,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #eeda  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #h1 #bjba,mr4 
,s*neid] 7= himself & ,mr4 ,w5/rup7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d ! ,int]nal ,rev5ue     
,code ( #aihf to ext5d ! exemption =    
teleheal? s]vices f c]ta9 high d$uctible
 heal? plan rules1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,prim>y & ,virtual ,c>e ,af=dability  
,act4  #b4 ,exemption = teleheal?       
s]vices  7a7 ,9 g5]al ,subp>agraph 7,e7 
( section #bbc7;c77#b7 ( ! ,int]nal     
,rev5ue ,code ( #aihf is am5d$ by /rik+ 
,decemb] #ca1 #bjba & ins]t+ ,decemb]   
#ca1 #bjbc4  7b7 ,c]ta9 cov]age         
disreg>d$ ,clause 7ii7 ( section        
#bbc7;c77#a77;,b7 ( ! ,int]nal ,rev5ue  
,code ( #aihf is am5d$ by /rik+ ,decemb]
 #ca1 #bjba & ins]t+ ,decemb] #ca1      
#bjbc4  7c7 ,effective date ,! am5dm5ts 
made by ?is section %all take effect on 
! date ( ! enactm5t ( ?is ,act4  #c4    

,high d$uctible heal? plan safe h>bor = 
no d$uctible = c]ta9 prim>y c>e s]vices 
provid$ dur+ ! ,,covid em]g5cy  7a7 ,9  
g5]al ,p>agraph 7#b7 ( section #bbc7;c7 
( ! ,int]nal ,rev5ue ,code ( #aihf is   
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,g7 ,safe h>bor = abs5ce 
( d$uctible = c]ta9 prim>y c>e s]vices  
provid$ dur+ ! ,,covid em]g5cy  7i7 ,9  
g5]al ,a plan %all n fail to be treat$ z
 a high d$uctible heal? plan by reason (
 fail+ to h a d$uctible = prim>y c>e    
s]vices provid$ by a qualifi$ provid] 9 
any plan ye> beg9n+ on or be=e ,decemb] 
#ca1 #bjbc4  7ii7 ,prim>y c>e s]vices ,=
 purposes ( clause 7i71 ! t]m prim>y c>e
 s]vices means s]vices provid$ by prim>y
 c>e practition]s 7z def9$ 9 section    
#ahcc7x77#b77;,a77 ( ! ,social ,security
 ,act4  7iii7 ,qualifi$ provid] ,=      
purposes ( clause 7i71 ! t]m qualifi$   
provid] means a g5]al practition]1      
family physician1 g5]al int]ni/1        
ob/etrician1 gynecologi/1 p$iatrician1  
g]iatric physician1 advanc$ practice    

regi/]$ nurse1 or physician assi/ant    
act+ 9 accordance ) ,/ate laws4  4  7b7 
,effective date ,! am5dm5t made by ?is  
section %all apply to plan ye>s beg9n+  
aft] ,decemb] #ca1 #bjai4  #d4 ,/udy &  
reports  7a7 ,/udy ,! ,comptroll] ,g5]al
 ( ! ,unit$ ,/ates %all complete a /udy 
on ! effects ( ! safe h>bor = c]ta9     
prim>y c>e s]vices provid$ dur+ !       
,,covid em]g5cy "u section              
#bbc7;c77#b77;,g7 ( ! ,int]nal ,rev5ue  
,code ( #aihf 7z add$ by section #c74   
7b7 ,reports  7#a7 ,int]im report ,n    
lat] ?an #cfe days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all provide a 
report to ,congress conta9+ an analysis 
( ! results ( ! /udy "u subsection 7a74 
,su* report %all conta9-- 7,a7 an       
analysis ( ! effects ( ! safe h>bor on--
 7i7 :e!r plan sponsors opt$ to         
incorporate *anges to _! b5efit design2 
7ii7 insurance premiums2  7iii7         
enrollm5t 9 high d$uctible heal? plans2 
7iv7 utilization ( prim>y c>e visits1   

teleheal? visits1 em]g5cy dep>tm5t      
visits1 & hospital admissions2 &  7v7 ! 
rate ( employ] implem5tation (          
flexibilities 9 *anges to b5efit design2
 &  7,b7 comp>isons ( pati5t engagem5t )
 s]vices = ^? ^: employ] incorporat$    
flexibilities into _! b5efit design & ^?
 :o did n d s4  7#b7 ,f9al report ,n    
lat] ?an #cfe days aft] ! int]im report 
"u p>agraph 7#a7 is issu$1 ! ,comptroll]
 ,g5]al ( ! ,unit$ ,/ates %all provide a
 f9al report to ,congress conta9+ a     
compreh5sive analysis ( ! results ( !   
/udy "u subsection 7a74 ,su* report %all
 include updat$ f9d+s1 analyses1 &      
comp>isons describ$ 9 p>agraph 7#a74