,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dbhi  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bb1     
#bjbj ,mr4 ,young 7for himself1 ,mrs4   
,capito1 and ,mr4 ,king7 introduced the 
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to require the ,secretary of
 ,health and ,human ,services to        
collect1 analyze1 and report qualitative
 and quantitative data on the use of    
telehealth during the ,,covid-#ai public
 health emergency4  #a4 ,short title    
,this ,act may be cited as the          
,,covid-#ai ,emergency ,telehealth      
,impact ,reporting ,act of #bjbj4  #b4  
,definitions ,in this ,act3  7#a7       
,,covid-#ai public health emergency ,the
 term ,,covid-#ai public health         
emergency means the outbreak and public 
health response pertaining to           
,coronavirus ,disease #bjai             
7,,covid-#ai71 associated with the      
emergency declared by the ,secretary on 
,january #ca1 #bjbj1 under section #cai 

of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bdg;d71 and any renewals
 thereof and any subsequent declarations
 by the ,secretary related to           
,,covid-#ai4  7#b7 ,secretary ,the term 
,secretary means the ,secretary of      
,health and ,human ,services4  #c4 ,data
 collection and reports on the use of   
telehealth during the ,,covid-#ai public
 health emergency  7a7 ,data collection 
and analysis  7#a7 ,in general          
,beginning not later than #cj days after
 the date of enactment of this ,act1 the
 ,secretary shall collect and analyze   
qualitative and quantitative data on the
 impact of telehealth services1 virtual 
check-ins1 digital health1 and remote   
patient monitoring technologies on      
health care delivery permitted by the   
waiver or modification of certain       
requirements under titles ,,xviii of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acie et seq471 and any regulations     
thereunder1 pursuant to section #aace of
 such ,act 7#db ,u4,s4,c4 #acbj;b-#e7   

during the ,,covid-#ai public health    
emergency1 which may include the        
collection of data regarding-- 7,a7     
health care utilization rates across the
 ,medicare program under title ,,xviii  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie et seq47 for individuals
 confirmed or suspected to have         
,,covid-#ai and individuals seeking care
 unrelated to ,,covid-#ai1 including--  
7i7 patient access to telehealth        
services in medically underserved       
communities2 or  7ii7 individuals       
receiving telehealth services through   
,federally qualified health centers 7as 
defined in section #ahfa7;aa77#d7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciex7aa77#d77 or rural health clinics 
7as defined in section #ahfa7;aa77#b7 of
 such ,act 7#db ,u4,s4,c4               
#aciex7aa77#b777 serving as originating 
sites or distant sites1 and any         
challenges for providers furnishing     
telehealth services in these            
communities2  7,b7 health care quality  

for individuals confirmed or suspected  
to have ,,covid-#ai and individuals     
seeking care unrelated to ,,covid-#ai as
 measured by-- 7i7 quality of care      
metrics1 such as hospital readmission   
rates1 missed appointment rates1 or     
wellness visits1 and  7ii7 engagement   
metrics1 such as voluntary patient      
satisfaction surveys and voluntary      
provider satisfaction surveys2  7,c7    
audio-only telehealth utilization rates 
when other video-based telehealth was   
not an option or any other telehealth   
services that were not provided in      
real-time 7including text-messaging or  
through online chat platforms71 the     
types of visits1 and the types of       
providers treating individuals2  7,d7   
telehealth utilization rates used to    
treat individuals across ,state lines2  
7,e7 the health outcomes of any         
individual who utilizes telehealth      
services to treat an underlying health  
condition such as diabetes1 end-stage   
renal disease1 chronic lung disease1    

obstructive pulmonary disease1 coronary 
artery disease1 or cirrhosis and the    
types of technology utilized to receive 
care1 including text-messaging1 online  
chat platforms1 audio-only1 or video    
conferencing2  7,f7 the health outcomes 
of any individual who utilizes mental or
 behavioral health care and substance   
use disorder treatment services1 and the
 types of technology utilized to receive
 care1 including text-messaging1 online 
chat platforms1 audio-only1 or video    
conferencing2  7,g7 the impact of ,state
 and ,federal privacy and security      
protections on the delivery of care and 
patient safety1 including the security  
of the various technologies utilized to 
deliver or receive telehealth care2     
7,h7 how telehealth access differs by   
race1 ethnicity1 or income levels2  7,i7
 the types of technologies utilized to  
deliver or receive telehealth care1     
including ,zoom1 ,skype1 ,face,time1    
text messaging1 online chat platforms1  
or other technologies1 as observed by   

the ,secretary1 and utilization rates1  
disaggregated by type of technology 7as 
applicable72  7,j7 the investments      
necessary for providers to develop a    
platform to effectively provide         
telehealth services to their patients1  
including the costs of the necessary    
technology and the costs of training    
staff2 and  7,k7 any additional         
information determined appropriate by   
the ,secretary4  7#b7 ,broadband        
availability data ,upon request by the  
,secretary1 the ,assistant ,secretary of
 ,commerce for ,communications and      
,information and the ,federal           
,communications ,commission shall       
provide the ,secretary any relevant data
 regarding the availability of broadband
 internet access service 7as defined in 
section #hja of the ,communications ,act
 of #aicd 7#dg ,u4,s4,c4 #fda77 for the 
purposes of completing the report under 
paragraph 7#a74  7b7 ,interim report to 
congress ,not later than #ij days after 
the date of enactment of this ,act1 the 

,secretary shall submit to the          
,committees on ,finance and ,health1    
,education1 ,labor1 and ,pensions of the
 ,senate and the ,committees on ,ways   
and ,means and ,energy and ,commerce of 
the ,house of ,representatives an       
interim report on the impact of         
telehealth based on the data collected  
and analyzed under subsection 7a74 ,for 
the purposes of the interim report1 the 
,secretary may determine which data     
collected and analyzed under subsection 
7a7 is most appropriate to complete such
 report4  7c7 ,final report to congress 
,not later than #ahj days after the date
 of enactment of this ,act1 the         
,secretary shall submit to the          
,committees on ,finance and ,health1    
,education1 ,labor1 and ,pensions of the
 ,senate and the ,committees on ,ways   
and ,means and ,energy and ,commerce of 
the ,house of ,representatives a final  
report on the impact of telehealth based
 on the data collected and analyzed     
under subsection 7a7 that includes--    

7#a7 conclusions regarding the impact of
 telehealth services on health care     
delivery during the ,,covid-#ai public  
health emergency2 and  7#b7 an          
estimation for total ,medicare spending 
on telehealth services1 including total 
spending for each specific type of      
service for which ,medicare reimbursed4 
7d7 ,stakeholder input  7#a7 ,in general
 ,for purposes of subsections 7a71 7b71 
and 7c71 the ,secretary shall seek input
 from the ,medicare ,payment ,advisory  
,commission1 the ,medicaid and ,,chip   
,payment and ,access ,commission and    
nongovernmental stakeholders1 including 
patient organizations1 providers1 and   
experts in telehealth4  7#b7 ,comment   
period ,for the purposes of this        
subsection1 the ,secretary shall        
establish a comment period not later    
than #ad days after the date of         
enactment of this ,act4