,i #aag? ,,congress #b;d ,session ,h4 ,r4 #gjig ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #af1 #bjbb,mr4 ,caw?orn 7= himself & ,mr4 ,gos>7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to facilitate ! provision ( teleheal? s]vices ?r\gh int]/ate recognition ( heal? c>e pr(essionals' lic5ses1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,teleheal? ,treatm5t & ,te*nology ,act ( #bjbb or ! #c,t ,act ( #bjbb4 #b4 ,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 subsection 7i77#a77;,a7 ?r\gh teleheal? 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 7i7 ,def9itions ,9 ?is section-- 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 #c4 ,revision ( ,,hipaa regulations to ensure pati5t access to teleheal? s]vices ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all revise ! ,,hipaa privacy regulation 7z def9$ 9 section #aahj7;b77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#i7;b77#c777 to ensure t1 ) respect to s]vices furni%$ by a heal? c>e provid] via teleheal? on or aft] ! fir/ day foll[+ ! end ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 ( su* ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b771 su* provid] may s furni% su* s]vices us+ any non-public fac+ audio or video communication product 7z su* t]m is us$ = purposes ( ! notice entitl$ ,notification ( ,en=cem5t ,discretion = ,teleheal? ,remote ,communications ,dur+ ! ,,covid-#ai ,nationwide ,public ,heal? ,em]g5cy z publi%$ by ! ,(fice ( ,civil ,rights ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices74