mr4 ,fitzpatrick1 ,mr4     
,riggleman1 ,mrs4 ,beatty1 ,mr4 ,c>son (
 ,indiana1 ,mr4 ,?ompson ( ,p5nsylvania1
 ,mr4 ,kim1 ,mr4 ,morelle1 ,mr4 ,ru%1   
,mr4 ,sires1 ,mr4 ,kev9 ,h]n (          
,oklahoma1 ,mr4 ,timmons1 & ,mr4 ,tonko7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,en]gy & ,comm]ce1 & 
9 addition to ! ,committee on ,ways &   
,means1 = 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& ! scope (
 practition]s eligible = paym5t =       
teleheal? s]vices "u ! ,m$ic>e program1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,exp&$ ,teleheal?  
,access ,act4  #b4 ,exp&+ ! scope (     
practition]s eligible = paym5t =        

teleheal? s]vices "u ,m$ic>e  7a7       
,teleheal? provid] p>ity ,section       
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9 
p>agraph 7#a7-- 7,a7 by /rik+ or a      
practition] 7describ$ 9 section         
#ahdb7;b77#ah77;,c77 & ins]t+ or a      
pr(essional describ$ 9 p>agraph         
7#d77;,e772 &  7,b7 by /rik+ individual 
physician or practition] & ins]t+       
individual physician or pr(essional2    
7#b7 9 p>agraph 7#b7-- 7,a7 by /rik+    
practition] ea* place x appe>s & ins]t+ 
pr(essional ea* su* place2  7,b7 by     
ins]t+ be=e locat$ at a di/ant site !   
foll[+ 7or1 9 ! case ( an occupational  
!rapy assi/ant describ$ 9 p>agraph      
7#d77;,e77ii77,,ii7 or a physical !rapi/
 assi/ant describ$ 9 p>agraph           
7#d77;,e77ii77,,ii71 %all pay ) respect 
to su* assi/ant72 &  7,c7 by ins]t+ 7or1
 9 ! case ( an occupational !rapy       
assi/ant describ$ 9 p>agraph            
7#d77;,e77ii77,,ii7 or a physical !rapi/
 assi/ant describ$ 9 p>agraph           

7#d77;,e77ii77,,ii71 ! am\nt t w\ld h   
be5 paid "u ?is title ) respect to su*  
assi/ant7 aft] w\ld h be5 paid "u ?is   
title2  7#c7 9 p>agraph 7#c77;,a71 by   
/rik+ or practition] & ins]t+ or        
pr(essional2 &  7#d7 9 p>agraph 7#d7--  
7,a7 9 ea* ( subp>agraphs 7,a7 & 7,c71  
by /rik+ or practition] & ins]t+ or     
pr(essional2 &  7,b7 by am5d+           
subp>agraph 7,e7 to read z foll[s3  7,e7
 ,pr(essional describ$ ,a pr(essional   
describ$ 9 ?is subp>agraph is-- 7i7 a   
practition] describ$ 9 section          
#ahdb7;b77#ah77;,c72 or  7ii7 ) respect 
to s]vices furni%$ on or aft] ! date (  
enactm5t ( ! ,exp&$ ,teleheal? ,access  
,act1 a lic5s$-- 7,i7 audiologi/2       
7,,ii7 occupational !rapi/ &            
occupational !rapy assi/ant "u !        
sup]vision ( an occupational !rapi/2    
7,,iii7 physical !rapi/ & physical      
!rapi/ assi/ant "u ! sup]vision ( a     
physical !rapi/2  7,,iv7 spee* language 
pa?ologi/2  7,v7 facility describ$ 9    
p>agraph 7#h7 or 7#i7 ( section         

#ahcc7;a7 t furni%es teleheal? !rapy    
s]vices2 &  7,,vi7 any additional heal? 
c>e provid]1 z specifi$ by ! ,secret>y1 
:o p>ticipates "u ?is title & furni%es a
 s]vice t is includ$ z a teleheal?      
s]vice "u ?is subsection4  4  7b7       
,additional cov]$ teleheal? s]vices     
,section #ahcd7m77#d77;,f77i7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#d77;,f77i77 is am5d$ by add+ 
at ! end ! foll[+ new s5t5ce3 ,su* t]m  
%all include1 audiology s]vices 7z def9$
 9 section #ahfa7ll77#c77 & outpati5t   
!rapy s]vices 7includ+ su* s]vices      
furni%$ by a !rapy assi/ant 7z def9$ by 
! ,secret>y771 includ+ physical !rapy ( 
! type describ$ 9 section #ahfa7p71     
occupational !rapy ( ! type t are       
describ$ 9 section #ahfa7;g71 &         
spee*-language pa?ology s]vices ( ! type
 describ$ 9 section #ahfa7ll77#b744