,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bgda  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #cj1 #bjai,mr4 
,s*atz 7= himself1 ,mr4 ,wick]1 ,mr4    
,c>d91 ,mr4 ,?une1 ,mr4 ,w>n]1 & ,mrs4  
,hyde-,smi?7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to exp& access to teleheal?       
s]vices1 & = o!r purposes4  #a4 ,%ort   
title2 table ( cont5ts  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,creat+       
,opportunities ,n[ = ,necess>y &        
,effective ,c>e ,te*nologies 7,,connect7
 = ,heal? ,act ( #bjai or ! ,,connect = 
,heal? ,act ( #bjai4  7b7 ,table (      
cont5ts ,! table ( cont5ts ( ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title2 table 
( cont5ts4,sec4 #b4 ,f9d+s & s5se (     
,congress4,sec4 #c4 ,exp&+ ! use (      
teleheal? ?r\gh ! waiv] ( c]ta9         
requirem5ts4,sec4 #d4 ,exp&+ ! use (    
teleheal? = m5tal heal? s]vices4,sec4   
#e4 ,use ( teleheal? 9 em]g5cy m$ical   

c>e4,sec4 #f4 ,improvem5ts to ! process 
= add+ teleheal? s]vices4,sec4 #g4      
,rural heal? cl9ics & f$]ally qualifi$  
heal? c5t]s4,sec4 #h4 ,native ,am]ican  
heal? facilities4,sec4 #i4 ,waiv] (     
teleheal? re/rictions dur+ national     
em]g5cies4,sec4 #aj4 ,use ( teleheal? 9 
rec]tification = hospice c>e4,sec4 #aa4 
,cl>ification = fraud & abuse laws      
reg>d+ te*nologies provid$ to           
b5efici>ies4,sec4 #ab4 ,/udy & report on
 increas+ access to teleheal? s]vices 9 
! home4,sec4 #ac4 ,analysis ( teleheal? 
waiv]s 9 alt]native paym5t models4,sec4 
#ad4 ,model to all[ additional heal?    
pr(essionals to furni% teleheal?        
s]vices4,sec4 #ae4 ,te/+ ( models to    
exam9e ! use ( teleheal? "u ! ,m$ic>e   
program4  #b4 ,f9d+s & s5se ( ,congress 
7a7 ,f9d+s ,congress f9ds ! foll[+3     
7#a7 ,! use ( te*nology 9 heal? c>e &   
cov]age ( teleheal? s]vices are rapidly 
evolv+4  7#b7 ,rese>* has f\nd t        
teleheal? s]vices c exp& access to c>e1 
improve ! quality ( c>e1 & r$uce sp5d+1 

& t pati5ts receiv+ teleheal? s]vices   
are satisfi$ ) _! exp]i5ces4  7#c7      
,heal? c>e work=ce %ortages are a       
significant problem 9 _m areas & = _m   
types ( heal? c>e cl9icians4  7#d7      
,teleheal? increases access to c>e 9    
areas ) work=ce %ortages & = individuals
 :o live f> away f heal? c>e facilities1
 h limit$ mobility or transportation1 or
 h o!r b>ri]s to access+ c>e4  7#e7 ,!  
use ( heal? te*nologies c /r5g!n !      
exp]tise ( ! heal? c>e work=ce1 includ+ 
by connect+ cl9icians to specialty      
consultations4  7#f7 ,utilization (     
teleheal? s]vices 9 ,m$ic>e rema9s l[1 )
 only #j4be p]c5t ( ,m$ic>e fee-=-s]vice
 b5efici>ies utiliz+ teleheal? s]vices 9
 #bjaf4  7b7 ,s5se ( ,congress ,x is !  
s5se ( ,congress t-- 7#a7 heal? c>e     
provid]s c furni% safe1 effective1 &    
high-quality heal? c>e s]vices ?r\gh    
teleheal?2 &  7#b7 b>ri]s to ! use (    
teleheal? %\ld be remov$4  #c4 ,exp&+ ! 
use ( teleheal? ?r\gh ! waiv] ( c]ta9   
requirem5ts  7a7 ,9 g5]al ,section      

#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$--  7#a7 9
 p>agraph 7#d77;,c77i71 by /rik+ & 7#g7 
& ins]t+ 7#g71 & 7#h72 &  7#b7 by add+  
at ! end ! foll[+3  7#h7 ,au?ority to   
waive requirem5ts & limitations if c]ta9
 conditions met  7,a7 ,9 g5]al ,not)/&+ 
! prec$+ provisions ( ?is subsection1 9 
! case ( teleheal? s]vices furni%$ on or
 aft] ,janu>y #a1 #bjba1 ! ,secret>y may
 waive any re/riction applicable to     
paym5t = teleheal? s]vices "u ?is       
subsection t is describ$ 9 subp>agraph  
7,b71 b only if ! ,secret>y det]m9es t  
su* waiv] w\ld n d5y or limit ! cov]age 
or provision ( b5efits "u ?is title1 &--
  7i7 ! ,secret>y det]m9es t ! waiv] is 
expect$ to r$uce sp5d+ "u ?is title )\t 
r$uc+ ! quality ( c>e or improve !      
quality ( pati5t c>e )\t increas+ sp5d+2
 or  7ii7 ! waiv] w\ld apply to         
teleheal? s]vices furni%$ 9 orig9at+    
sites locat$ 9 a high-ne$ heal?         
pr(essional %ortage area 7z designat$   
pursuant to section #ccb7;a77#a77;,a7 ( 

! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bed;e7a77#a77;,a7774  7,b7   
,re/rictions describ$ ,= purposes ( ?is 
p>agraph1 re/rictions applicable to     
paym5t = teleheal? s]vices "u p>agraph  
7#a7 are--  7i7 requirem5ts relat+ to   
qualifications = an orig9at+ site "u    
p>agraph 7#d77;,c77ii72  7ii7 any       
geographic limitations "u p>agraph      
7#d77;,c77i7 7o!r ?an applicable ,/ate  
law requirem5ts1 includ+ ,/ate lic5sure 
requirem5ts72  7iii7 any limitation on !
 type ( te*nology us$ to furni%         
teleheal? s]vices2  7iv7 any limitation 
on ! type ( provid] ( s]vices or suppli]
 :o may furni% teleheal? s]vices 7o!r   
?an ! requirem5t t ! provid] ( s]vices  
or suppli] is enroll$ "u ?is title72    
7v7 any limitation on specific s]vices  
designat$ z teleheal? s]vices pursuant  
to ?is subsection 7provid$ ! ,secret>y  
det]m9es t su* s]vices are cl9ically    
appropriate to furni% remotely72 or     
7vi7 any o!r limitation relat+ to !     
furni%+ ( teleheal? s]vices "u ?is title

 id5tifi$ by ! ,secret>y4  7,c7 ,public 
comm5t ,! ,secret>y %all e/abli% a      
process by :i* /akehold]s may 7on at    
lea/ an annual basis7 provide public    
comm5t = waiv]s "u ?is p>agraph4  7,d7  
,p]iodic review ( waiv]s ,! ,secret>y   
%all p]iodically1 b n m (t5 ?an e #c    
ye>s1 reassess ea* waiv] "u ?is p>agraph
 to det]m9e :e!r ! waiv] cont9ues to    
meet ! conditions applicable "u         
subp>agraph 7,a74  4  7b7 ,po/+ (       
in=mation ,n lat] ?an #b ye>s aft] !    
date on :i* a waiv] "u section          
#ahcd7m77#h7 ( ! ,social ,security ,act1
 z add$ by subsection 7a71 fir/ becomes 
effective1 & at lea/ bi5nially !reaft]1 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all po/ on ! int]net website ( ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices--  7#a7 ! 
numb] ( ,m$ic>e b5efici>ies receiv+     
teleheal? s]vices by reason ( ea* waiv] 
"u su* section2  7#b7 ! impact ( su*    
waiv]s on exp5ditures & utilization "u  
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq472 &  7#c7 

o!r outcomes1 z det]m9$ appropriate by !
 ,secret>y4  #d4 ,exp&+ ! use (         
teleheal? = m5tal heal? s]vices  7a7 ,9 
g5]al ,section #ahcd7m7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciem7m771 z am5d$ by section #c1 is   
am5d$--  7#a7 9 p>agraph 7#d77;,c77i71  
by /rik+ & 7#h7 & ins]t+ 7#h71 & 7#i72 &
  7#b7 by add+ at ! end ! foll[+3  7#i7 
,treatm5t ( m5tal heal? s]vices furni%$ 
?r\gh teleheal? ,! geographic           
requirem5ts describ$ 9 p>agraph         
7#d77;,c77i7 7o!r ?an applicable ,/ate  
law requirem5ts1 includ+ ,/ate lic5sure 
requirem5ts7 %all n apply ) respect to  
teleheal? s]vices t are m5tal heal?     
s]vices 7z det]m9$ by ! ,secret>y7      
furni%$ on or aft] ,janu>y #a1 #bjba1 to
 an eligible teleheal? individual at an 
orig9at+ site describ$ 9 p>agraph       
7#d77;,c77ii7 7o!r ?an an orig9at+ site 
describ$ 9 subclause 7,,ix7 ( su*       
p>agraph74  4  7b7 ,inclusion ( ! home z
 an orig9at+ site ,section              
#ahcd7m77#d77;,c77ii77,x7 ( su* ,act    

7#db ,u4,s4,c4                          
#aciem7m77#d77;,c77ii77,x77 is am5d$ by 
/rik+ p>agraph 7#g7 & ins]t+ p>agraphs  
7#g7 & 7#i74  7c7 ,additional s]vices ,z
 "p ( ! implem5tation ( ! am5dm5ts made 
by ?is section1 ! ,secret>y ( ,heal? &  
,human ,s]vices %all consid] :e!r       
additional s]vices %\ld be add$ to !    
s]vices specifi$ 9 p>agraph 7#d77;,f77i7
 ( section #ahcd7m7 ( su* ,act 7#db     
,u4,s4,c4 #aciem7 = au?oriz$ paym5t "u  
p>agraph 7#a7 ( su* section4  #e4 ,use (
 teleheal? 9 em]g5cy m$ical c>e  7a7 ,9 
g5]al ,section #ahcd7m7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciem7m771 z am5d$ by sections #c & #d1
 is am5d$--  7#a7 9 p>agraph            
7#d77;,c77i71 by /rik+ & 7#i7 & ins]t+  
7#i71 & 7#aj72 &  7#b7 by add+ at ! end 
! foll[+3  7#aj7 ,treatm5t ( em]g5cy    
m$ical c>e furni%$ ?r\gh teleheal? ,!   
geographic requirem5ts describ$ 9       
p>agraph 7#d77;,c77i7 7o!r ?an          
applicable ,/ate law requirem5ts1       
includ+ ,/ate lic5sure requirem5ts7 %all

 n apply ) respect to teleheal? s]vices 
t are s]vices = em]g5cy m$ical c>e 7z   
det]m9$ by ! ,secret>y7 furni%$ on or   
aft] ,janu>y #a1 #bjba1 to an eligible  
teleheal? individual at an orig9at+ site
 describ$ 9 subclause 7,,ii71 7,v71 or  
7,,vii7 ( p>agraph 7#d77;,c77ii74  4    
7b7 ,additional s]vices ,z "p ( !       
implem5tation ( ! am5dm5ts made by ?is  
section1 ! ,secret>y ( ,heal? & ,human  
,s]vices %all consid] :e!r additional   
s]vices %\ld be add$ to ! s]vices       
specifi$ 9 p>agraph 7#d77;,f77i7 (      
section #ahcd7m7 ( su* ,act 7#db        
,u4,s4,c4 #aciem7 = au?oriz$ paym5t "u  
p>agraph 7#a7 ( su* section4  #f4       
,improvem5ts to ! process = add+        
teleheal? s]vices ,! ,secret>y %all     
und]take a review ( ! process e/abli%$  
pursuant to section                     
#ahcd7m77#d77;,f77ii7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,f77ii771 & bas$ on !    
results ( su* review--  7#a7 implem5t   
revisions to ! process s t ! crit]ia to 

add s]vices prioritizes1 z appropriate1 
improv$ access to c>e ?r\gh teleheal?   
s]vices2 &  7#b7 provide cl>ification on
 :at reque/s to add teleheal? s]vices "u
 su* process %\ld include4  #g4 ,rural  
heal? cl9ics & f$]ally qualifi$ heal?   
c5t]s  7a7 ,expansion ( orig9at+ sites  
,section #ahcd7m77#d77;,c7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c771 z am5d$ by sections
 #c1 #d1 & #e1 is am5d$--  7#a7 9 clause
 7i71 by /rik+ & 7#aj7 & ins]t+ & 7#aj71
 & subject to clause 7iii712 &  7#b7 by 
add+ at ! end ! foll[+ new clause3      
7iii7 ,rural heal? cl9ics & ,f$]ally    
qualifi$ heal? c5t]s ,! t]m orig9at+    
site %all also include any ,f$]ally     
qualifi$ heal? c5t] & any rural heal?   
cl9ic 7z su* t]ms are def9$ 9 section   
#ahfa7;aa77 at :i* ! eligible teleheal? 
individual is locat$ at ! "t ! s]vice is
 furni%$ via a telecommunications sy/em1
 :e!r or n ! individual is locat$ 9 an  
area describ$ 9 clause 7i71 ins(> z su* 
sites are n o!rwise includ$ 9 !         

def9ition ( orig9at+ site "u su* clause1
 subject to applicable ,/ate law        
requirem5ts1 includ+ ,/ate lic5sure     
requirem5ts4  4  7b7 ,expansion ( di/ant
 sites ,section #ahcd7m7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #aciem7m77
 is am5d$-- 7#a7 9 ! fir/ s5t5ce (      
p>agraph 7#a7--  7,a7 by /rik+ or a     
practition] 7describ$ 9 section         
#ahdb7;b77#ah77;,c77 & ins]t+ 1 a       
practition] 7describ$ 9 section         
#ahdb7;b77#ah77;,c771 a ,f$]ally        
qualifi$ heal? c5t]1 or a rural heal?   
cl9ic2 &  7,b7 by /rik+ or practition] &
 ins]t+ 1 practition]1 ,f$]ally qualifi$
 heal? c5t]1 or rural heal? cl9ic2 &    
7#b7 9 p>agraph 7#b77;,a7--  7,a7 by    
ins]t+ or to a ,f$]ally qualifi$ heal?  
c5t] or rural heal? cl9ic t s]ves z a   
di/ant site aft] a di/ant site2 &  7,b7 
by /rik+ su* physician or practition] & 
ins]t+ su* physician1 practition]1      
,f$]ally qualifi$ heal? c5t]1 or rural  
heal? cl9ic2 &  7#c7 9 p>agraph 7#d7--  
7,a7 9 subp>agraph 7,a71 by ins]t+ &    

includes a ,f$]ally qualifi$ heal? c5t] 
or rural heal? cl9ic t furni%es a       
teleheal? s]vice to an eligible         
individual be=e ! p]iod at ! end2 &     
7,b7 9 subp>agraph 7,f71 by add+ at !   
end ! foll[+ new clause3  7iii7         
,inclusion ( rural heal? cl9ic s]vices &
 ,f$]ally qualifi$ heal? c5t] s]vices   
furni%$ us+ teleheal? ,= purposes ( ?is 
subp>agraph1 ! 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 are li/$ on ! correspond+ claim = 
su* rural heal? cl9ic s]vice or ,f$]ally
 qualifi$ heal? c5t] s]vice4  4  7c7    
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjba4  #h4 ,native
 ,am]ican heal? facilities  7a7 ,9 g5]al
 ,section #ahcd7m77#d77;,c7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c771 z am5d$ by sections

 #c1 #d1 #e1 & #g1 is am5d$--  7#a7 9   
clause 7i71 by /rik+ clause 7iii7 &     
ins]t+ clauses 7iii7 & 7iv72 &  7#b7 by 
add+ at ! end ! foll[+ new clause3  7iv7
 ,native ,am]ican heal? facilities ,!   
orig9at+ site requirem5ts describ$ 9    
clauses 7i7 & 7ii7 %all n apply )       
respect to a facility ( ! ,indian ,heal?
 ,s]vice1 :e!r op]at$ by su* ,s]vice1 or
 by an ,indian tribe 7z t t]m is def9$ 9
 section #d ( ! ,indian ,heal? ,c>e     
,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 
or a tribal organization 7z t t]m is    
def9$ 9 section #d ( ! ,indian          
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 
or a facility ( ! ,native ,hawaiian     
heal? c>e sy/ems au?oriz$ "u ! ,native  
,hawaiian ,heal? ,c>e ,improvem5t ,act  
7#db ,u4,s4,c4 #aagja et seq474  4  7b7 
,no orig9at+ site facility fee = new    
sites ,section #ahcd7m77#b77;,b77i7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#b77;,b77i77 is am5d$1 9 !    
matt] prec$+ subclause 7,i71 by ins]t+  

7o!r ?an an orig9at+ site t is only     
describ$ 9 clause 7iv7 ( p>agraph       
7#d77;,c71 & does n meet ! requirem5t = 
an orig9at+ site "u clause 7i7 ( su*    
p>agraph7 aft] ! orig9at+ site4  7c7    
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjba4  #i4 ,waiv] 
( teleheal? re/rictions dur+ national   
em]g5cies ,section #aace7;b7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acbj;b-#e7;b77 is am5d$--  7#a7 9      
p>agraph 7#f71 by /rik+ & aft] !        
semicolon2  7#b7 9 p>agraph 7#g71 by    
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by add+ at ! end ! foll[+3  7#h7   
requirem5ts = paym5t = teleheal? s]vices
 "u section #ahcd7m74  4  #aj4 ,use (   
teleheal? 9 rec]tification = hospice c>e
  7a7 ,9 g5]al ,section                 
#ahad7;a77#g77;,d77i7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acie;f7a77#g77;,d77i77 is am5d$ by     
ins]t+ 7includ+ ?r\gh use ( teleheal?1  
not)/&+ ! requirem5ts 9 section         

#ahcd7m77#d77;,c77 aft] face-to-face    
enc\nt]4  7b7 ,,gao report ,n lat] ?an  
#c ye>s aft] ! date ( enactm5t ( ?is    
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all submit a report to ,congress
 evaluat+ ! impact ( ! am5dm5t made by  
subsection 7a7 on--  7#a7 ! numb] &     
p]c5tage ( b5efici>ies rec]tifi$ = !    
,m$ic>e hospice b5efit at #ahj days & = 
subsequ5t b5efit p]iods2  7#b7 !        
appropriat5ess = hospice c>e ( ! pati5ts
 rec]tifi$ ?r\gh ! use ( teleheal?2 &   
7#c7 any o!r factors det]m9$ appropriate
 by ! ,comptroll] ,g5]al4  #aa4         
,cl>ification = fraud & abuse laws      
reg>d+ te*nologies provid$ to           
b5efici>ies ,section #aabh;,a7i77#f7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acbj;a-#g;a7i77#f77 is am5d$-- 7#a7 9  
subp>agraph 7,i71 by /rik+ 2 or & ins]t+
 a semicolon2  7#b7 9 subp>agraph 7,j71 
by /rik+ ! p]iod at ! end & ins]t+ 2 or2
 &  7#c7 by add+ at ! end ! foll[+ new  
subp>agraph3  7,k7 ! provision (        
te*nologies 7z def9$ by ! ,secret>y7 on 

or aft] ! date ( ! enactm5t ( ?is       
subp>agraph1 by a provid] ( s]vices or  
suppli] 7z su* t]ms are def9$ = purposes
 ( title ,,xviii7 directly to an        
individual :o is entitl$ to b5efits "u  
"p ,a ( title ,,xviii1 enroll$ "u "p ,b 
( su* title1 or bo?1 = ! purpose (      
furni%+ teleheal? s]vices1 remote pati5t
 monitor+ s]vices1 or o!r s]vices       
furni%$ ?r\gh ! use ( te*nology 7z def9$
 by ! ,secret>y71 if--  7i7 !           
te*nologies are n (f]$ z "p ( any       
adv]tisem5t or solicitation2 &  7ii7 !  
provision ( ! te*nologies meets any o!r 
requirem5ts set =? 9 regulations        
promulgat$ by ! ,secret>y4  4  #ab4     
,/udy & report on increas+ access to    
teleheal? s]vices 9 ! home  7a7         
,med,p,a,c /udy ,! ,m$ic>e ,paym5t      
,advisory ,commission 79 ?is section    
ref]r$ to z ! ,commission7 %all conduct 
a /udy on increas+ access "u ! ,m$ic>e  
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 to teleheal? s]vices 9 ! home4    

,su* /udy %all include an analysis ( !  
foll[+3  7#a7 ,h[ diff]5t pay]s all[ !  
home to be an orig9at+ site = teleheal? 
s]vices4  7#b7 ,p>ticul> types (        
teleheal? s]vices or subgr\ps (         
b5efici>ies ) respect to :i* all[+ !    
home to be an orig9at+ site "u ! ,m$ic>e
 program w\ld be suitable4  7b7 ,report 
,n lat] ?an #bd mon?s aft] ! date ( !   
enactm5t ( ?is ,act1 ! ,commission %all 
submit to ,congress a report conta9+ !  
results ( ! /udy conduct$ "u subsection 
7a71 toge!r ) recomm5dations = su*      
legislation & adm9i/rative action z !   
,commission det]m9es appropriate4  #ac4 
,analysis ( teleheal? waiv]s 9          
alt]native paym5t models ,! second      
s5t5ce ( section #aaae;,a7g7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acae;a7g77 is am5d$ by ins]t+ an       
analysis ( waiv]s "u section 7d77#a7    
relat$ to teleheal? & ! impact on       
quality & sp5d+ "u ! applicable titles (
 su* waiv]s1 aft] subsection 7c714  #ad4
 ,model to all[ additional heal?        

pr(essionals to furni% teleheal? s]vices
 ,section #aaae;,a7b77#b77;,b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acae;a7b77#b77;,b77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7xxviii7   
,all[+ heal? pr(essionals1 su* z ^?     
describ$ 9 section #ahai7;b77#e77;,g7 or
 section #ahfa7ll77#d77;,b71 :o are n   
o!rwise eligible "u section #ahcd7m7 to 
furni% teleheal? s]vices to furni% su*  
s]vices4  4  #ae4 ,te/+ ( models to     
exam9e ! use ( teleheal? "u ! ,m$ic>e   
program ,section #aaae;,a7b77#b7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acae;a7b77#b77 is am5d$ by add+ at !   
end ! foll[+ new subp>agraph3  7,d7     
,te/+ models to exam9e use ( teleheal?  
"u ,m$ic>e ,! ,secret>y %all consid]    
te/+ "u ?is subsection models to exam9e 
! use ( teleheal? "u title ,,xviii4  4