,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bjbj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bg1 #bjai,mr4   
,casey 7= himself & ,mr4 ,grassley7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
exp& ! use ( teleheal? s]vices = remote 
imag+ = *ronic eye disease4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,scre5+s
 = ,eye ,evaluation1 ,monitor+1         
,obs]vation1 ,review1 & ,exam9ation ,act
 or ! ,,see ,,m ,act4  #b4 ,exp&+ ! use 
( teleheal? s]vices = remote imag+ =    
*ronic eye disease ,section #ahcd7m7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciem7m77 is am5d$--  7#a7 9 p>agraph  
7#d77;,c77i71 by /rik+ & 7#g7 & ins]t+  
7#g71 & 7#h72 &  7#b7 by add+ at ! end !
 foll[+ new p>agraph3  7#h7 ,treatm5t ( 
remote imag+ = *ronic eye disease  7,a7 
,non-application ( orig9at+ site        
requirem5ts ,! requirem5ts describ$ 9   
p>agraph 7#d77;,c7 %all n apply )       

respect to teleheal? s]vices furni%$ on 
or aft] ,janu>y #a1 #bjbj1 = purposes ( 
provid+ remote imag+ = *ronic eye       
disease1 z det]m9$ by ! ,secret>y1      
includ+ diabetic eye disease & glaucoma4
 ,su* scre5+s & s]vices %all include !  
use ( ,,fda-approv$ ocul> imag+         
te*niques & te*nologies1 includ+        
artificial intellig5ce te*nologies1 %[n 
to support ! accurate diagnosis or      
monitor+ or treatm5t ( diabetic         
ret9opa?y1 glaucoma1 or o!r *ronic eye  
disease1 z det]m9$ by ! ,secret>y4  7,b7
 ,no orig9at+ site facility fee = new   
sites ,no facility fee %all be paid "u  
p>agraph 7#b77;,b7 to an orig9at+ site )
 respect to a teleheal? s]vice describ$ 
9 subp>agraph 7,a7 if ! orig9at+ site   
does n o!rwise meet ! requirem5ts = an  
orig9at+ site "u p>agraph 7#d77;,c74    
7,c7 ,report ,n lat] ?an #e ye>s aft] ! 
date ( ! enactm5t ( ?is p>agraph1 !     
,secret>y %all submit to ,congress a    
report on ! impact ( ?is p>agraph )     
respect to teleheal? s]vices on--  7i7 !

 utilization ( heal? c>e items & s]vices
 relat$ to diabetes & glaucoma2  7ii7   
heal? outcomes relat$ to diabetes &     
glaucoma2 &  7iii7 ! rates ( specialty  
ref]rals & ! rate = completion ( a      
specialty visit )9 #ij days ( ref]ral = 
individuals ) diabetic ret9opa?y or     
glaucoma aft] receiv+ teleheal? s]vices4
  4