,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #gjh  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #b1 #bjba    
,mr4 ,latta 7= himself & ,mrs4 ,d+ell7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to provide tempor>y lic5s+     
reciprocity = teleheal? & int]/ate heal?
 c>e treatm5t4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,tempor>y          
,reciprocity to ,ensure ,access to      
,treatm5t ,act or ! ,,treat ,act4  #b4  
,f9d+s ,congress f9ds ! foll[+3  7#a7 ,x
 is necess>y to regulate1 on a tempor>y 
& em]g5cy basis1 ! provision ( int]/ate 
comm]ce z x p]ta9s to treatm5t by m$ical
 pr(essionals lic5s$ 9 "o ,/ate to      
pati5ts 9 o!r ,/ates4  7#b7 ,,covid-#ai1
 ! disease caus$ by ,,s>s-,co,v-#b1 has 
creat$ a national public heal? em]g5cy1 
z decl>$ by ! ,secret>y ( ,heal? &      
,human ,s]vices "u section #cai ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d7 on ,janu>y #ca1 #bjbj1
 & by ! ,presid5t "u ! ,national        

,em]g5cies ,act on ,m>* #ac1 #bjbj4     
7#c7 ,! ,,covid-#ai p&emic has result$ 9
 clos+ _m bus9esses & nonpr(it          
organizations1 includ+ colleges &       
univ]sities1 & l>ge areas ( ! c\ntry    
rema9 "u full or p>tial /ay-at-home     
ord]s1 preclud+ ! ability to seek r\t9e 
or elective m$ical treatm5t &           
consultation4 ,! clos+ ( campus-bas$    
9-p]son le>n+ at in/itutions ( high]    
education has also meant t up to        
#a1jjj1jjj /ud5ts h return$ to live ) _!
 families across ,/ate l9es f :]e !y may
 h be5 receiv+ m$ical c>e 9 ! univ]sity 
sett+4 ,fur!rmore1 9 _m rural areas1    
9-p]son m$ical treatm5t is inaccessible4
 ,ev5 9 urban areas1 ! p&emic has       
sev]ely disrupt$ access to m$ical c>e1  
requir+ m$ical pr(essionals lic5s$ 9 "o 
,/ate to provide treatm5t to pati5ts    
resid+ ne>by b across a ,/ate l9e &     
unable to visit ! m$ical pr(essional's  
(fice 9 ! ,/ate ( lic5sure4  7#d7 ,x is 
vital t hospitals1 tempor>y surge or    
field facilities1 skill$ nurs+          

facilities1 & nurs+ homes 9 areas ) high
 caseloads ( ,,covid-#ai pati5ts be able
 to h access to qualifi$ m$ical         
pr(essionals1 includ+ su* pr(essionals  
lic5s$ 9 o!r ,/ates1 )\t ! delays t w\ld
 be requir$ = individualiz$ lic5s+ dur+ 
a "t :5 ,/ate ag5cies' capacity to      
review & process lic5s+ reque/s are     
limit$ by ! p&emic4  7#e7 ,! provision (
 s]vices by m$ical pr(essionals1 includ+
 s]vices provid$ at no co/ & s]vices    
provid$ to pati5ts 9 a ,/ate o!r ?an !  
,/ate or ,/ates 9 :i* ! m$ical          
pr(essional ma9ta9s an (fice =          
pr(essional s]vices1 affects int]/ate   
comm]ce4 ,:5 us$ to provide s]vices to  
pati5ts locat$ 9 a ,/ate o!r ?an ! ,/ate
 9 :i* ! m$ical pr(essional is locat$1  
teleheal? s]vices1 z def9$ 9 section #c1
 utilize facilities ( int]/ate comm]ce4 
7#f7 ,! inability ( pati5ts to visit    
9-,/ate heal? c>e provid]s dur+ ! curr5t
 crisis sub/antially affects int]/ate   
comm]ce4 ,economic activity has be5     
limit$ by public heal? au?orities & o!r 

gov]nm5t (ficials to flatt5 ! curve (   
infections & hospitalizations & !reby   
prev5t ! heal? c>e sy/em f becom+       
ov]:elm$4 ,maximiz+ ! effici5t &        
effective use ( heal? c>e res\rces is   
!re=e vital to reop5+ ! economy4  7#g7  
,b>ri]s to ! effici5t deliv]y ( heal?   
c>e s]vices w lead to a %ortage ( ^?    
s]vices t sub/antially affect heal? c>e 
availability across ,/ate l9es4         
,%ortages 9 heal? c>e s]vices 9 "o ,/ate
 prompt int]/ate travel to obta9 heal?  
c>e 9 o!r ,/ates1 ev5 ?\gh disc\rag+ su*
 travel1 p>ticul>ly among ! sick1 is    
vital to conta9+ ! contagion & reop5+ ! 
national economy4  #c4 ,def9itions ,9   
?is ,act3  7#a7 ! t]m heal? c>e         
pr(essional means an individual :o--    
7,a7 has a valid & unre/rict$ lic5se or 
c]tification f1 or is o!rwise au?oriz$  
by1 a ,/ate1 ! ,di/rict ( ,columbia1 or 
a t]ritory or possession ( ! ,unit$     
,/ates1 = any heal? pr(ession1 includ+  
m5tal heal?2 &  7,b7 is n affirmatively 
exclud$ f practice 9 ! lic5s+ or c]tify+

 jurisdiction or 9 any o!r jurisdiction2
  7#b7 ! t]m ,secret>y means ! ,secret>y
 ( ,heal? & ,human ,s]vices2 &  7#c7 !  
t]m teleheal? s]vices means use (       
telecommunications & in=mation te*nology
 7includ+ syn*ron\s or asyn*ron\s       
audio-visual1 audio-only1 or /ore & =w>d
 te*nology7 to provide access to        
physical & m5tal heal? assessm5t1       
diagnosis1 treatm5t1 int]v5tion1        
consultation1 sup]vision1 & in=mation   
across di/ance4  #d4 ,tempor>y          
au?orization ( teleheal? & ,int]/ate    
treatm5t  7a7 ,9 g5]al ,not)/&+ any o!r 
provision ( ,f$]al or ,/ate law or      
regulation reg>d+ ! lic5sure or         
c]tification ( heal? c>e provid]s or !  
provision ( teleheal? s]vices1 a heal?  
c>e pr(essional may practice )9 ! scope 
( ! individual's lic5se1 c]tification1  
or au?orization describ$ 9 section      
#c7a77;,a71 ei!r 9-p]son or ?r\gh       
teleheal?1 9 any ,/ate1 ! ,di/rict (    
,columbia1 or any t]ritory or possession
 ( ! ,unit$ ,/ates1 or any o!r location 

designat$ by ! ,secret>y1 bas$ on !     
lic5sure1 c]tification1 or au?orization 
su* individual 9 any "o ,/ate1 !        
,di/rict ( ,columbia1 or t]ritory or    
possession ( ! ,unit$ ,/ates4  7b7      
,scope ( teleheal? s]vices ,teleheal?   
s]vices au?oriz$ by ?is section include 
s]vices provid$ to any pati5t reg>dless 
( :e!r ! heal? c>e pr(essional has a    
prior treatm5t relation%ip ) ! pati5t1  
provid$ t1 if ! heal? c>e pr(essional   
does n h a prior treatm5t relation%ip ) 
! pati5t1 a new relation%ip may be      
e/abli%$ only via a writt5 ackn[l$gm5t  
or syn*ron\s te*nology4  7c7 ,initiation
 ( teleheal? s]vices ,be=e provid+      
teleheal? s]vices au?oriz$ by ?is       
section1 ! heal? c>e pr(essional %all-- 
7#a7 v]ify ! id5tification ( ! pati5t   
receiv+ heal? s]vices2  7#b7 obta9 oral 
or writt5 ackn[l$gm5t f ! pati5t 7or    
legal repres5tative ( ! pati5t7 to p]=m 
teleheal? s]vices1 & if su* ackn[l$gm5t 
is oral1 make a record ( su*            
ackn[l$gm5t2 &  7#c7 obta9 or confirm an

 alt]native me?od ( contact+ ! pati5t 9 
case ( a te*nological failure4  7d7     
,writt5 notice ( provision ( s]vices ,z 
soon z practicable1 b n lat] ?an #cj    
days aft] fir/ provid+ s]vices pursuant 
to ?is section 9 a jurisdiction o!r ?an 
! jurisdiction 9 :i* a heal? c>e        
pr(essional is lic5s$1 c]tifi$1 or      
o!rwise au?oriz$1 su* heal? c>e         
pr(essional %all provide writt5 notice  
to ! applicable lic5s+1 c]tify+1 or     
au?oriz+ au?ority 9 ! jurisdiction 9 :i*
 ! heal? c>e pr(essional provid$ su*    
s]vices4 ,su* notice %all include !     
heal? c>e pr(essional's--  7#a7 "n2     
7#b7 email address2  7#c7 phone numb]2  
7#d7 ,/ate ( prim>y lic5se1             
c]tification1 or au?orization2 &  7#e7  
lic5se1 c]tification1 or au?orization   
type1 & applicable numb] or id5tify+    
in=mation ) respect to su* lic5se1      
c]tification1 or au?orization4  7e7     
,cl>ification ,no?+ 9 ?is section       
au?orizes a heal? c>e pr(essional to--  
7#a7 practice beyond ! scope ( practice 

au?oriz$ by-- 7,a7 any ,/ate1 ,di/rict (
 ,columbia1 t]ritorial1 or local        
au?ority 9 ! jurisdiction 9 :i* ! heal? 
c>e pr(essional holds a lic5se1         
c]tification1 or au?orization describ$ 9
 section #c7a77;,a72 or  7,b7 any ,/ate1
 ,di/rict ( ,columbia1 t]ritorial1 or   
local au?ority 9 ! jurisdiction 9 :i* ! 
pati5t receiv+ s]vices is locat$2  7#b7 
provide any s]vice or subset ( s]vices  
prohibit$ by any su* au?ority 9 !       
jurisdiction 9 :i* ! pati5t receiv+     
s]vices is locat$2  7#c7 provide any    
s]vice or subset ( s]vices 9 a mann]    
prohibit$ by any su* au?ority !         
jurisdiction 9 :i* ! pati5t receiv+     
s]vices is locat$2 or  7#d7 provide any 
s]vice or subset ( s]vices 9 a mann] o!r
 ?an ! mann] prescrib$ by any su*       
au?ority 9 ! jurisdiction 9 :i* ! pati5t
 receiv+ s]vices is locat$4  7f7        
,inve/igative & discipl9>y au?ority ,a  
heal? c>e pr(essional provid+ s]vices   
pursuant to ! au?ority "u ?is section   
%all be subject to inve/igation &       

discipl9>y action by ! lic5s+1 c]tify+1 
or au?oriz+ au?orities 9 ! jurisdiction 
9 :i* ! pati5t receiv+ s]vices is       
locat$4 ,! jurisdiction 9 :i* ! pati5t  
receiv+ s]vices is locat$ %all h !      
au?ority to preclude ! heal? c>e provid]
 f practic+ fur!r 9 its jurisdiction1   
:e!r su* practice is au?oriz$ by ! laws 
( su* jurisdiction or ! au?ority grant$ 
"u ?is section1 & %all report any su*   
preclusion to ! lic5s+ au?ority 9 !     
jurisdiction 9 :i* ! heal? c>e provid]  
is lic5s$1 c]tifi$1 or au?oriz$4  7g7   
,multiple jurisdiction lic5sure ,not)/&+
 any o!r provision ( ?is section1 a     
heal? c>e pr(essional %all be subject to
 ! requirem5ts ( ! jurisdiction (       
lic5sure if ! pr(essional is lic5s$ 9 ! 
,/ate1 ! ,di/rict ( ,columbia1 or       
t]ritory or possession :]e ! pati5t is  
locat$4  7h7 ,int]/ate lic5sure compacts
 ,if a heal? c>e pr(essional is lic5s$ 9
 multiple jurisdictions ?r\gh an        
int]/ate lic5sure compact1 ) respect to 
s]vices provid$ to a pati5t locat$ 9 a  

jurisdiction cov]$ by su* compact1 !    
heal? c>e pr(essional %all be subject to
 ! requirem5ts ( ! compact & n ?is      
section4  #e4 ,application ,?is ,act    
%all apply dur+ ! p]iod beg9n+ on ! date
 ( enactm5t ( ?is ,act & end+ on ! date 
t is at lea/ #ahj days 7z det]m9$ by !  
,secret>y7 aft] ! end ( ! public heal?  
em]g5cy decl>$ by ! ,secret>y ( ,heal? &
 ,human ,s]vices "u section #cai ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdg;d7 on ,janu>y #ca1 #bjbj1
 ) respect to ,,covid-#ai4