,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #djdj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bb1 #bjba,ms4  
,*5ey 7= h]self & ,mrs4 ,d+ell7         
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 ext5d         
teleheal? flexibilities "u ! ,m$ic>e    
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,advanc+
 ,teleheal? ,beyond ,,covid-#ai ,act (  
#bjba4  #b4 ,ext5d+ ,m$ic>e teleheal?   
flexibilities  7a7 ,exp&+ access to     
teleheal? s]vices  7#a7 ,9 g5]al        
,section #ahcd7m77#d77;,c7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciem7m77#d77;,c77 is am5d$ by add+ at 
! end ! foll[+ new clause3  7iii7 ,exp&+
 access to teleheal? s]vices ,) respect 

to teleheal? s]vices furni%$ beg9n+ on !
 fir/ day aft] ! end ( ! 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/em1 includ+ !    
home ( an individual4  4  7#b7 ,con=m+  
am5dm5ts ,su* section is am5d$-- 7,a7 9 
p>agraph 7#b77;,b7-- 7i7 9 clause 7i71 9
 ! matt] prec$+ subclause 7,i71 by /rik+
 clause 7ii7 & ins]t+ clauses 7ii7 &    
7iii72 &  7ii7 by add+ at ! end ! foll[+
 new clause3  7iii7 ,no facility fee =  
new sites ,) respect to teleheal?       
s]vices furni%$ on or aft] ! date (     
enactm5t ( ?is clause1 a facility fee   
%all only be paid "u ?is subp>agraph to 
an orig9at+ site t is describ$ 9        
p>agraph 7#d77;,c77ii7 7o!r ?an         
subclause 7,x7 ( su* p>agraph74  4  7,b7
 9 p>agraph 7#d77;,c7-- 7i7 9 clause    
7i71 9 ! matt] prec$+ subclause 7,i71 by
 ins]t+ & clause 7iii7 aft] & 7#g72 &   
7ii7 9 clause 7ii77,x71 by ins]t+ prior 

to ! fir/ day aft] ! end ( ! em]g5cy    
p]iod describ$ 9 section                
#aace7;g77#a77;,b7 be=e ! p]iod2  7,c7 9
 p>agraph 7#e71 by ins]t+ & prior to !  
fir/ day aft] ! end ( ! em]g5cy p]iod   
describ$ 9 section #aace7;g77#a77;,b7   
aft] ,janu>y #a1 #bjai12  7,d7 9        
p>agraph 7#f77;,a71 by ins]t+ & prior to
 ! fir/ day aft] ! end ( ! em]g5cy p]iod
 describ$ 9 section #aace7;g77#a77;,b71 
aft] ,janu>y #a1 #bjai12 &  7,e7 9      
p>agraph 7#g71 by ins]t+ & prior to !   
fir/ day aft] ! end ( ! em]g5cy p]iod   
describ$ 9 section #aace7;g77#a77;,b71  
aft] ,july #a1 #bjai14  7b7 ,exp&+      
practition]s eligible ,to furni%        
teleheal? s]vices ,section #ahcd7m7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$-- 7#a7 9 p>agraph   
7#a71 by /rik+ 7describ$ 9 section      
#ahdb7;b77#ah77;,c77 & ins]t+ 7def9$ 9  
p>agraph 7#d77;,e772 &  7#b7 9 p>agraph 
7#d77;,e7-- 7,a7 by /rik+               
practition]4--,! t]m & ins]t+           
8practition]4--  7,a7 ,9 g5]al ,subject 

to subp>agraph 7,b71 ! t]m  2 &  7,b7 by
 add+ at ! end ! foll[+ new subp>agraph3
  7,b7 ,expansion ,! ,secret>y1 aft]    
consult+ ) /akehold]s reg>d+ s]vices t  
are cl9ically appropriate1 may exp& !   
types ( practition]s :o may furni%      
teleheal? s]vices to include any heal?  
c>e pr(essional t is eligible to bill ! 
program "u ?is title = _! pr(essional   
s]vices4  4  7c7 ,all[+ = ! furni%+ (   
audio-only teleheal? 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 specifi$ teleheal? s]vice 7z   
def9$ 9 clause 7ii77 furni%$ to an      
individual1 a communications sy/em      
consi/+ only ( audio capabilities4  7ii7
 ,specifi$ teleheal? s]vice def9$ ,! t]m
 specifi$ teleheal? s]vice means a      
teleheal? s]vice consi/+ (-- 7,i7       
evaluation & managem5t s]vices2  7,,ii7 

m5tal & behavioral heal? s]vices2       
7,,iii7 sub/ance use disord] s]vices2 or
  7,,iv7 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  #c4 ,mak+      
p]man5t ! ability ( f$]ally qualifi$    
heal? c5t]s & rural heal? cl9ics to     
furni% teleheal? s]vices "u ! ,m$ic>e   
program ,section #ahcd7m77#h7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#h77 is am5d$-- 7#a7 9 !      
head]1 by /rik+ dur+ em]g5cy p]iod2     
7#b7 9 subp>agraph 7,a71 9 ! matt]      
prec$+ clause 7i71 by /rik+ ,dur+ &     
ins]t+ ,beg9n+ on ! fir/ day (2 &  7#c7 
9 subp>agraph 7,b77i71 by /rik+ dur+ su*
 em]g5cy p]iod4  #d4 ,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