,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #afah  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjai,mr4    
,s*atz 7= himself1 ,mr4 ,ka9e1 & ,ms4   
,murk[ski7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to exp& ! capacity to      
improve heal? outcomes & increase access
 to specializ$ c>e4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,exp&+        
,capacity = ,heal? ,outcomes ,act (     
#bjai or ! ,,e*o #bjai ,act4  #b4 ,exp&+
 capacity = heal? outcomes ,title ,,iii 
( ! ,public ,heal? ,s]vice ,act is am5d$
 by ins]t+ aft] section #cii;,i 7#db    
,u4,s4,c4 #bhj;f-#a7 ! foll[+3          
#cii;,i-#a4 ,exp&+ capacity = heal?     
outcomes  7a7 ,def9itions ,9 ?is        
section3 7#a7 ,eligible entity ,! t]m   
eligible entity means an entity provid+ 
heal? c>e s]vices 9 rural areas1 fronti]
 areas1 heal? pr(essional %ortage areas1
 or m$ically und]s]v$ areas1 or to      

m$ically und]s]v$ populations or ,native
 ,am]icans1 includ+ ,indian tribes or   
tribal organizations4  7#b7 ,heal?      
pr(essional %ortage area ,! t]m heal?   
pr(essional %ortage area means a heal?  
pr(essional %ortage area designat$ "u   
section #ccb4  7#c7 ,indian tribes &    
tribal organizations ,! t]ms ,indian    
tribes & tribal organizations h ! mean+ 
giv5 su* t]ms 9 section #d ( ! ,indian  
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#d7 ,m$ically        
und]s]v$ population ,! t]m m$ically     
und]s]v$ population has ! mean+ giv5 !  
t]m 9 section #ccj7;b77#c74  7#e7       
,native ,am]icans ,! t]m ,native        
,am]icans has ! mean+ giv5 ! t]m 9      
section #gcf & includes ,indian tribes &
 tribal organizations4  7#f7            
,te*nology-enabl$ collaborative le>n+ & 
capacity build+ model ,! t]m            
te*nology-enabl$ collaborative le>n+ &  
capacity build+ model means a di/ance   
heal? education model t connects        
speciali/s ) multiple o!r heal? c>e     

pr(essionals ?r\gh simultane\s          
int]active videoconf]5c+ = ! purpose (  
facilitat+ case-bas$ le>n+1 dissem9at+  
be/ practices1 & evaluat+ outcomes4  7b7
 ,program e/abli%$ ,! ,secret>y %all1 z 
appropriate1 aw>d grants to evaluate1   
develop1 &1 z appropriate1 exp& ! use ( 
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models1 to increase     
access to heal? c>e s]vices1 su* z ^? to
 address *ronic diseases & conditions1  
m5tal heal?1 sub/ance use disord]s1     
pr5atal & mat]nal heal?1 p$iatric c>e1  
pa9 managem5t1 palliative c>e1 & o!r    
specialty c>e 9 m$ically und]s]v$ areas 
& = m$ically und]s]v$ populations4  7c7 
,use ( funds ,grants aw>d$ "u subsection
 7b7 %all1 z appropriate1 be us$ =--    
7#a7 equipm5t to support ! use &        
expansion ( te*nology-enabl$            
collaborative le>n+ & capacity build+   
models1 includ+ = h>dw>e & s(tw>e t     
enables di/ance le>n+1 heal? c>e provid]
 support1 & ! secure ex*ange (          
electronic heal? in=mation2  7#b7       

support = heal? c>e provid]s & o!r      
pr(essionals t provide or assi/ 9 !     
provision ( s]vices ?r\gh su* models2   
7#c7 ! developm5t & acquisition (       
in/ructional programm+1 & ! tra9+ (     
heal? c>e provid]s & o!r pr(essionals t 
provide or assi/ 9 ! provision ( s]vices
 ?r\gh su* models2  7#d7 in=mation      
collection & evaluation activities to   
/udy ! impact ( su* models on pati5t    
outcomes & heal? c>e provid]s1 & to     
id5tify be/ practices = ! expansion &   
use ( su* models2 &  7#e7 o!r activities
 consi/5t ) a*iev+ ! objectives ( !     
grants aw>d$ "u ?is section1 z det]m9$  
by ! ,secret>y4  7d7 ,l5g? ( grants     
,grants aw>d$ "u subsection 7b7 %all be 
= a p]iod ( up to #e ye>s4  7e7         
,application ,an eligible entity t seeks
 to receive a grant "u subsection 7b7   
%all submit to ! ,secret>y an           
application1 at su* "t1 9 su* mann]1 &  
conta9+ su* in=mation z ! ,secret>y may 
require4 ,su* application crit]ia %all  
include an evaluation ( pati5t outcomes 

& heal? c>e provid]s result+ f          
te*nology-enabl$ collaborative le>n+ &  
capacity build+ models4  7f7 ,te*nical  
assi/ance ,! ,secret>y %all provide     
7ei!r directly ?r\gh ! ,dep>tm5t (      
,heal? & ,human ,s]vices or by contract7
 te*nical assi/ance to eligible         
entities1 includ+ recipi5ts ( grants "u 
subsection 7b71 on ! developm5t1 use1 & 
evaluation ( te*nology-enabl$           
collaborative le>n+ & capacity build+   
models 9 ord] to exp& access to heal?   
c>e s]vices provid$ by su* entities1    
includ+ = m$ically und]s]v$ areas & to  
m$ically und]s]v$ populations4  7g7     
,report by ,secret>y ,n lat] ?an #d ye>s
 aft] ! date ( enactm5t ( ?is section1 !
 ,secret>y %all prep>e & submit to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate1 & !      
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & po/ on !     
int]net website ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices1 a report includ+1 at  
m9imum-- 7#a7 a description ( any new & 

cont9u+ grants aw>d$ to entities "u     
subsection 7b7 & ! specific purpose &   
am\nts ( su* grants2  7#b7 an ov]view   
(-- 7,a7 ! evaluations conduct$ "u      
subsections 7b7 or 7f72 &  7,b7 te*nical
 assi/ance provid$ "u subsection 7f72 & 
7#c7 a description ( any significant    
f9d+s or developm5ts 9 pati5t outcomes &
 heal? c>e provid]s & be/ practices =   
eligible entities exp&+1 us+1 or        
evaluat+ te*nology-enabl$ collaborative 
le>n+ & capacity build+ models4  7h7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #bj1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbd4  4