,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cff  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ai1 #bjba,mr4
 ,?ompson ( ,cali=nia 7= himself1 ,ms4  
,matsui1 ,mr4 ,s*weik]t1 ,mr4 ,johnson (
 ,ohio1 ,mr4 ,curtis1 & ,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 ,,xi ( ! ,social
 ,security ,act to au?orize ! ,secret>y 
( ,heal? & ,human ,s]vices to waive or  
modify application ( ,m$ic>e requirem5ts
 ) respect to teleheal? s]vices dur+ any
 em]g5cy p]iod1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,protect+ ,access to ,po/-,,covid-#ai   
,teleheal? ,act ( #bjba4  #b4           
,au?orization = ! ,secret>y ( ,heal? &  
,human ,s]vices to waive or modify      
application ( ,m$ic>e requirem5ts )     

respect to teleheal? s]vices  7a7       
,secret>ial au?ority to tempor>ily waive
 or modify ,m$ic>e requirem5ts ) respect
 to teleheal? s]vices furni%$ dur+ any  
em]g5cy p]iod ,section #aace ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acbj;b-#e7 is am5d$ by add+ at ! end ! 
foll[+ new subsection3  7h7 ,waiv] or   
modification ( c]ta9 requirem5ts )      
respect to teleheal? s]vices  7#a7 ,9   
g5]al ,not)/&+ any o!r provision ( ?is  
section1 dur+ ! p]iod describ$ p>agraph 
7#b71 ! ,secret>y may waive or modify   
any requirem5t ) respect to a teleheal? 
s]vice payable "u section #ahcd7m77#a7 =
 su* p]iod4  7#b7 ,p]iod describ$ ,=    
purposes ( p>agraph 7#a71 ! p]iod       
describ$ 9 ?is p>agraph is ! p]iod--    
7,a7 beg9n+ on ! fir/ day (-- 7i7 an    
em]g5cy or disa/] decl>$ by ! ,presid5t 
pursuant to ! ,national ,em]g5cies ,act 
or ! ,rob]t ,t4 ,/af=d ,disa/] ,relief &
 ,em]g5cy ,assi/ance ,act2 or  7ii7 a   
public heal? em]g5cy decl>$ by !        
,secret>y pursuant to section #cai ( !  

,public ,heal? ,s]vice ,act2 &  7,b7    
end+ on ! day t is #ij days aft] ! la/  
day ( an em]g5cy1 disa/]1 or public     
heal? em]g5cy describ$ 9 subp>agraph    
7,a74  4  7b7 ,report  7#a7 ,def9itions 
,9 ?is subsection3 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  7#b7 ,data   
collection & reports on ! use (         
teleheal? dur+ ! ,,covid-#ai public     
heal? em]g5cy  7,a7 ,data collection &  
analysis  7i7 ,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,i7 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+--  
7aa7 pati5t access to teleheal? s]vices 
9 m$ically und]s]v$ communities2 or     
7bb7 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,,ii7 heal? c>e quality =
 individuals confirm$ or suspect$ to h  
,,covid-#ai & individuals seek+ c>e     
unrelat$ to ,,covid-#ai z measur$ by--  
7aa7 quality ( c>e metrics1 su* z       
hospital readmission rates1 miss$       
appo9tm5t rates1 or wellness visits1 &  
7bb7 engagem5t metrics1 su* z volunt>y  
pati5t satisfaction surveys & volunt>y  
provid] satisfaction surveys2  7,,iii7  
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,,iv7    
teleheal? utilization rates us$ to treat
 individuals across ,/ate l9es2  7,v7 ! 

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,,vi7 ! heal? outcomes ( any individual
 :o utilizes m5tal 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,,vii7
 ! 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,,viii7 h[     
teleheal? access diff]s by race1        
e?nicity1 or income levels2  7,,ix7 !   
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 disaggregat$ by type ( te*nology 
7z applicable72  7,x7 ! 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,,xi7 any additional in=mation
 det]m9$ appropriate by ! ,secret>y4    
7ii7 ,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 clause  
7i74  7,b7 ,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 subp>agraph 7,a74 
,= ! purposes ( ! int]im report1 !      
,secret>y may det]m9e :i* data collect$ 
& analyz$ "u subp>agraph 7,a7 is mo/    
appropriate to complete su* report4     
7,c7 ,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 subp>agraph 7,a7 t
 includes-- 7i7 conclusions reg>d+ !    
impact ( teleheal? s]vices on heal? c>e 
deliv]y dur+ ! ,,covid-#ai public heal? 
em]g5cy2 &  7ii7 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$4  7,d7 
,/akehold] input  7i7 ,9 g5]al ,=       
purposes ( subp>agraph 7,a71 7,b71 &    
7,c71 ! ,secret>y %all seek input f !   
,m$ic>e ,paym5t ,advisory ,commission1 !
 ,m$icaid & ,,*ip ,paym5t & ,access     
,commission & nongov]nm5tal /akehold]s1 
includ+ pati5t organizations1 provid]s1 
& exp]ts 9 teleheal?4  7ii7 ,comm5t     
p]iod ,= ! purposes ( ?is subsection1 ! 
,secret>y %all e/abli% a comm5t p]iod n 
lat] ?an #ad days aft] ! date ( enactm5t
 ( ?is ,act4  #c4 ,rural heal? cl9ics & 
f$]ally qualifi$ heal? c5t]s  7a7       
,expansion ( di/ant sites ,section      
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9 
! fir/ s5t5ce ( p>agraph 7#a7-- 7,a7 by 
/rik+ or a practition] 7describ$ 9      
section #ahdb7;b77#ah77;,c77 & ins]t+ 1 
a practition] 7describ$ 9 section       
#ahdb7;b77#ah77;,c771 a f$]ally qualifi$
 heal? c5t]1 or a rural heal? cl9ic2 &  
7,b7 by /rik+ or practition] & ins]t+ 1 
practition]1 f$]ally qualifi$ heal?     

c5t]1 or rural heal? cl9ic2  7#b7 9     
p>agraph 7#b77;,a7-- 7,a7 by ins]t+ or  
to a f$]ally qualifi$ heal? c5t] or     
rural heal? cl9ic t s]ves z a di/ant    
site aft] a di/ant site2 &  7,b7 by     
/rik+ su* physician or practition] &    
ins]t+ su* physician1 practition]1      
f$]ally qualifi$ heal? c5t]1 or rural   
heal? cl9ic2 &  7#c7 9 p>agraph 7#d7--  
7,a7 9 subp>agraph 7,a71 by ins]t+ &    
includes a f$]ally qualifi$ heal? c5t]  
or rural heal? cl9ic t furni%es a       
teleheal? s]vice to an eligible         
individual be=e ! p]iod at ! end2 &     
7,b7 9 subp>agraph 7,f71 by add+ at !   
end ! foll[+ new clause3  7iii7         
,inclusion ( rural heal? cl9ic s]vices &
 f$]ally qualifi$ heal? c5t] s]vices    
furni%$ us+ teleheal? ,= purposes ( ?is 
subp>agraph1 ! t]m teleheal? s]vices    
includes a rural heal? cl9ic s]vice or  
,f$]ally qualifi$ heal? c5t] s]vice t is
 furni%$ us+ teleheal? to ! ext5t t     
paym5t codes correspond+ to s]vices     
id5tifi$ by ! ,secret>y "u clause 7i7 or

 7ii7 are li/$ on ! correspond+ claim = 
su* rural heal? cl9ic s]vice or ,f$]ally
 qualifi$ heal? c5t] s]vice4  4  7b7    
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjbb4  #d4        
,elim9ation ( re/rictions relat+ to     
teleheal? s]vices  7a7 ,elim9ation (    
geographic re/rictions ( orig9at+ sites 
,section #ahcd7m77#d77;,c77i7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#d77;,c77i77 is am5d$-- 7#a7  
by /rik+ ! s]vice is furni%$ via a      
telecommunications sy/em & only if su*  
site is locat$-- & ins]t+ ! s]vice--2   
7#b7 by r$esignat+ subclauses 7,i7 ?r\gh
 7,,iii7 z items 7aa7 ?r\gh 7cc71       
respectively1 & mov+ ! m>g9s two ems to 
! "r2 &  7#c7 by ins]t+ be=e item 7aa71 
z r$esignat$ by p>agraph 7#b71 ! foll[+ 
new subclauses3  7,i7 is furni%$ via a  
telecommunications sy/em2 &  7,,ii7 = ! 
p]iod beg9n+ on ! date ( ! enactm5t (   
?is subclause & end+ on ,decemb] #ca1   
#bjba1 only if su* site is locat$--  4  

7b7 ,elim9ation ( re/rictions 9 :i*     
teleheal? s]vices may be furni%$ 9 !    
home ,section #ahcd7m77#d77;,c77ii77,x77
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciem7m77#d77;,c77ii77,x7 is 
am5d$ to read z foll[s3  7,x7 7aa7 ,= ! 
p]iod beg9n+ on ! date ( ! enactm5t (   
?is subclause & end+ on ,decemb] #ca1   
#bjba1 ! home ( an individual b only =  
purposes ( section #ahha7;b77#c77;,b7 or
 teleheal? s]vices describ$ 9 p>agraph  
7#g74  7bb7 ,= ! p]iod beg9n+ on or aft]
 ,janu>y #a1 #bjbb1 ! home ( an         
individual4  4  7c7 ,inclusion (        
additional orig9at+ sites z det]m9$ by !
 ,secret>y ,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,,xi7 ,any o!r location det]m9$ by !   
,secret>y4  4