,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ccga  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bj1 #bjba,mr4   
,arr+ton 7= himself1 ,ms4 ,sewell1 ,mr4 
,kelly ( ,p5nsylvania1 & ,mr4 ,?ompson (
 ,cali=nia7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,ways &    
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 provide paym5ts 
= home heal? s]vices furni%$ via visual 
or audio telecommunication sy/ems dur+  
an em]g5cy p]iod4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,home ,heal?       
,em]g5cy ,access to ,teleheal? ,act or !
 ,,heat ,act4  #b4 ,au?orization (      
paym5ts = home heal? s]vices furni%$ via
 visual or audio telecommunication      
sy/ems dur+ an em]g5cy p]iod  7a7 ,waiv]
 au?ority  7#a7 ,9 g5]al ,! fir/ s5t5ce 
( section #aace7;b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           

#acbj;b-#e7;b77 is am5d$-- 7,a7 9       
p>agraph 7#h71 by /rik+ & at ! end2     
7,b7 9 p>agraph 7#i71 by /rik+ ! p]iod  
at ! end & ins]t+ 2 &2 &  7,c7 by add+ !
 foll[+ new p>agraph3  7#aj7 9 ! case ( 
home heal? s]vices furni%$ 9 an em]g5cy 
area 7or portion ( su* an area7 dur+ any
 portion ( any em]g5cy p]iod 7z ^? t]ms 
are def9$ 9 subsection 7g77#a77;,c771 ! 
provisions ( subp>agraphs 7,a7 & 7,b7 ( 
section #ahie7;e77#a71 z det]m9$        
appropriate by ! ,secret>y4  4  7#b7    
,def9itions ( em]g5cy area2 em]g5cy     
p]iod ,section #aace7;g77#a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acbj;b-#e7;g77#a77 is am5d$-- 7,a7 9   
subp>agraph 7,a71 by /rik+ subp>agraph  
7,b7 & ins]t+ subp>agraphs 7,b7 & 7,c72 
&  7,b7 by add+ at ! end ! foll[+ new   
subp>agraph3  7,c7 ,additional exception
 ,= purposes ( subsection 7b77#aj71 an  
em]g5cy area is a geographical area 9   
:i*1 & an em]g5cy p]iod is ! p]iod dur+ 
:i*1 !re exi/s a public heal? em]g5cy   
decl>$ by ! ,secret>y pursuant to       

section #cai ( ! ,public ,heal? ,s]vice 
,act4  4  7b7 ,au?orization ,section    
#ahie7;e7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie;fff7e77 is am5d$-- 
7#a7 9 p>agraph 7#a71 by /rik+ ,no?+ &  
ins]t+ ,subject to p>agraph 7#b71 no?+2 
7#b7 by r$esignat+ p>agraph 7#b7 z      
p>agraph 7#c72 &  7#c7 by ins]t+ aft]   
p>agraph 7#a7 ! foll[+ new p>agraph3    
7#b7 ,exception = public heal? em]g5cies
 ,no?+ 9 ?is section %all be con/ru$ z  
prev5t+ a home heal? ag5cy furni%+ a    
home heal? unit ( s]vice = :i* paym5t is
 made "u ! prospective paym5t sy/em     
e/abli%$ by ?is section = su* units (   
s]vice f furni%+ s]vices via a video or 
audio telecommunication sy/em if su*    
s]vices-- 7,a7 are furni%$ pursuant to a
 waiv] "u section #aace7;b77#aj72  7,b7 
con/itute no m ?an #ej p]c5t ( ! numb] (
 billable visits1 consi/5t ) ! 9-p]son  
visit equival5cy det]m9ation1 bill$ "u !
 #cj-;day p]iod ( c>e e/abli%$ "u       
section #dhd4bae7;f7 ( title #db1 ,code 
( ,f$]al ,regulations2  7,c7 are furni%$

 to a b5efici>y "u a plan ( c>e e/abli%$
 by a physician or practition] ) :om !  
b5efici>y has an exi/+ c>e relation%ip  
prior to ! receipt ( home heal? s]vices 
t includes home heal? s]vices to be     
furni%$ via a video or audio            
telecommunication sy/em2 &  7,d7 su*    
b5efici>y cons5ts to receiv+ home heal? 
s]vices via a video or audio            
telecommunication sy/em4  4  7c7        
,implem5tation  7#a7 ,9 g5]al ,!        
,secret>y %all prescribe regulations to 
apply to home heal? s]vices furni%$     
pursuant to ! am5dm5ts made by ?is ,act1
 :i* %all become effective no lat] ?an  
#fj days aft] ! date ( enactm5t ( ?is   
,act4 ,! ,secret>y %all issue an int]im 
f9al rule1 if necess>y1 to comply ) !   
requir$ effective date4  7#b7           
,consid]ations ,9 prescrib+ su*         
regulations1 ! ,secret>y may consid]    
includ+-- 7,a7 /&>ds = ! cont5t ( ord]s 
& pati5t cons5t = su* s]vices2  7,b7    
docum5tation ( su* s]vices provid$ &    
bill+ units ( su* s]vices2  7,c7 !      

nature & level ( res\rces utiliz$ = su* 
s]vices provid$ via video or audio      
telecommunication sy/ems = purposes (   
det]m9+ equival5cy ) 9-p]son visits 9   
e/abli%+ ! paym5t = su* s]vices2 &  7,d7
 /&>ds to ensure program integrity &    
prev5t ! incid5ce ( fraud1 wa/e1 & abuse
 ) respect to su* s]vices4