,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cgda  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ad1 #bjbj,ms4    
,smi? 7= h]self1 ,ms4 ,/ab5[1 ,mr4      
,c>d91 ,mr4 ,casey1 ,mr4 ,udall1 ,mrs4  
,%ahe51 ,ms4 ,h>ris1 ,ms4 ,klobu*>1 &   
,mr4 ,m>key7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
require gr\p heal? plans & heal?        
insurance issu]s (f]+ gr\p or individual
 heal? insurance cov]age to provide     
cov]age = s]vices furni%$ via teleheal? 
if su* s]vices w\ld be cov]$ if furni%$ 
9 p]son dur+ ! ,,covid-#ai em]g5cy4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,heal? ,c>e at ,home ,act ( #bjbj4  #b4 
,requir+ gr\p heal? plans & heal?       
insurance issu]s (f]+ gr\p or individual
 heal? insurance cov]age to provide     
cov]age = s]vices furni%$ via teleheal? 
if su* s]vices w\ld be cov]$ if furni%$ 
9 p]son dur+ ! ,,covid-#ai em]g5cy  7a7 
,9 g5]al ,dur+ any portion ( ! em]g5cy  

p]iod describ$ 9 section                
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b771 not)/&+       
sections #bgjc & #bgae7;d77#d7 ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#b1                   
#cjj;gg-#ae7;d77#d771 a gr\p heal? plan 
& a heal? insurance issu] (f]+ gr\p     
heal? insurance cov]age1 includ+ a      
gr&fa!r$ heal? plan 7z def9$ 9 section  
#abea7;e7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjaa7;e777-- 7#a7 %all-- 7,a7 provide 
b5efits "u su* plan or su* cov]age = any
 eligible s]vice 7z def9$ 9 subsection  
7c771 includ+ a m5tal heal? & sub/ance  
use disord] s]vice1 furni%$ via a       
qualify+ telecommunications sy/em 7z    
def9$ 9 subsection 7c77 by a heal? c>e  
provid] to an individual :o is a        
p>ticipant1 b5efici>y1 or enrollee "u   
su* plan or su* cov]age1 not)/&+ t su*  
provid] furni%+ su* s]vice is n at !    
same location z ! individual2  7,b7 s   

provide su* b5efits = su* s]vice "u !   
same t]ms & ) application ( ! same      
co/-%>+ requirem5ts 7includ+ a          
d$uctible1 copaym5t1 or co9surance7 z   
w\ld apply if su* s]vice 7 furni%$ by   
su* provid] to su* individual 9 p]son2  
7,c7 reimburse su* provid] = su* s]vice 
9 an am\nt equal to ! am\nt (           
reimbursem5t = su* s]vice _h su* s]vice 
be5 furni%$ by su* provid] to su*       
individual 9 p]son2  7,d7 n impose any  
requirem5t "u su* plan or cov]age t su* 
provid] h a prior relation%ip ) su*     
individual2 &  7,e7 n re/rict ! ability 
( any heal? c>e provid] ) a contractual 
relation%ip = furni%+ an eligible s]vice
 "u su* plan or cov]age f furni%+ su*   
s]vice via a qualify+ telecommunications
 sy/em1 & %all n e/abli% inc5tives or   
p5alties "u su* plan or cov]age =       
receiv+ su* an eligible s]vice f su* a  
provid] via su* a sy/em2 &  7#b7 may    
waive any co/-%>+ requirem5t 7includ+   
application ( a d$uctible1 copaym5t1 or 
co9surance7 = an item or s]vice furni%$ 

= purposes ( diagnos+ or treat+         
,,covid-#ai1 includ+ any su* s]vice t is
 an eligible s]vice furni%$ via a       
qualify+ telecommunications sy/em4  7b7 
,application ,! provisions ( ?is section
 %all be appli$ by ! ,secret>y ( ,heal? 
& ,human ,s]vices1 ,secret>y ( ,labor1 &
 ,secret>y ( ! ,treasury to gr\p heal?  
plans & heal? insurance issu]s (f]+ gr\p
 or individual heal? insurance cov]age z
 if includ$ 9 ! provisions ( "p ,a (    
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act1 "p #g ( ! ,employee ,retirem5t   
,income ,security ,act ( #aigd1 &       
sub*apt] ,b ( *apt] #ajj ( ! ,int]nal   
,rev5ue ,code ( #aihf1 z applicable4    
7c7 ,def9itions ,9 ?is section3 7#a7    
,eligible s]vice ,! t]m eligible s]vice 
means1 ) respect to a gr\p heal? plan & 
a heal? insurance issu] (f]+ gr\p or    
individual heal? insurance cov]age1 a   
s]vice-- 7,a7 = :i* b5efits are provid$ 
"u su* plan or su* cov]age :5 su* s]vice
 is furni%$ 9 p]son2  7,b7 t is m$ically
 necess>y 7z det]m9$ by ! heal? c>e     

provid] furni%+ su* s]vice72 &  7,c7 t  
is able to be safely & effectively      
furni%$ via a telecommunications sy/em4 
7#b7 ,heal? insurance t]ms ,! t]ms gr\p 
heal? plan1 heal? insurance issu]1 gr\p 
heal? insurance cov]age1 & individual   
heal? insurance cov]age h ! mean+s giv5 
su* t]ms 9 section #bgia ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ia71 section #gcc ( ! ,employee
 ,retirem5t ,income ,security ,act (    
#aigd 7#bi ,u4,s4,c4 #aaia;b71 & section
 #ihcb ( ! ,int]nal ,rev5ue ,code (     
#aihf1 z applicable4  7#c7 ,qualify+    
telecommunications sy/em ,! t]m qualify+
 telecommunications sy/em means a       
telecommunications sy/em t includes1 at 
a m9imum1 audio capabilities p]mitt+    
two-way1 real-"t int]active             
communication betwe5 ! individual       
receiv+ an eligible s]vice via su* sy/em
 & ! heal? c>e provid] furni%+ su*      
sy/em1 includ+ a telephone1             
videoconf]5c+ sy/em1 int]net            
communications sy/em1 /ream+ m$ia       

communications sy/em1 & su* o!r sy/ems z
 specifi$ by ! ,secret>y ( ,heal? &     
,human ,s]vices4  7d7 ,effective date   
,?is section %all apply ) respect to    
items & s]vices furni%$ on or aft] !    
fir/ day ( ! em]g5cy p]iod describ$ 9   
subsection 7a74