,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ciea  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #aa1 #bjbj,ms4   
,mc,sally 7= h]self & ,mr4 ,jones7      
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 provide = ! e/abli%m5t (
 a virtual heal? pilot program to       
facilitate utilization ( remote pati5t  
monitor+ te*nology to ma9ta9 or exp&    
access to heal? c>e s]vices =           
individuals 9 rural areas dur+ !        
,,covid-#ai em]g5cy p]iod1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,increas+ ,rural ,heal?    
,access ,dur+ ! ,,covid-#ai ,public     
,heal? ,em]g5cy ,act ( #bjbj4  #b4      
,increas+ rural heal? access dur+ !     
,,covid-#ai public heal? em]g5cy  7a7   
,def9itions ,subsection 7a7 ( section   
#ccj;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$--   
7#a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 

7#g7 z p>agraphs 7#b71 7#c71 7#d71 7#e71
 7#f71 7#h71 & 7#i71 respectively2  7#b7
 by ins]t+ be=e p>agraph 7#b71 z        
r$esignat$1 ! foll[+ new p>agraph3  7#a7
 ,,covid-#ai em]g5cy p]iod ,! t]m       
,,covid-#ai em]g5cy p]iod means ! p]iod 
beg9n+ on ! date ( enactm5t ( !         
,increas+ ,rural ,heal? ,access ,dur+ ! 
,,covid-#ai ,public ,heal? ,em]g5cy ,act
 ( #bjbj & end+ on ! date on :i* !      
national em]g5cy decl>$ by ! ,presid5t  
"u ! ,national ,em]g5cies ,act ) respect
 to ! ,,covid-#ai outbreak 9 ! ,unit$   
,/ates expires4  2 &  7#c7 by ins]t+    
be=e p>agraph 7#h71 z r$esignat$1 !     
foll[+3  7#g7 ,remote pati5t monitor+   
te*nology ,! t]m remote pati5t monitor+ 
te*nology means digital te*nologies us$ 
to collect m$ical & o!r =ms ( heal? data
 f individuals 9 "o location &          
electronically transmit su* data        
securely to heal? c>e provid]s 9 a      
diff]5t location = assessm5t1           
recomm5dations1 & int]v5tions4  4  7b7  
,programs ,subsection 7b7 ( section     

#ccj;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$--   
7#a7 by /rik+ ,! ,secret>y %all e/abli%1
 "u section #cja & ins]t+ ! foll[+3     
7#a7 ,9 g5]al ,! ,secret>y %all e/abli%1
 "u section #cja  2 &  7#b7 by add+ at !
 end ! foll[+ new p>agraph3  7#b7       
,virtual heal? pilot program ,!         
,secret>y %all e/abli% a virtual heal?  
pilot program to facilitate utilization 
( remote pati5t monitor+ te*nology to   
ma9ta9 or exp& access to heal? c>e      
s]vices = individuals 9 rural areas dur+
 ! ,,covid-#ai em]g5cy p]iod4  4  7c7   
,grants ,subsection 7d7 ( section       
#ccj;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$ by  
add+ at ! end ! foll[+ new p>agraph3    
7#c7 ,virtual heal? network pilot       
program grants ,! ,director %all1 9     
c>ry+ out ! virtual heal? pilot program 
ref]r$ to 9 subsection 7b77#b71 aw>d    
grants to eligible entities to          
facilitate utilization ( remote pati5t  
monitor+ te*nology 9 rural areas to--   

7,a7 ma9ta9 or exp& access to1 &        
coord9ate heal? c>e s]vices =1          
individuals ) *ronic conditions2  7,b7  
improve & exp& ! tra9+ ( heal? c>e      
provid]s us+ remote pati5t monitor+     
te*nology2 &  7,c7 m9imize *all5ges fac+
 heal? c>e provid]s & heal? c>e         
facilities1 includ+ rural heal? cl9ics1 
community heal? c5t]s1 community        
behavioral heal? c5t]s1 long-t]m c>e    
facilities1 & rural hospitals1 z su*    
provid]s & facilities s]ve _!           
communities especially dur+ !           
,,covid-#ai em]g5cy p]iod4  4  7d7      
,grant p]iods ,subsection 7e7 ( section 
#ccj;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$--   
7#a7 by /rik+ ,! ,director may aw>d     
grants "u ?is section & ins]t+ ! foll[+3
  7#a7 ,teleheal? network & teleheal?   
rese>* c5t] grants ,! ,director may aw>d
 grants "u p>agraphs 7#a7 & 7#b7 (      
subsection 7d7  2 &  7#b7 by add+ at !  
end ! foll[+ new p>agraph3  7#b7        
,virtual heal? network pilot program    

grants ,! ,director %all-- 7,a7 n lat]  
?an #cj days aft] ! date ( enactm5t (   
,increas+ ,rural ,heal? ,access ,dur+ ! 
,,covid-#ai ,public ,heal? ,em]g5cy ,act
 ( #bjbj1 issue a notice ( !            
availability ( fund+ ?r\gh grants "u    
subsection 7d77#c72 &  7,b7 n lat] ?an  
#ij days aft] ! date ( issuance ( !     
notice requir$ by subp>agraph 7,a71 aw>d
 all grants "u subsection 7d77#c74  4   
7e7 ,eligible entities ,subsection 7f7 (
 section #ccj;,i ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#ad7 
is am5d$ by add+ at ! end ! foll[+3     
7#d7 ,virtual heal? network pilot       
program grants ,to be eligible to       
receive a grant "u subsection 7d77#c71  
an entity %all-- 7,a7 meet ! requirem5ts
 ( p>agraphs 7#a71 7#b71 & 7#c7 ( ?is   
subsection t apply to an entity seek+ a 
grant "u subsection 7d77#a72  7,b7 be   
locat$ 9 a rural area2 &  7,c7          
demon/rate t ! entity w provide s]vices 
us+ remote pati5t monitor+ te*nology t  
is-- 7i7 cellul> enabl$2  7ii7 approv$1 

cle>$1 or au?oriz$ by ! ,food & ,drug   
,adm9i/ration2 &  7iii7 op]able us+     
cellul> /&>ds1 includ+ #b;,g & #c;,g1 t 
(f] broad network cov]age 9 rural areas 
)\t broadb& access1 z det]m9$ by !      
,secret>y4  4  7f7 ,applications        
,subsection 7g7 ( section #ccj;,i ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;c-#ad7 is am5d$-- 7#a7 by
 r$esignat+ p>agraphs 7#a7 ?r\gh 7#h7 z 
subp>agraphs 7,a7 ?r\gh 7,h71           
respectively1 & mov+ ! m>g9 ( ea* su*   
r$esignat$ subp>agraph #b ems to ! "r2  
7#b7 by /rik+ ,to be eligible to receive
 a grant "u subsection 7d7 & ins]t+ !   
foll[+3  7#a7 ,teleheal? network &      
teleheal? rese>* c5t] grants ,to be     
eligible to receive a grant "u p>agraph 
7#a7 or 7#b7 ( subsection 7d7  2 &  7#c7
 by add+ at ! end ! foll[+ new p>agraph3
  7#b7 ,virtual heal? network pilot     
program grants ,to be eligible to       
receive a grant "u subsection 7d77#c71  
an eligible entity %all prep>e & submit 
to ! ,secret>y an application at su* "t1

 9 su* mann]1 & conta9+ su* in=mation z 
! ,secret>y may require & include 9 su* 
application-- 7,a7 a description ( !    
project t ! eligible entity w c>ry out  
us+ ! funds provid$ "u ! grant2  7,b7 a 
description ( ! mann] 9 :i* ! project   
fund$ "u ! grant w meet ! heal? c>e ne$s
 ( rural or o!r populations to be s]v$  
?r\gh ! project1 or ma9ta9 or improve   
access to s]vices (1 & ! quality ( !    
s]vices receiv$ by1 ^? populations2     
7,c7 in=mation on ! s\rce & am\nt (     
non-,f$]al funds t ! entity w provide = 
! project2 &  7,d7 evid5ce ( int5t to   
provide s]vices us+ remote pati5t       
monitor+ te*nology z describ$ 9         
subsection 7f77#d77;,c74  4  7g7        
,pref]5ces ,subsection 7h7 ( section    
#ccj;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$ by  
add+ at ! end ! foll[+ new p>agraph3    
7#c7 ,virtual heal? network pilot       
program grants ,9 aw>d+ grants "u       
subsection 7d77#c71 ! ,secret>y %all    
give pref]5ce to any eligible entity t--

 7,a7 is able to e/abli% a virtual heal?
 program us+ remote pati5t monitor+     
te*nology )9 #fj days ( receipt ( !     
aw>d2 &  7,b7 proposes to use ,f$]al    
funds made available ?r\gh su* a grant  
to e/abli% & furni% s]vices us+ remote  
pati5t monitor+ te*nology t provides    
real "t1 cont9u\s coa*+ s]vices4  4  7h7
 ,use ( funds ,subsection 7j7 ( section 
#ccj;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$ by  
add+ at ! end ! foll[+ new p>agraph3    
7#c7 ,virtual heal? network pilot       
program grants ,! recipi5t ( a grant "u 
subsection 7d77#c7 may use funds receiv$
 ?r\gh su* grant = sal>ies1 equipm5t1 & 
op]at+ or o!r co/s =-- 7,a7 develop+ &  
deliv]+ s]vices us+ remote pati5t       
monitor+ te*nology t enhance access to  
community-bas$ heal? c>e s]vices 9 rural
 areas2  7,b7 develop+ & acquir+1 ?r\gh 
lease or pur*ase1 comput] h>dw>e &      
s(tw>e1 audio & video equipm5t1 comput] 
network equipm5t1 int]active equipm5t1  
data t]m9al equipm5t1 & o!r equipm5t t  

fur!rs ! objectives ( ! virtual heal?   
pilot program2  7,c7 7i7 provid+ =      
transmission ( m$ical data1 & ma9t5ance 
( equipm5t2 &  7ii7 provid+ =           
comp5sation 7includ+ travel exp5ses7 (  
speciali/s1 & ref]r+ heal? c>e provid]s1
 :o are provid+ virtual heal? s]vices   
?r\gh remote pati5t monitor+ te*nology  
if no ?ird-p>ty paym5t is available2 &  
7,d7 collect+ & analyz+ usage /ati/ics &
 data to docum5t ! co/-effectiv5ess (   
s]vices us+ remote pati5t monitor+      
te*nology2 &  7,e7 c>ry+ out su* o!r    
activities z are consi/5t ) a*iev+ !    
objectives ( ! virtual heal? pilot      
program1 z det]m9$ by ! ,secret>y4  4   
7i7 ,fund+ ,subsection 7q7 ( section    
#ccj;,i ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ad7 is am5d$--   
7#a7 9 ! subsection head+1 by /rik+     
,au?orization ( appropriations & ins]t+ 
,fund+2  7#b7 by /rik+ ,!re are au?oriz$
 to be appropriat$ to c>ry out ?is      
section & ins]t+ ! foll[+3  7#a7        
,teleheal? network & teleheal? rese>*   

c5t] grants ,to c>ry out ?is section )  
respect to grants "u p>agraphs 7#a7 &   
7#b7 ( subsection 7d71 !re is au?oriz$  
to be appropriat$  2 &  7#c7 by add+ at 
! end ! foll[+ new p>agraph3  7#b7      
,virtual heal? network pilot program    
grants ,to c>ry out ?is section )       
respect to ! virtual heal? pilot program
 "u subsection 7b77#b71 includ+ grants  
"u subsection 7d77#c71 !re is au?oriz$  
to be appropriat$ #ej1jjj1jjj1 to rema9 
available ?r\gh ! end ( ! ,,covid-#ai   
em]g5cy p]iod4  4  7j7 ,report ,n lat]  
?an two ye>s aft] aw>d+ all grants "u   
subsection 7d77#c7 ( section #ccj;,i ( !
 ,public ,heal? ,s]vice ,act1 z add$ by 
?is section1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all prep>e & submit to 
! ,committee on ,en]gy & ,comm]ce ( !   
,h\se ( ,repres5tatives & ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate a report on !       
activities & outcomes ( ! pilot program 
"u subsection 7b77#b7 ( section #ccj;,i 
( su* ,act1 z add$ by ?is section4