,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ehcg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #c1 #bjba,mr4
 ,curtis 7= himself & ,mr4 ,pet]s7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 & ! ,judici>y1 = 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& access to teleheal? s]vices relat+ 
to sub/ance use disord] treatm5t1 & =   
o!r purposes4  #a4 ,teleheal? = sub/ance
 use disord] treatm5t "u ,m$ic>e  7a7   
,teleheal? = sub/ance use disord]       
treatm5t  7#a7 ,sub/ance use disord]    
s]vices furni%$ ?r\gh teleheal? "u      
,m$ic>e ,section #ahcd7m77#g77;,a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#g77;,a77 is am5d$ by add+ at 
! end ! foll[+3 ,) respect to teleheal? 
s]vices describ$ 9 ! prec$+ s5t5ce t are

 furni%$ on or aft] ,janu>y #a1 #bjbj1  
no?+ %all require an initial 9-p]son    
m$ical evaluation by a physician or     
practition] prior to ! furni%+ ( su*    
s]vices ?r\gh audio or telephone only   
te*nologies44  7#b7 ,controll$ sub/ances
 disp5s$ by means ( ! int]net ,section  
#cji7;e77#b7 ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #hbi7;e77#b77 is    
am5d$-- 7,a7 9 subp>agraph 7,a77i7-- 7i7
 by /rik+ at lea/ #a 9-p]son m$ical     
evaluation & ins]t+ ! foll[+3 at lea/-- 
7,i7 #a 9-p]son m$ical evaluation  2 &  
7ii7 by add+ at ! end ! foll[+3  7,,ii7 
= purposes ( prescrib+ a controll$      
sub/ance 9 s*$ule ,,iii or ,,iv1 #a     
teleheal? evaluation2 or  2 &  7,b7 by  
add+ at ! end ! foll[+3  7,d7 7i7 ,! t]m
 teleheal? evaluation means a m$ical    
evaluation t is conduct$ 9 accordance ) 
applicable ,f$]al & ,/ate laws by a     
practition] 7o!r ?an a ph>maci/7 :o is  
at a location remote f ! pati5t & is    
communicat+ ) ! pati5t us+ a            
telecommunications sy/em ref]r$ to 9    

section #ahcd7m7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciem7m77 t        
includes1 at a m9imum-- 7,i7 audio &    
video equipm5t p]mitt+ two-way1 real-"t 
int]active communication betwe5 ! pati5t
 & di/ant site practition]2 or  7,,ii7  
audio-only = ! prescription ( a p>tial  
opioid agoni/ = opioid use disord] if   
video s]vices are unavailable to !      
pati5t1 due to lack ( availability ( su*
 te*nology or lack ( adequate broadb&   
access1 z det]m9$ by ! practition]      
provid+ teleheal? s]vices & a two-way   
video teleheal? appo9tm5t = an 9-p]son  
m$ical evaluation or teleheal?          
evaluation t utilizes bo? audio & visual
 capabilities is requir$ )9 #aj days ( !
 audio-only prescription4  7ii7 ,no?+ 9 
clause 7i7 %all be con/ru$ to imply t #a
 teleheal? evaluation demon/rates t a   
prescription has be5 issu$ = a          
legitimate m$ical purpose )9 ! usual    
c\rse ( pr(essional practice4  7iii7 ,a 
practition] :o prescribes ! drugs or    
comb9ation ( drugs t are cov]$ "u       

section #cjc7;g77#b77;,c7 us+ ! au?ority
 "u subp>agraph 7,a77i77,,ii7 ( ?is     
p>agraph %all adh]e to nationally       
recogniz$ evid5ce-bas$ guidel9es = !    
treatm5t ( pati5ts ) opioid use disord]s
 & a div]sion control plan1 z ^? t]ms   
are def9$ 9 section #h4b ( title #db1   
,code ( ,f$]al ,regulations1 z 9 effect 
on ! date ( enactm5t ( ?is subp>agraph4 
4  7b7 ,task =ce  7#a7 ,9 g5]al ,n lat] 
?an #cj days aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices %all e/abli% an int]ag5cy task 
=ce to collect & assess data relat+ to--
 7,a7 utilization rates ( p>tial opioid 
agoni/ m$ication prescriptions = opioid 
use disord] furni%$ ?r\gh teleheal? bas$
 on data f ! ,c5t]s = ,m$ic>e & ,m$icaid
 ,s]vices deid5tifi$ claims data1       
deid5tifi$ private pay] claims data if  
possible1 & /ate prescription drug      
monitor+ program data if possible       
7collectively1 ref]r$ to z ,data        
,s\rces72  7,b7 opioid-relat$ ov]dose   
rates 9 c\nties ) annual rates ( su*    

prescriptions furni%$ 9-p]son t are     
high] ?an ! national av]age annual rate 
( su* 9-p]son prescriptions1            
opioid-relat$ ov]dose rates 9 c\nties ) 
less ?an #ajj ( su* prescriptions       
furni%$ ?r\gh teleheal? annually1 &     
opioid-relat$ ov]dose rates 9 c\nties ) 
less ?an #ajj ( su* prescriptions       
furni%$ 9-p]son annually1 9 ea* case    
bas$ on ! ,data ,s\rces2  7,c7 em]g5cy  
dep>tm5t admissions & readmission rates 
( c\nties describ$ 9 subp>agraph 7,b72  
7,d7 ! co/ ( c>e to ! ,f$]al ,gov]nm5t =
 su* prescriptions furni%$ ?r\gh        
audio-only & audio-visual teleheal?1    
includ+ if value-bas$ pur*as+ leads to  
great] access to c>e if possible1 l[]   
div]sion rates1 & ov]all improv$ pati5t 
outcomes t are def9$ by ! ,secret>y2    
7,e7 pati5t satisfaction surveys        
develop$ by ! ,secret>y & 9 consultation
 /akehold] gr\ps1 su* z pati5t or       
provid] gr\ps2  7,f7 provid]            
satisfaction survey develop$ by !       
,secret>y & 9 consultation ) provid]    

gr\ps2 &  7,g7 ! numb] ( practition]s   
furni%+ su* prescriptions ?r\gh         
teleheal? to #bge pati5ts or m at any "o
 "t1 includ+ ! location ( ea* su*       
practition] t c be id5tifi$ by ,,zip    
code & :e!r ea* su* practition] is      
practic+ teleheal? across /ate l9es4    
7#b7 ,report ,n lat] ?an #ahj days aft] 
! date ( ! enactm5t ( ?is ,act1 & e #ahj
 days !reaft]1 ! ,secret>y %all make    
available on a public website ( !       
,dep>tm5t ( ,heal? & ,human ,s]vices &  
submit to ! ,committees on ,en]gy &     
,comm]ce & ,ways & ,means ( ! ,h\se (   
,repres5tatives & ! ,committees on      
,f9ance & ,heal?1 ,education1 ,labor1 & 
,p5sions ( ! ,s5ate a report t summ>iz$ 
! data describ$ "u p>agraph 7#a7 = ! mo/
 rec5t #ahj-;day p]iod4  7#c7 ,guidance 
,! ,secret>y ( ,heal? & ,human ,s]vices 
may issue guidance to provid]s to assi/ 
9 ! treatm5t ( pati5ts bas$ on ! data   
describ$ "u p>agraph 7#a7 = ! mo/ rec5t 
#ahj-;day p]iod4