,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ciih  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ah1 #bjbj,mrs4  
,hyde-,smi? 7= h]self & ,mr4 ,k+7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
simplify paym5ts = teleheal? s]vices    
furni%$ by ,f$]ally qualifi$ heal? c5t]s
 or rural heal? cl9ics "u ! ,m$ic>e     
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,improv+
 ,teleheal? = ,und]s]v$ ,communities    
,act ( #bjbj4  #b4 ,simplify+ paym5ts = 
teleheal? s]vices furni%$ by ,f$]ally   
qualifi$ heal? c5t]s or rural heal?     
cl9ics  7a7 ,9 g5]al ,section           
#ahcd7m77#h77;,b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#h77;,b77 
is am5d$ to read z foll[s3  7,b7 ,paym5t
 ,! ,secret>y %all pay to a ,f$]ally    
qualifi$ heal? c5t] or rural heal? cl9ic
 s]v+ z a di/ant site t furni%es a      
teleheal? s]vice to an eligible         

teleheal? individual an am\nt equal to !
 am\nt t su* ,f$]ally qualifi$ heal?    
c5t] or rural heal? cl9ic w\ld h be5    
paid "u ! paym5t me?odology describ$ 9  
section #ahcd7o7 or section             
#ahcc7;a77#c71 respectively1 _h su*     
s]vice be5 furni%$ )\t ! use ( a        
telecommunications sy/em4 ,co/s         
associat$ ) ! deliv]y ( su* s]vices by a
 ,f$]ally qualifi$ heal? c5t] or rural  
heal? cl9ic s]v+ z a di/ant site        
pursuant to ?is p>agraph %all be        
consid]$ all[able co/s = purposes ( !   
paym5t me?odologies describ$ 9 ! previ\s
 s5t5ce4  4  7b7 ,effective date ,!     
am5dm5t made by subsection 7a7 %all     
apply ) respect to paym5ts = teleheal?  
s]vices furni%$ on or aft] ! fir/ day ( 
! em]g5cy p]iod describ$ 9 section      
#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b774  #c4 ,increas+
 limits on paym5t = rural heal? cl9ic   
s]vices ,section #ahcc7;f7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #aciel7f77

 is am5d$-- 7#a7 9 p>agraph 7#a71 by    
/rik+ 1 & & ins]t+ a semicolon2  7#b7 9 
p>agraph 7#b7-- 7,a7 by ins]t+ 7be=e    
#bjbj7 aft] subsequ5t ye>2 &  7,b7 by   
/rik+ ! p]iod at ! end & ins]t+ a       
semicolon2 &  7#c7 by add+ at ! end !   
foll[+ new p>agraphs3  7#c7 9 #bjbj1 at 
#ib4jc p] visit2 &  7#d7 9 a subsequ5t  
ye>1 at ! limit e/abli%$ "u ?is         
subsection = ! previ\s ye> increas$ by !
 p]c5tage increase 9 ! ,,mei 7z s def9$7
 applicable to prim>y c>e s]vices 7z s  
def9$7 furni%$ z ( ! fir/ day ( t ye>4  
4