,,ii #aaf? ,,congress #b;d ,session ,s4 #dbhi ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bb1 #bjbj ,mr4 ,"y 7= himself1 ,mrs4 ,capito1 & ,mr4 ,k+7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to collect1 analyze1 & report qualitative & quantitative data on ! use ( teleheal? dur+ ! ,,covid-#ai public heal? em]g5cy4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,covid-#ai ,em]g5cy ,teleheal? ,impact ,report+ ,act ( #bjbj4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,,covid-#ai public heal? em]g5cy ,! t]m ,,covid-#ai public heal? em]g5cy means ! outbreak & public heal? response p]ta9+ to ,coronavirus ,disease #bjai 7,,covid-#ai71 associat$ ) ! em]g5cy decl>$ by ! ,secret>y on ,janu>y #ca1 #bjbj1 "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d71 & any r5ewals !re( & any subsequ5t decl>ations by ! ,secret>y relat$ to ,,covid-#ai4 7#b7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 #c4 ,data collection & reports on ! use ( teleheal? dur+ ! ,,covid-#ai public heal? em]g5cy 7a7 ,data collection & analysis 7#a7 ,9 g5]al ,beg9n+ n lat] ?an #cj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all collect & analyze qualitative & quantitative data on ! impact ( teleheal? s]vices1 virtual *eck-ins1 digital heal?1 & remote pati5t monitor+ te*nologies on heal? c>e deliv]y p]mitt$ by ! waiv] or modification ( c]ta9 requirem5ts "u titles ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 & any regulations !reund]1 pursuant to section #aace ( su* ,act 7#db ,u4,s4,c4 #acbj;b-#e7 dur+ ! ,,covid-#ai public heal? em]g5cy1 :i* may include ! collection ( data reg>d+-- 7,a7 heal? c>e utilization rates across ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 = individuals confirm$ or suspect$ to h ,,covid-#ai & individuals seek+ c>e unrelat$ to ,,covid-#ai1 includ+-- 7i7 pati5t access to teleheal? s]vices 9 m$ically und]s]v$ communities2 or 7ii7 individuals receiv+ teleheal? s]vices ?r\gh ,f$]ally qualifi$ heal? c5t]s 7z def9$ 9 section #ahfa7;aa77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#d77 or rural heal? cl9ics 7z def9$ 9 section #ahfa7;aa77#b7 ( su* ,act 7#db ,u4,s4,c4 #aciex7aa77#b777 s]v+ z orig9at+ sites or di/ant sites1 & any *all5ges = provid]s furni%+ teleheal? s]vices 9 ^! communities2 7,b7 heal? c>e quality = individuals confirm$ or suspect$ to h ,,covid-#ai & individuals seek+ c>e unrelat$ to ,,covid-#ai z measur$ by-- 7i7 quality ( c>e metrics1 su* z hospital readmission rates1 miss$ appo9tm5t rates1 or wellness visits1 & 7ii7 engagem5t metrics1 su* z volunt>y pati5t satisfaction surveys & volunt>y provid] satisfaction surveys2 7,c7 audio-only teleheal? utilization rates :5 o!r video-bas$ teleheal? 0 n an option or any o!r teleheal? s]vices t 7 n provid$ 9 real-"t 7includ+ text-messag+ or ?r\gh onl9e *at plat=ms71 ! types ( visits1 & ! types ( provid]s treat+ individuals2 7,d7 teleheal? utilization rates us$ to treat individuals across ,/ate l9es2 7,e7 ! heal? outcomes ( any individual :o utilizes teleheal? s]vices to treat an und]ly+ heal? condition su* z diabetes1 end-/age r5al disease1 *ronic lung disease1 ob/ructive pulmon>y disease1 coron>y art]y disease1 or cirrhosis & ! types ( te*nology utiliz$ to receive c>e1 includ+ text-messag+1 onl9e *at plat=ms1 audio-only1 or video conf]5c+2 7,f7 ! heal? outcomes ( any individual :o utilizes m5tal or behavioral heal? c>e & sub/ance use disord] treatm5t s]vices1 & ! types ( te*nology utiliz$ to receive c>e1 includ+ text-messag+1 onl9e *at plat=ms1 audio-only1 or video conf]5c+2 7,g7 ! impact ( ,/ate & ,f$]al privacy & security protections on ! deliv]y ( c>e & pati5t safety1 includ+ ! security ( ! v>i\s te*nologies utiliz$ to deliv] or receive teleheal? c>e2 7,h7 h[ teleheal? access diff]s by race1 e?nicity1 or income levels2 7,i7 ! types ( te*nologies utiliz$ to deliv] or receive teleheal? c>e1 includ+ ,zoom1 ,skype1 ,face,time1 text messag+1 onl9e *at plat=ms1 or o!r te*nologies1 z obs]v$ by ! ,secret>y1 & utilization rates1 disaggregated by type ( te*nology 7z applicable72 7,j7 ! inve/m5ts necess>y = provid]s to develop a plat=m to effectively provide teleheal? s]vices to _! pati5ts1 includ+ ! co/s ( ! necess>y te*nology & ! co/s ( tra9+ /aff2 & 7,k7 any additional in=mation det]m9$ appropriate by ! ,secret>y4 7#b7 ,broadb& availability data ,^u reque/ by ! ,secret>y1 ! ,assi/ant ,secret>y ( ,comm]ce = ,communications & ,in=mation & ! ,f$]al ,communications ,commission %all provide ! ,secret>y any relevant data reg>d+ ! availability ( broadb& int]net access s]vice 7z def9$ 9 section #hja ( ! ,communications ,act ( #aicd 7#dg ,u4,s4,c4 #fda77 = ! purposes ( complet+ ! report "u p>agraph 7#a74 7b7 ,int]im report to congress ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,f9ance & ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committees on ,ways & ,means & ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives an int]im report on ! impact ( teleheal? bas$ on ! data collect$ & analyz$ "u subsection 7a74 ,= ! purposes ( ! int]im report1 ! ,secret>y may det]m9e :i* data collect$ & analyz$ "u subsection 7a7 is mo/ appropriate to complete su* report4 7c7 ,f9al report to congress ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,f9ance & ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committees on ,ways & ,means & ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a f9al report on ! impact ( teleheal? bas$ on ! data collect$ & analyz$ "u subsection 7a7 t includes-- 7#a7 conclusions reg>d+ ! impact ( teleheal? s]vices on heal? c>e deliv]y dur+ ! ,,covid-#ai public heal? em]g5cy2 & 7#b7 an e/imation = total ,m$ic>e sp5d+ on teleheal? s]vices1 includ+ total sp5d+ = ea* specific type ( s]vice = :i* ,m$ic>e reimburs$4 7d7 ,/akehold] input 7#a7 ,9 g5]al ,= purposes ( subsections 7a71 7b71 & 7c71 ! ,secret>y %all seek input f ! ,m$ic>e ,paym5t ,advisory ,commission1 ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission & nongov]nm5tal /akehold]s1 includ+ pati5t organizations1 provid]s1 & exp]ts 9 teleheal?4 7#b7 ,comm5t p]iod ,= ! purposes ( ?is subsection1 ! ,secret>y %all e/abli% a comm5t p]iod n lat] ?an #ad days aft] ! date ( enactm5t ( ?is ,act4