,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cddg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bj1 #bjba ,mr4  
,smi? ( ,miss\ri 7= himself & ,mr4      
,got!im]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& accessibility to c]ta9 teleheal?   
s]vices "u ! ,m$ic>e program4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,p]man5cy = ,audio-,only ,teleheal?     
,act4  #b4 ,exp&+ accessibility to c]ta9
 teleheal? s]vices "u ! ,m$ic>e program 
7a7 ,use ( audio-,only                  
telecommunications sy/ems = c]ta9       
s]vices ,section #ahcd7m77#d7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#d77 is am5d$ by add+ at ! end
 ! foll[+ new subp>agraph3  7,g7        

,telecommunications sy/em  7i7 ,9 g5]al 
,! t]m telecommunications sy/em         
includes1 9 ! case ( a qualifi$ provid] 
7z def9$ 9 clause 7ii77 furni%+ a       
specifi$ teleheal? s]vice 7z def9$ 9 su*
 clause7 to an individual1 a            
communications sy/em consi/+ only (     
audio capabilities1 b only if su*       
individual elects to use su* sy/em 9    
lieu ( a communications sy/em provid+   
bo? audio & visual capabilities4  7ii7  
,def9itions ,= purposes ( clause 7i73   
7,i7 ,qualifi$ provid] ,! t]m qualifi$  
provid] means1 ) respect to a teleheal? 
s]vice furni%$ to an individual1 a      
physician or practition] :o-- 7aa7      
furni%$ to su* individual an item or    
s]vice 7o!r ?an su* teleheal? s]vice7   
9-p]son1 or ?r\gh a communications sy/em
 consi/+ ( bo? audio & visual           
capabilities1 dur+ ! #c-ye> p]iod end+  
on ! date su* teleheal? s]vice 0        
furni%$2 or  7bb7 is 9 ! same practice  
7z det]m9$ by tax id5tification numb]7 (
 a physician or practition] describ$ 9  

item 7aa74  7,,ii7 ,specifi$ teleheal?  
s]vice ,! t]m specifi$ teleheal? s]vice 
means a teleheal? s]vice consi/+ (--    
7aa7 evaluation & managem5t s]vices2    
7bb7 m5tal & behavioral heal? s]vices2  
7cc7 sub/ance use disord] s]vices2 or   
7dd7 any o!r s]vice specifi$ by !       
,secret>y4  ,su* t]m does n include     
communication ( lab results f a         
physician or practition] to an          
individual via a telecommunications     
sy/em unless su* communication involves 
a diagnosis ( su* individual bas$ on su*
 results or ! prescription1 or          
modification ( a prescription1 ( a drug 
bas$ on su* results4  4  7b7            
,nonapplication ( orig9at+ site         
requirem5ts ) respect to teleheal?      
s]vices "u ,m$ic>e program ,section     
#ahcd7m77#d77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#d77;,c77 
is am5d$-- 7#a7 9 clause 7i71 by ins]t+ 
be=e p>agraphs 7#e71 7#f71 & 7#g7 !     
foll[+3 clause 7iii7 &2 &  7#b7 by add+ 
at ! end ! foll[+ new clause3  7iii7    

,nonapplication ( orig9at+ site         
requirem5ts ,beg9n+ on ! fir/ day ( !   
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b71 ! t]m orig9at+ site 
means any site at :i* ! eligible        
teleheal? individual is locat$ at ! "t !
 s]vice is furni%$ via a                
telecommunications sy/em4  4  7c7       
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to  
teleheal? s]vices furni%$ aft] ! la/ 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