,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #bijc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #bh1 #bjba ,mr4
 ,?ompson ( ,cali=nia 7= himself1 ,mr4  
,s*weik]t1 ,mr4 ,johnson ( ,ohio1 ,ms4  
,matsui1 & ,mr4 ,wel*7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to exp& access to
 teleheal? s]vices1 & = o!r purposes4   
#a4 ,%ort title2 table ( cont5ts  7a7   
,%ort title ,?is ,act may be cit$ z !   
,creat+ ,opportunities ,n[ = ,necess>y &
 ,effective ,c>e ,te*nologies           
7,,connect7 = ,heal? ,act ( #bjba or !  
,,connect = ,heal? ,act ( #bjba4  7b7   
,table ( cont5ts ,! table ( cont5ts (   
?is ,act is z foll[s3  ,sec4 #a4 ,%ort  
title2 table ( cont5ts4 ,sec4 #b4 ,f9d+s

 & s5se ( ,congress4 ,,title ,i--,remov+
 b>ri]s to teleheal? cov]age ,sec4 #aja4
 ,exp&+ ! use ( teleheal? ?r\gh ! waiv] 
( requirem5ts4 ,sec4 #ajb4 ,remov+      
geographic requirem5ts = teleheal?      
s]vices4 ,sec4 #ajc4 ,exp&+ orig9at+    
sites4 ,sec4 #ajd4 ,use ( teleheal? 9   
em]g5cy m$ical c>e4 ,sec4 #aje4         
,improvem5ts to ! process = add+        
teleheal? s]vices4 ,sec4 #ajf4 ,f$]ally 
qualifi$ heal? c5t]s & rural heal?      
cl9ics4 ,sec4 #ajg4 ,native ,am]ican    
heal? facilities4 ,sec4 #ajh4 ,waiv] (  
teleheal? requirem5ts dur+ public heal? 
em]g5cies4 ,sec4 #aji4 ,use ( teleheal? 
9 rec]tification = hospice c>e4 ,,title 
,,ii--,program integrity ,sec4 #bja4    
,cl>ification = fraud & abuse laws      
reg>d+ te*nologies provid$ to           
b5efici>ies4 ,sec4 #bjb4 ,additional    
res\rces = teleheal? ov]sight4 ,sec4    
#bjc4 ,provid] & b5efici>y education on 
teleheal?4 ,,title ,,iii--,data & te/+ (
 models ,sec4 #cja4 ,/udy on teleheal?  
utilization dur+ ! ,,covid-#ai p&emic4  

,sec4 #cjb4 ,analysis ( teleheal? waiv]s
 9 alt]native paym5t models4 ,sec4 #cjc4
 ,model to all[ additional heal?        
pr(essionals to furni% teleheal?        
s]vices4 ,sec4 #cjd4 ,te/+ ( models to  
exam9e ! use ( teleheal? "u ! ,m$ic>e   
program4  #b4 ,f9d+s & s5se ( ,congress 
7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7
 ,! use ( te*nology 9 heal? c>e &       
cov]age ( teleheal? s]vices are rapidly 
evolv+4  7#b7 ,rese>* has f\nd t        
teleheal? s]vices c exp& access to c>e1 
improve ! quality ( c>e1 & r$uce sp5d+1 
& t pati5ts receiv+ teleheal? s]vices   
are satisfi$ ) _! exp]i5ces4  7#c7      
,heal? c>e work=ce %ortages are a       
significant problem 9 _m areas & = _m   
types ( heal? c>e cl9icians4  7#d7      
,teleheal? increases access to c>e 9    
areas ) work=ce %ortages & = individuals
 :o live f> away f heal? c>e facilities1
 h limit$ mobility or transportation1 or
 h o!r b>ri]s to access+ c>e4  7#e7 ,!  
use ( heal? te*nologies c /r5g!n !      
exp]tise ( ! heal? c>e work=ce1 includ+ 

by connect+ cl9icians to specialty      
consultations4  7#f7 ,prior to !        
,,covid-#ai p&emic1 ! utilization (     
teleheal? s]vices 9 ! ,m$ic>e program "u
 title ,,xviii ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acie et seq47 0 l[1
 ) only #j4be p]c5t ( ,m$ic>e           
fee-=-s]vice b5efici>ies utiliz+        
teleheal? s]vices 9 #bjaf4  7#g7 ,!     
,,covid-#ai p&emic demon/rat$ additional
 b5efits ( teleheal?1 includ+ r$uc+     
infection risk ( pati5ts & heal? c>e    
pr(essionals & cons]v+ space 9 heal? c>e
 facilities1 & ! ,c5t]s = ,disease      
,control & ,prev5tion recomm5d$ t       
teleheal? s]vices %\ld be optimiz$1 :5  
available & appropriate1 dur+ ! p&emic4 
7#h7 ,long-t]m c]ta9ty ab\t cov]age (   
teleheal? s]vices "u ! ,m$ic>e program  
is necess>y to fully realize ! b5efits (
 teleheal?4  7b7 ,s5se ( ,congress ,x is
 ! s5se ( ,congress t--  7#a7 heal? c>e 
provid]s c furni% safe1 effective1 &    
high-quality heal? c>e s]vices ?r\gh    
teleheal?2  7#b7 ! ,secret>y ( ,heal? & 

,human ,s]vices %\ld promptly take all  
necess>y measures to ensure t provid]s &
 b5efici>ies c cont9ue to furni% &      
utilize1 respectively1 teleheal? s]vices
 9 ! ,m$ic>e program dur+ & aft] !      
conclusion ( ! ,,covid-#ai p&emic1      
includ+ modify+1 z appropriate1 !       
def9ition ( int]active                  
telecommunications sy/em 9 regulations &
 program in/ruction "u ! ,m$ic>e program
 to ensure t provid]s c utilize all     
appropriate means & types ( te*nology1  
includ+ audio-visual1 audio-only1 & o!r 
types ( te*nologies1 to furni% teleheal?
 s]vices2 &  7#c7 b>ri]s to ! use (     
teleheal? %\ld be remov$4  ,i ,remov+   
b>ri]s to teleheal? cov]age  #aja4      
,exp&+ ! use ( teleheal? ?r\gh ! waiv] (
 requirem5ts  7a7 ,9 g5]al ,section     
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$--  7#a7 9
 p>agraph 7#d77;,c77i71 by /rik+ & 7#g7 
& ins]t+ 7#g71 & 7#i72 &  7#b7 by add+  
at ! end ! foll[+3  7#i7 ,au?ority to   
waive requirem5ts & limitations  7,a7 ,9

 g5]al ,not)/&+ ! prec$+ provisions (   
?is subsection1 9 ! case ( teleheal?    
s]vices furni%$ on or aft] ,janu>y #a1  
#bjbb1 ! ,secret>y may waive any        
requirem5t describ$ 9 subp>agraph 7,b7 t
 is applicable to paym5t = teleheal?    
s]vices "u ?is subsection1 b only if !  
,secret>y det]m9es t su* waiv] w\ld n   
adv]sely impact quality ( c>e4  7,b7    
,requirem5ts describ$ ,= purposes ( ?is 
p>agraph1 requirem5ts applicable to     
paym5t = teleheal? s]vices "u ?is       
subsection are--  7i7 requirem5ts relat+
 to qualifications = an orig9at+ site "u
 p>agraph 7#d77;,c77ii72  7ii7 any      
geographic requirem5t "u p>agraph       
7#d77;,c77i7 7o!r ?an applicable ,/ate  
law requirem5ts1 includ+ ,/ate lic5sure 
requirem5ts72  7iii7 any limitation on !
 type ( te*nology us$ to furni%         
teleheal? s]vices2  7iv7 any limitation 
on ! types ( practition]s :o are        
eligible to furni% teleheal? s]vices    
7o!r ?an ! requirem5t t ! practition] is
 enroll$ "u ?is title72  7v7 any        

limitation on specific s]vices designat$
 z teleheal? s]vices pursuant to ?is    
subsection 7provid$ ! ,secret>y det]m9es
 t su* s]vices are cl9ically appropriate
 to furni% remotely72 or  7vi7 any o!r  
limitation relat+ to ! furni%+ (        
teleheal? s]vices "u ?is title id5tifi$ 
by ! ,secret>y4  7,c7 ,waiv]            
implem5tation ,9 implem5t+ a waiv] "u   
?is p>agraph1 ! ,secret>y may e/abli%   
p>amet]s1 z appropriate1 = teleheal?    
s]vices "u su* waiv]1 includ+ ) respect 
to paym5t ( a facility fee = orig9at+   
sites & b5efici>y & program integrity   
protections4  7,d7 ,public comm5t ,!    
,secret>y %all e/abli% a process by :i* 
/akehold]s may 7on at lea/ an annual    
basis7 provide public comm5t on waiv]s  
"u ?is p>agraph4  7,e7 ,p]iodic review (
 waiv]s ,! ,secret>y %all p]iodically1 b
 n m (t5 ?an e #c ye>s1 reassess ea*    
waiv] "u ?is p>agraph to det]m9e :e!r ! 
waiv] cont9ues to meet ! quality ( c>e  
condition applicable "u subp>agraph     
7,a74 ,! ,secret>y %all t]m9ate any     

waiv] t does n cont9ue to meet su*      
condition4  4  7b7 ,po/+ ( in=mation ,n 
lat] ?an #b ye>s aft] ! date on :i* a   
waiv] "u section #ahcd7m77#i7 ( !       
,social ,security ,act1 z add$ by       
subsection 7a71 fir/ becomes effective1 
& at lea/ e #b ye>s !reaft]1 ! ,secret>y
 ( ,heal? & ,human ,s]vices %all po/ on 
! int]net website ( ! ,c5t]s = ,m$ic>e  
,m$icaid ,s]vices--  7#a7 ! numb] (     
,m$ic>e b5efici>ies receiv+ teleheal?   
s]vices by reason ( ea* waiv] "u su*    
section2  7#b7 ! impact ( su* waiv]s on 
exp5ditures & utilization "u title      
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq472 &  7#c7 o!r   
outcomes1 z det]m9$ appropriate by !    
,secret>y4  #ajb4 ,remov+ geographic    
requirem5ts = teleheal? s]vices ,section
 #ahcd7m77#d77;,c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciem7m77#d77;,c771 z am5d$ by section 
#aja1 is am5d$--  7#a7 9 clause 7i71 9 !
 matt] prec$+ subclause 7,i71 by ins]t+ 
& clause 7iii7 aft] & 7#i72 &  7#b7 by  

add+ at ! end ! foll[+ new clause3      
7iii7 ,removal ( geographic requirem5ts 
,! geographic requirem5ts describ$ 9    
clause 7i7 %all n apply ) respect to    
teleheal? s]vices furni%$ on or aft] !  
date ( ! enactm5t ( ?is clause4  4      
#ajc4 ,exp&+ orig9at+ sites  7a7 ,exp&+ 
! home z an orig9at+ site ,section      
#ahcd7m77#d77;,c77ii77,x7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c77ii77,x77 is am5d$ to 
read z foll[s3  7,x7  7aa7 ,prior to !  
date ( enactm5t ( ! ,,connect = ,heal?  
,act ( #bjba1 ! home ( an individual b  
only = purposes ( section               
#ahha7;b77#c77;,b7 or teleheal? s]vices 
describ$ 9 p>agraph 7#g74  7bb7 ,on or  
aft] su* date ( enactm5t1 ! home ( an   
individual4  4  7b7 ,all[+ additional   
orig9at+ sites ,section                 
#ahcd7m77#d77;,c77ii7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c77ii77 is am5d$ by add+
 at ! end ! foll[+ new subclause3       
7,,xii7 ,any o!r site det]m9$           

appropriate by ! ,secret>y at :i* an    
eligible teleheal? individual is locat$ 
at ! "t a teleheal? s]vice is furni%$   
via a telecommunications sy/em4  4  7c7 
,p>amet]s = new orig9at+ sites ,section 
#ahcd7m77#d77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#d77;,c771
 z am5d$ by section #ajb1 is am5d$ by   
add+ at ! end ! foll[+ new clause3  7iv7
 ,requirem5ts = new sites  7,i7 ,9 g5]al
 ,! ,secret>y may e/abli% requirem5ts = 
! furni%+ ( teleheal? s]vices at sites  
describ$ 9 clause 7ii77,,xii7 to provide
 = b5efici>y & program integrity        
protections4  7,,ii7 ,cl>ification ,no?+
 9 ?is clause %all be con/ru$ to        
preclude ! ,secret>y f e/abli%+         
requirem5ts = o!r orig9at+ sites        
describ$ 9 clause 7ii7  4  7d7 ,no      
orig9at+ site facility fee = new sites  
,section #ahcd7m77#b77;,b77ii7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#b77;,b77ii77 is am5d$--  7#a7
 9 ! head+1 by /rik+ if orig9at+ site is
 ! home & ins]t+ = c]ta9 sites2 &  7#b7 

by /rik+ p>agraph 7#d77;,c77ii77,x7 &   
ins]t+ subclause 7,x7 or 7,,xii7 (      
p>agraph 7#d77;,c74  #ajd4 ,use (       
teleheal? 9 em]g5cy m$ical c>e  7a7 ,9  
g5]al ,section #ahcd7m7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciem7m771 z am5d$ by sections #aja &  
#ajb1 is am5d$-- 7#a7 9 p>agraph        
7#d77;,c77i71 by /rik+ & 7#i7 & ins]t+  
7#i71 & 7#aj72 &  7#b7 by add+ at ! end 
! foll[+3  7#aj7 ,treatm5t ( em]g5cy    
m$ical c>e furni%$ ?r\gh teleheal? ,!   
geographic requirem5ts describ$ 9       
p>agraph 7#d77;,c77i7 7o!r ?an          
applicable ,/ate law requirem5ts1       
includ+ ,/ate lic5sure requirem5ts7 %all
 n apply ) respect to teleheal? s]vices 
t are s]vices = em]g5cy m$ical c>e 7z   
det]m9$ by ! ,secret>y7 furni%$ on or   
aft] ,janu>y #a1 #bjbb1 to an eligible  
teleheal? individual4  4  7b7           
,additional s]vices ,z "p ( !           
implem5tation ( ! am5dm5ts made by ?is  
section1 ! ,secret>y ( ,heal? & ,human  
,s]vices %all consid] :e!r additional   

s]vices %\ld be add$ to ! s]vices       
specifi$ 9 p>agraph 7#d77;,f77i7 (      
section #ahcd7m7 ( su* ,act 7#db        
,u4,s4,c4 #aciem77 = au?oriz$ paym5t "u 
p>agraph 7#a7 ( su* section4  #aje4     
,improvem5ts to ! process = add+        
teleheal? s]vices  7a7 ,review ,!       
,secret>y %all und]take a review ( !    
process e/abli%$ pursuant to section    
#ahcd7m77#d77;,f77ii7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,f77ii771 & bas$ on !    
results ( su* review--  7#a7 implem5t   
revisions to ! process s t ! crit]ia to 
add s]vices prioritizes1 z appropriate1 
improv$ access to c>e ?r\gh cl9ically   
appropriate teleheal? s]vices2 &  7#b7  
provide cl>ification on :at reque/s to  
add teleheal? s]vices "u su* process    
%\ld include4  7b7 ,tempor>y cov]age (  
c]ta9 teleheal? s]vices ,section        
#ahcd7m77#d77;,f7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#d77;,f77 
is am5d$ by add+ at ! end ! foll[+ new  
clause3  7iii7 ,tempor>y cov]age ( c]ta9

 teleheal? s]vices ,! ,secret>y may add 
s]vices ) a reasonable pot5tial         
likelihood ( cl9ical b5efit & improv$   
access to c>e :5 furni%$ via a          
telecommunications sy/em 7z det]m9$ by !
 ,secret>y7 on a tempor>y basis to ^?   
specifi$ 9 clause 7i7 = au?oriz$ paym5t 
"u p>agraph 7#a74  4  #ajf4 ,f$]ally    
qualifi$ heal? c5t]s & rural heal?      
cl9ics ,section #ahcd7m7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciem7m771 z am5d$ by sections #aja1   
#ajb1 & #ajd1 is am5d$-- 7#a7 9 p>agraph
 7#d77;,c77i71 9 ! matt] prec$+         
subclause 7,i71 by ins]t+ 1 7#h7 aft]   
7#g72 &  7#b7 9 p>agraph 7#h7-- 7,a7 9 !
 p>agraph head+ by ins]t+ & aft] aft]   
dur+ 2  7,b7 9 subp>agraph 7,a7-- 7i7 9 
! matt] prec$+ clause 7i71 by ins]t+ &  
aft] su* em]g5cy p]iod aft]             
#aace7;g77#a77;,b72  7ii7 9 clause 7ii71
 by /rik+ & at ! end2  7iii7 by         
r$esignat+ clause 7iii7 z clause 7iv72 &
  7iv7 by ins]t+ aft] clause 7ii7 !     
foll[+ new clause3  7iii7 ! geographic  

requirem5ts describ$ 9 p>agraph         
7#d77;,c77i7 %all n apply ) respect to  
su* a teleheal? s]vice2 &  2  7,c7 by   
/rik+ subp>agraph 7,b7 & ins]t+ !       
foll[+3  7,b7 ,paym5t  7i7 ,9 g5]al ,a  
teleheal? s]vice furni%$ by a ,f$]ally  
qualifi$ heal? c5t] or a rural heal?    
cl9ic to an individual pursuant to ?is  
p>agraph on or aft] ! date ( ! enactm5t 
( ?is subp>agraph %all be deem$ to be s 
furni%$ to su* individual z an outpati5t
 ( su* cl9ic or facility 7z applicable7 
= purposes ( p>agraph 7#a7 or 7#c71     
respectively1 ( section #ahfa7;aa7 &    
payable z a ,f$]ally qualifi$ heal? c5t]
 s]vice or rural heal? cl9ic s]vice 7z  
applicable7 "u ! prospective paym5t     
sy/em e/abli%$ "u section #ahcd7o7 or "u
 section #ahcc7;a77#c71 respectively4   
7ii7 ,treatm5t ( co/s = ,,fqhc ,,pps    
calculations & ,,rhc ,,air calculations 
,co/s associat$ ) ! deliv]y ( teleheal? 
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 ( ! prospective paym5t sy/em   
e/abli%$ "u section #ahcd7o7 & any      
paym5t me?odologies develop$ "u section 
#ahcc7;a77#c71 z applicable4  4  #ajg4  
,native ,am]ican heal? facilities  7a7  
,9 g5]al ,section #ahcd7m77#d77;,c7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#d77;,c771 z am5d$ by sections
 #aja1 #ajb1 & #ajc1 is am5d$--  7#a7 9 
clause 7i71 by /rik+ clause 7iii7 &     
ins]t+ clauses 7iii7 & 7v72 &  7#b7 by  
add+ at ! end ! foll[+ new clause3  7v7 
,native ,am]ican heal? facilities ,)    
respect to teleheal? s]vices furni%$ on 
or aft] ,janu>y #a1 #bjbb1 ! orig9at+   
site requirem5ts describ$ 9 clauses 7i7 
& 7ii7 %all n apply ) respect to a      
facility ( ! ,indian ,heal? ,s]vice1    
:e!r op]at$ by su* ,s]vice1 or by an    
,indian tribe 7z t t]m is def9$ 9       
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 
or a tribal organization 7z t t]m is    
def9$ 9 section #d ( ! ,indian          

,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 
or a facility ( ! ,native ,hawaiian     
heal? c>e sy/ems au?oriz$ "u ! ,native  
,hawaiian ,heal? ,c>e ,improvem5t ,act  
7#db ,u4,s4,c4 #aagja et seq474  4  7b7 
,no orig9at+ site facility fee = ,c]ta9 
,native ,am]ican facilities ,section    
#ahcd7m77#b77;,b77i7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#b77;,b77i77 is am5d$1 9 !    
matt] prec$+ subclause 7,i71 by ins]t+  
7o!r ?an an orig9at+ site t is only     
describ$ 9 clause 7v7 ( p>agraph        
7#d77;,c71 & does n meet ! requirem5t = 
an orig9at+ site "u clauses 7i7 & 7ii7 (
 su* p>agraph7 aft] ! orig9at+ site4    
#ajh4 ,waiv] ( teleheal? requirem5ts    
dur+ public heal? em]g5cies ,section    
#aace7;g77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77 is  
am5d$-- 7#a7 9 subp>agraph 7,a71 9 !    
matt] prec$+ clause 7i71 by /rik+       
subp>agraph 7,b7 & ins]t+ subp>agraphs  
7,b7 & 7,c72 &  7#b7 by add+ at ! end ! 

foll[+ new subp>agraph3  7,c7 ,exception
 = waiv] ( teleheal? requirem5ts dur+   
public heal? em]g5cies ,= purposes (    
subsection 7b77#h71 9 addition to !     
em]g5cy p]iod describ$ 9 subp>agraph    
7,b71 an em]g5cy area is a geographical 
area 9 :i*1 & an em]g5cy p]iod is !     
p]iod dur+ :i*1 !re exi/s a public heal?
 em]g5cy decl>$ by ! ,secret>y pursuant 
to section #cai ( ! ,public ,heal?      
,s]vice ,act4  4  #aji4 ,use ( teleheal?
 9 rec]tification = hospice c>e  7a7 ,9 
g5]al ,section                          
#ahad7;a77#g77;,d77i77,,ii7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acie;f7a77#g77;,d77i77,,ii77 is am5d$  
by ins]t+ & aft] su* em]g5cy p]iod aft] 
#aace7;g77#a77;,b74  7b7 ,,gao report ,n
 lat] ?an #c ye>s aft] ! date ( enactm5t
 ( ?is ,act1 ! ,comptroll] ,g5]al ( !   
,unit$ ,/ates %all submit a report to   
,congress evaluat+ ! impact ( ! am5dm5t 
made by subsection 7a7 on--  7#a7 !     
numb] & p]c5tage ( b5efici>ies rec]tifi$
 = ! ,m$ic>e hospice b5efit at #ahj days

 & = subsequ5t b5efit p]iods2  7#b7 !   
appropriat5ess = hospice c>e ( ! pati5ts
 rec]tifi$ ?r\gh ! use ( teleheal?2 &   
7#c7 any o!r factors det]m9$ appropriate
 by ! ,comptroll] ,g5]al4  ,,ii ,program
 integrity  #bja4 ,cl>ification = fraud 
& abuse laws reg>d+ te*nologies provid$ 
to b5efici>ies ,section #aabh;,a7i77#f7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acbj;a-#g;a7i77#f77 is       
am5d$--  7#a7 9 subp>agraph 7,i71 by    
/rik+ 2 or & ins]t+ a semicolon2  7#b7 9
 subp>agraph 7,j71 by /rik+ ! p]iod at !
 end & ins]t+ 2 or2 &  7#c7 by add+ at !
 end ! foll[+ new subp>agraph3  7,k7 !  
provision ( te*nologies 7z def9$ by !   
,secret>y7 on or aft] ! date ( !        
enactm5t ( ?is subp>agraph1 by a provid]
 ( s]vices or suppli] 7z su* t]ms are   
def9$ = purposes ( title ,,xviii7       
directly to an individual :o is entitl$ 
to b5efits "u "p ,a ( title ,,xviii1    
enroll$ "u "p ,b ( su* title1 or bo?1 = 
! purpose ( furni%+ teleheal? s]vices1  
remote pati5t monitor+ s]vices1 or o!r  

s]vices furni%$ ?r\gh ! use ( te*nology 
7z def9$ by ! ,secret>y71 if--  7i7 !   
te*nologies are n (f]$ z "p ( any       
adv]tisem5t or solicitation2 &  7ii7 !  
provision ( ! te*nologies meets any o!r 
requirem5ts set =? 9 regulations        
promulgat$ by ! ,secret>y4  4  #bjb4    
,additional res\rces = teleheal?        
ov]sight ,9 addition to am\nts o!rwise  
available1 !re are au?oriz$ to be       
appropriat$ to ! ,inspector ,g5]al ( !  
,dep>tm5t ( ,heal? & ,human ,s]vices =  
ea* ( fiscal ye>s #bjbb ?r\gh #bjbf1 out
 ( any money 9 ! ,treasury n o!rwise    
appropriat$1 #c1jjj1jjj1 to rema9       
available until exp5d$1 = purposes (    
conduct+ audits1 inve/igations1 & o!r   
ov]sight & en=cem5t activities ) respect
 to teleheal? s]vices1 remote pati5t    
monitor+ s]vices1 or o!r s]vices furni%$
 ?r\gh ! use ( te*nology 7z def9$ by !  
,secret>y74  #bjc4 ,provid] & b5efici>y 
education on teleheal?  7a7 ,educational
 res\rces & tra9+ sessions  7#a7 ,9     
g5]al ,n lat] ?an #f mon?s aft] ! date (

 enactm5t ( ?is ,act1 ! ,secret>y (     
,heal? & ,human ,s]vices %all develop & 
make available to b5efici>ies & heal?   
c>e pr(essionals educational res\rces & 
tra9+ sessions on requirem5ts relat+ to 
! furni%+ ( teleheal? s]vices "u section
 #ahcd7m7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciem7m77 & topics      
includ+--  7,a7 requirem5ts = paym5t =  
teleheal? s]vices2  7,b7                
teleheal?-specific heal? c>e privacy &  
security tra9+2  7,c7 utiliz+ teleheal? 
s]vices to engage & support und]s]v$1   
high-risk1 & vuln]able pati5t           
populations2 &  7,d7 o!r topics z       
det]m9$ appropriate by ! ,secret>y4     
7#b7 ,acc\nt+ = age & o!r diff]5ces ,su*
 res\rces & tra9+ sessions mu/ acc\nt = 
age & sociodemographic1 geographic1     
cultural1 cognitive1 & l+ui/ic diff]5ces
 9 h[ individuals int]act ) te*nology4  
7b7 ,quality improvem5t organizations ,!
 ,secret>y %all consid] includ+ te*nical
 assi/ance1 education1 & tra9+ on       
teleheal? s]vices z a requir$ activity (

 ! quality improvem5t organizations     
describ$ 9 section #ahfb7;g7 ( ! ,social
 ,security ,act4  7c7 ,fund+ ,!re are   
au?oriz$ to be appropriat$ su* sums z   
necess>y to c>ry out ! activities       
describ$ 9 sections 7a7 & 7b74  ,,iii   
,data & te/+ ( models  #cja4 ,/udy on   
teleheal? utilization dur+ ! ,,covid-#ai
 p&emic  7a7 ,9 g5]al ,! ,secret>y %all 
collect & analyze qualitative &         
quantitative data on ! impact (         
teleheal? s]vices1 virtual *eck-ins1    
remote pati5t monitor+ s]vices1 & o!r   
s]vices furni%$ ?r\gh ! use ( te*nology 
p]mitt$ by ! waiv] or modification (    
c]ta9 requirem5ts "u title ,,xviii ( !  
,social ,security ,act 7#db #ae         
,u4,s4,c4 #acie et seq47 &1 z feasible1 
"u title ,,xix ( su* ,act 7#db ,u4,s4,c4
 #acif et seq471 & any regulations      
!reund] dur+ ! ,,covid-#ai public heal? 
em]g5cy1 :i* may include ! collection ( 
data reg>d+--  7#a7 heal? c>e           
utilization rates "u su* title ,,xviii  
&1 z feasible1 "u su* title ,,xix1      

includ+ utilization-- 7,a7 9 diff]5t    
types ( areas2  7,b7 by race1 e?nicity1 
or income levels2 &  7,c7 ( teleheal?   
s]vices furni%$ by diff]5t types ( heal?
 c>e pr(essionals2  7#b7 heal? c>e      
quality1 su* z measur$ by hospital      
readmission rates1 miss$ appo9tm5t      
rates1 pati5t & provid] satisfaction1 or
 o!r appropriate measures2  7#c7 heal?  
outcomes ( individuals utiliz+ teleheal?
 s]vices2  7#d7 audio-only teleheal?    
utilization rates :5 video-bas$         
teleheal? 0 n an option1 includ+ ! types
 ( s]vices & ! types ( provid]s treat+  
individuals us+ audio-only teleheal?2   
7#e7 waiv]s ( ,/ate lic5sure            
requirem5ts2  7#f7 ! types ( te*nologies
 utiliz$ to deliv] or receive teleheal? 
c>e & utilization rates1 disaggregat$ by
 type ( te*nology 7z applicable72  7#g7 
*all5ges = provid]s 9 furni%+ teleheal? 
s]vices2  7#h7 ! inve/m5ts necess>y =   
provid]s to effectively provide         
teleheal? s]vices to _! pati5ts1 includ+
 ! co/s ( necess>y te*nology & ( tra9+  

/aff2 &  7#i7 any additional in=mation  
det]m9$ appropriate by ! ,secret>y4  7b7
 ,int]im report to ,congress ,n lat] ?an
 #ahj days aft] ! date ( enactm5t ( ?is 
,act1 ! ,secret>y %all submit to !      
,committee on ,f9ance & ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,ways &     
,means & ! ,committee on ,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 su*          
subsection is mo/ appropriate to        
complete su* report4  7c7 ,f9al report  
to ,congress ,n lat] ?an "o ye> aft] !  
date ( enactm5t ( ?is ,act1 ! ,secret>y 
%all submit to ! ,committee on ,f9ance &
 ! ,committee on ,heal?1 ,education1    
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,ways & ,means & !        
,committee on ,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   
sp5d+ on teleheal? s]vices "u title     
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq47 &1 z feasible1 
"u title ,,xix ( su* ,act 7#db ,u4,s4,c4
 #acif et seq474  7d7 ,/akehold] input  
,= purposes ( subsections 7a71 7b71 &   
7c71 ! ,secret>y %all seek input f !    
,m$ic>e ,paym5t ,advisory ,commission1 !
 ,m$icaid & ,,*ip ,paym5t & ,access     
,commission1 & nongov]nm5tal /akehold]s1
 includ+ pati5t organizations1 provid]s1
 & exp]ts 9 teleheal?4  7e7 ,fund+ ,!re 
are au?oriz$ to be appropriat$ su* sums 
z necess>y to c>ry out ?is section4     
#cjb4 ,analysis ( teleheal? waiv]s 9    
alt]native paym5t models ,! second      
s5t5ce ( section #aaae;,a7g7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acae;a7g77 is am5d$ by ins]t+ an       

analysis ( waiv]s 7if applicable7 "u    
subsection 7d77#a7 relat$ to teleheal? &
 ! impact on quality & sp5d+ "u !       
applicable titles ( su* waiv]s1 aft]    
subsection 7c714  #cjc4 ,model to all[  
additional heal? pr(essionals to furni% 
teleheal? s]vices ,section              
#aaae;,a7b77#b77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acae;a7b77#b77;,b77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7xxviii7   
,all[+ heal? pr(essionals1 su* z ^?     
describ$ 9 section #ahai7;b77#e77;,g7 or
 section #ahfa7ll77#d77;,b71 :o are     
enroll$ "u section #ahff7;j7 & n o!rwise
 eligible "u section #ahcd7m7 to furni% 
teleheal? s]vices to furni% su* s]vices4
  4  #cjd4 ,te/+ ( models to exam9e !   
use ( teleheal? "u ! ,m$ic>e program    
,section #aaae;,a7b77#b7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acae;a7b77#b77 is am5d$ by add+ at !   
end ! foll[+ new subp>agraph3  7,d7     
,te/+ models to exam9e use ( teleheal?  
"u ,m$ic>e ,! ,secret>y %all consid]    

te/+ "u ?is subsection models to exam9e 
! use ( teleheal? "u title ,,xviii4  4