,,ii  #aag? ,,congress  #b;d ,session   
,s4 #ceic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #h            
7legislative day1 ,febru>y #c71         
#bjbb,ms4 ,cortez ,ma/o 7= h]self & ,mr4
 ,"y7 introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d titles ,,xi
 & ,,xviii ( ! ,social ,security ,act to
 ext5d c]ta9 teleheal? s]vices cov]$ by 
,m$ic>e & to evaluate ! impact (        
teleheal? s]vices on ,m$ic>e            
b5efici>ies1 & = o!r purposes4  #a4     
,%ort title2 table ( cont5ts  7a7 ,9    
g5]al ,?is ,act may be cit$ z !         
,teleheal? ,ext5sion & ,evaluation ,act4
  7b7 ,table ( cont5ts ,! table (       
cont5ts ( ?is ,act is z foll[s3 ,sec4   
#a4 ,%ort title2 table ( cont5ts4,sec4  
#b4 ,ext5sion ( teleheal? s]vices4,sec4 
#c4 ,tempor>y requirem5ts = provision ( 
high-co/ durable m$ical equipm5t &      
laboratory te/s4,sec4 #d4 ,requirem5t to
 submit ,,npi numb] = teleheal?         
bill+4,sec4 #e4 ,f$]ally qualifi$ heal? 

c5t]s & rural heal? cl9ics4,sec4 #f4    
,teleheal? flexibilities = critical     
access hospitals4,sec4 #g4 ,use (       
teleheal? = ! disp5s+ ( controll$       
sub/ances by means ( ! int]net4,sec4 #h4
 ,/udy on ! effects ( *anges to         
teleheal? "u ! ,m$ic>e & ,m$icaid       
programs dur+ ! ,,covid-#ai em]g5cy4    
#b4 ,ext5sion ( teleheal? s]vices       
,section #aace7;e7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acbj;b-#e7;e77 is 
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#c7 ,two-ye> ext5sion (     
teleheal? s]vices foll[+ ! ,,covid-#ai  
em]g5cy p]iod ,not)/&+ any o!r provision
 ( ?is section1 a waiv] or modification 
( requirem5ts pursuant to subsection    
7b77#h7 %all t]m9ate on ! date t is #b  
ye>s aft] ! la/ day ( ! em]g5cy p]iod   
describ$ 9 subsection 7g77#a77;,b74  4  
#c4 ,tempor>y requirem5ts = provision ( 
high-co/ durable m$ical equipm5t &      
laboratory te/s  7a7 ,high-,co/ durable 
m$ical equipm5t ,section                
#ahcd7;a77#a77;,e7 ( ! ,social ,security

 ,act 7#db ,u4,s4,c4 #aciem7a77#a77;,e77
 is am5d$ by add+ at ! end ! foll[+ new 
clauses3  7vi7 ,/&>ds = high-co/ durable
 m$ical equipm5t  7,i7 ,limitation on   
paym5t = high-co/ durable m$ical        
equipm5t ,dur+ ! #b-ye> p]iod beg9n+ on 
! day aft] ! la/ day ( ! em]g5cy p]iod  
describ$ 9 section #aace7;g77#a77;,b71  
paym5t may n be made "u ?is subsection =
 high-co/ durable m$ical equipm5t ord]$ 
by a physician or o!r practition]       
describ$ 9 clause 7ii7 via teleheal? =  
an individual1 unless su* physician or  
practition] furni%$ to su* individual a 
s]vice 9 p]son at lea/ once dur+ !      
#ab-mon? p]iod prior to ord]+ su*       
high-co/ durable m$ical equipm5t4       
7,,ii7 ,high-co/ durable m$ical equipm5t
 def9$ ,= purposes ( ?is clause1 ! t]m  
high-co/ durable m$ical equipm5t means1 
) respect to a ye>1 durable m$ical      
equipm5t = :i* paym5t may be made "u    
p>agraphs 7#b7 ?r\gh 7#h71 ! price "u ! 
cl9ical lab fee s*$ule :i* = su* ye> is 
9 ! highe/ qu>tile ( national pur*ase   

prices ( durable m$ical equipm5t payable
 = su* ye>4  7vii7 ,audit ( provid]s &  
practition]s furni%+ a high volume (    
durable m$ical equipm5t via teleheal?   
7,i7 ,id5tification ( provid]s ,dur+ !  
#b-ye> p]iod beg9n+ on ! day aft] ! la/ 
day ( ! em]g5cy p]iod describ$ 9 section
 #aace7;g77#a77;,b71 ,m$ic>e            
adm9i/rative contractors %all conduct   
reviews1 on a s*$ule det]m9$ by !       
,secret>y1 ( claims = durable m$ical    
equipm5t prescrib$ by a physician or o!r
 practition] describ$ 9 clause 7ii7 dur+
 ! #ab-mon? p]iod prec$+ su* review to  
id5tify physicians or o!r practition]s )
 respect to :om at lea/ #ij p]c5t ( all 
durable m$ical equipm5t prescrib$ by su*
 physician or practition] dur+ su* p]iod
 0 prescrib$ pursuant to a teleheal?    
visit4  7,,ii7 ,audit ,9 ! case ( a     
physician or practition] id5tifi$ "u    
subclause 7,i71 ) respect to a #ab-mon? 
p]iod describ$ 9 su* subclause1 !       
,m$ic>e adm9i/rative contractors %all   
conduct audits ( all claims = durable   

m$ical equipm5t prescrib$ by su*        
physicians or practition]s to det]m9e   
:e!r su* claims comply ) ! requirem5ts =
 cov]age "u ?is title4  4  7b7          
,high-,co/ laboratory te/s ,section     
#ahcd;,a7b7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #aciem-#a7;b77 is am5d$  
by add+ at ! end ! foll[+ new p>agraphs3
  7#f7 ,requirem5t = high-co/ laboratory
 te/s  7,a7 ,limitation on paym5t =     
high-co/ laboratory te/s ,dur+ ! #b-ye> 
p]iod beg9n+ on ! day aft] ! la/ day ( !
 em]g5cy p]iod describ$ 9 section       
#aace7;g77#a77;,b71 paym5t may n be made
 "u ?is subsection = a high-co/         
laboratory te/ ord]$ by a physician or  
practition] via teleheal? = an          
individual1 unless su* physician or     
practition] furni%$ to su* individual a 
s]vice 9 p]son at lea/ once dur+ !      
#ab-mon? p]iod prior to ord]+ su*       
high-co/ laboratory te/4  7,b7 ,high-co/
 laboratory te/ def9$ ,= purposes ( ?is 
p>agraph1 ! t]m high-co/ laboratory te/ 
means1 ) respect to a ye>1 a laboratory 

te/ = :i* paym5t may be made "u ?is     
section1 & ! pur*ase price ( :i* = su*  
ye> is 9 ! highe/ qu>tile ( pur*ase     
prices ( laboratory te/s = su* ye>4     
7#g7 ,audit ( laboratory te/+ ord]$     
pursuant to teleheal? visit  7,a7       
,id5tification ( provid]s ,dur+ ! #b-ye>
 p]iod beg9n+ on ! day aft] ! la/ day ( 
! em]g5cy p]iod describ$ 9 section      
#aace7;g77#a77;,b71 ,m$ic>e adm9i/rative
 contractors %all conduct p]iodic       
reviews1 on a s*$ule det]m9$ by !       
,secret>y1 ( claims = laboratory te/s   
prescrib$ by a physician or practition] 
dur+ ! #ab-mon? p]iod prec$+ su* review 
to id5tify physicians or o!r            
practition]s ) respect to :om at lea/   
#ij p]c5t ( all laboratory te/s         
prescrib$ by su* physician or           
practition] dur+ su* p]iod 7 prescrib$  
pursuant to a teleheal? visit4  7,b7    
,audit ,9 ! case ( a physician or       
practition] id5tifi$ "u subp>agraph     
7,a71 ) respect to a #ab-mon? p]iod     
describ$ 9 su* subp>agraph1 ! ,m$ic>e   

adm9i/rative contractors %all conduct   
audits ( all claims = laboratory te/s   
prescrib$ by su* physicians or          
practition]s dur+ su* p]iod to det]m9e  
:e!r su* claims comply ) ! requirem5ts =
 cov]age "u ?is title4  4  #d4          
,requirem5t to submit ,,npi numb] =     
teleheal? bill+ ,section #ahcd7m7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$-- 7#a7 9 ! fir/     
s5t5ce ( p>agraph 7#a71 by /rik+        
p>agraph 7#h7 & ins]t+ p>agraphs 7#h7 & 
7#i72 &  7#b7 by add+ at ! end ! foll[+ 
new p>agraph3  7#i7 ,requirem5t to      
submit ,,npi numb] = teleheal? bill+    
,dur+ ! #b-ye> p]iod beg9n+ on ! day    
aft] ! la/ day ( ! em]g5cy p]iod        
describ$ 9 section #aace7;g77#a77;,b71  
paym5t may n be made "u ?is subsection =
 teleheal? s]vices furni%$ by a         
physician or practition] unless su*     
physician or practition] submits a claim
 = paym5t "u ! national provid]         
id5tification numb] assign$ to su*      
physician or practition]4  4  #e4       

,f$]ally qualifi$ heal? c5t]s & rural   
heal? cl9ics ,section #ahcd7m77#h7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#h77 is am5d$-- 7#a7 9 !      
p>agraph head+ by ins]t+ & ! #b-ye>     
p]iod aft] su* em]g5cy p]iod aft] p]iod2
  7#b7 9 subp>agraph 7,a71 9 ! matt]    
prec$+ clause 7i71 by ins]t+ & ! #b-ye> 
p]iod imm$iately foll[+ su* em]g5cy     
p]iod aft] #aace7;g77#a77;,b72 &  7#c7  
by /rik+ subp>agraph 7,b7 & ins]t+ !    
foll[+3  7,b7 ,paym5t  7i7 ,9 g5]al ,a  
teleheal? s]vice furni%$ by a ,f$]ally  
qualifi$ heal? c5t] or a rural heal?    
cl9ic to an individual pursuant to ?is  
p>agraph on or aft] ! date ( ! enactm5t 
( ?is subp>agraph %all be deem$ to be s 
furni%$ to su* individual z an outpati5t
 ( su* cl9ic or facility 7z applicable7 
= purposes ( p>agraph 7#a7 or 7#c71     
respectively1 ( section #ahfa7;aa7 &    
payable z a ,f$]ally qualifi$ heal? c5t]
 s]vice or rural heal? cl9ic s]vice 7z  
applicable7 "u ! prospective paym5t     
sy/em e/abli%$ "u section #ahcd7o7 or "u

 section #ahcc7;a77#c71 respectively4   
7ii7 ,treatm5t ( co/s = ,,fqhc ,,pps    
calculations & ,,rhc ,,air calculations 
,co/s associat$ ) ! deliv]y ( teleheal? 
s]vices by a ,f$]ally qualifi$ heal?    
c5t] or rural heal? cl9ic s]v+ z a      
di/ant site pursuant to ?is p>agraph    
%all be consid]$ all[able co/s =        
purposes ( ! prospective paym5t sy/em   
e/abli%$ "u section #ahcd7o7 & any      
paym5t me?odologies develop$ "u section 
#ahcc7;a77#c71 z applicable4  4  #f4    
,teleheal? flexibilities = critical     
access hospitals ,section #ahcd7m7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m771 z am5d$ by section #d1 is   
am5d$-- 7#a7 9 ! fir/ s5t5ce ( p>agraph 
7#a71 by /rik+ & 7#i7 & ins]t+ 1 7#i7 & 
7#aj72  7#b7 9 p>agraph 7#b77;,a71 by   
/rik+ p>agraph 7#h7 & ins]t+ p>agraphs  
7#h7 & 7#aj72  7#c7 9 p>agraph 7#d7--   
7,a7 9 subp>agraph 7,a71 by /rik+       
p>agraph 7#h7 & ins]t+ p>agraphs 7#h7 & 
7#aj72  7,b7 9 subp>agraph 7,f77i71 by  
/rik+ p>agraph 7#h7 & ins]t+ p>agraphs  

7#h7 & 7#aj72 &  7#d7 by add+ at ! end !
 foll[+ new p>agraph3  7#aj7 ,teleheal? 
flexibilities = critical access         
hospitals  7,a7 ,9 g5]al ,dur+ ! p]iod  
beg9n+ on ! date ( ! enactm5t ( ?is     
p>agraph & end+ on ! date t is #b ye>s  
aft] ! end ( ! em]g5cy p]iod describ$ 9 
section #aace7;g77#a77;,b71 ! foll[+    
%all apply3 7i7 ,! ,secret>y %all pay = 
teleheal? s]vices t are furni%$ via a   
telecommunications sy/em by a critical  
access hospital1 includ+ any practition]
 au?oriz$ to provide su* s]vices )9 !   
facility1 t is a qualifi$ provid] 7z    
def9$ 9 subp>agraph 7,b77 to an eligible
 teleheal? individual enroll$ "u ?is "p 
not)/&+ t ! critical access hospital    
provid+ ! teleheal? s]vice is n at !    
same location z ! b5efici>y1 if su*     
s]vices complem5t a plan ( c>e t        
includes 9-p]son c>e at "s po9t1 z may  
be appropriate4  7ii7 ,! am\nt ( paym5t 
to a critical access hospital t s]ves z 
a di/ant site = su* a teleheal? s]vice  
%all be det]m9$ "u subp>agraph 7,b74    

7iii7 ,= purposes ( ?is subsection--    
7,i7 ! t]m di/ant site includes a       
critical access hospital t furni%es a   
teleheal? s]vice to an eligible         
teleheal? individual2  7,,ii7 ! t]m     
qualifi$ provid] means1 ) respect to a  
teleheal? s]vice describ$ 9 clause 7i7 t
 is furni%$ to an eligible teleheal?    
individual1 a critical access hospital t
 has an e/abli%$ pati5t relation%ip )   
su* individual z def9$ by ! ,/ate 9 :i* 
! individual is locat$2 &  7,,iii7 ! t]m
 teleheal? s]vices includes behavioral  
heal? s]vices & any o!r outpati5t       
critical access hospital s]vice t is    
furni%$ us+ teleheal? to ! ext5t t      
paym5t codes correspond+ to s]vices     
id5tifi$ by ! ,secret>y "u clause 7i7 or
 7ii7 ( p>agraph 7#d77;,f7 are li/$ on !
 correspond+ claim = su* critical access
 hospital s]vice4  7,b7 ,paym5t ,=      
purposes ( subp>agraph 7,a77ii71 ! am\nt
 ( paym5t to a critical access hospital 
t s]ves z a di/ant site t furni%es a    
teleheal? s]vice to an eligible         

teleheal? individual "u ?is p>agraph    
%all be equal to #aja p]c5t ( !         
reasonable co/s ( ! hospital 9 provid+  
su* s]vices1 unless ! hospital makes an 
election "u p>agraph 7#b7 ( section     
#ahcd7;g7 to be paid = su* s]vices bas$ 
on ! me?odology describ$ 9 su* p>agraph4
 ,teleheal? s]vices furni%$ by a        
critical access hospital %all be c\nt$ =
 purposes ( det]m9+ ! provid]           
productivity rate ( ! critical access   
hospital = purposes ( paym5t "u su*     
section4  7,c7 ,implem5tation ,not)/&+  
any o!r provision ( law1 ! ,secret>y may
 implem5t ?is p>agraph ?r\gh program    
in/ruction1 int]im f9al rule1 or        
o!rwise4  4  #g4 ,use ( teleheal? = !   
disp5s+ ( controll$ sub/ances by means (
 ! int]net ,section #cji7;e77#b7 ( !    
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbi7;e77#b77 is am5d$-- 7#a7 
9 subp>agraph 7,a77i7-- 7,a7 by /rik+ at
 lea/ #a 9-p]son m$ical evaluation &    
ins]t+ ! foll[+3 at lea/-- 7,i7 #a      
9-p]son m$ical evaluation  2 &  7,b7 by 

add+ at ! end ! foll[+3  7,,ii7 dur+ !  
p]iod beg9n+ on ! date ( ! enactm5t (   
?is subclause & end+ on ! date t is #b  
ye>s aft] ! end ( ! em]g5cy p]iod       
describ$ 9 section #aace7;g77#a77;,b7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acbj;b-#e7;g77#a77;,b771 = purposes (  
prescrib+ a controll$ sub/ance 9 s*$ules
 ,,ii ?r\gh ,v1 #a teleheal? evaluation2
 or  2 &  7#b7 by add+ at ! end !       
foll[+3  7,d7 7i7 ,! t]m teleheal?      
evaluation means a m$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 m9imum1     
audio & video equipm5t p]mitt+ two-way1 
real-"t int]active communication betwe5 
! pati5t & di/ant site practition]4     
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$]al ,regulations1 z 9 effect 
on ! date ( enactm5t ( ?is subp>agraph4 
4  #h4 ,/udy on ! effects ( *anges to   
teleheal? "u ! ,m$ic>e & ,m$icaid       
programs dur+ ! ,,covid-#ai em]g5cy  7a7
 ,9 g5]al ,n lat] ?an #a ye> aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all conduct a 
/udy & submit to ! ,committee on ,en]gy 
& ,comm]ce & ! ,committee on ,ways &    
,means ( ! ,h\se ( ,repres5tatives & !  
,committee on ,f9ance ( ! ,s5ate an     

int]im report on any *anges made to !   
provision or availability ( teleheal?   
s]vices "u "p ,a or ,b ( title ,,xviii (
 ! ,social ,security ,act 7includ+ by   
reason ( ! am5dm5ts made to ! ,controll$
 ,sub/ances ,act "u section #g7 s9ce !  
/>t ( ! em]g5cy p]iod describ$ 9 section
 #aace7;g77#a77;,b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#e7;g77#a77;,b774 ,su* report   
%all include ! foll[+3 7#a7 ,a summ>y ( 
utilization ( all heal? c>e s]vices     
furni%$ "u su* "p ,a or ,b dur+ su*     
em]g5cy p]iod1 includ+ ! numb] (        
teleheal? visits 7brok5 d[n by s]vice   
type1 ! numb] ( su* visits furni%$ via  
audio-visual te*nology1 ! numb] ( su*   
visits furni%$ via audio-only te*nology1
 & ! numb] ( su* visits furni%$ by a    
,f$]ally qualifi$ heal? c5t]1 rural     
heal? cl9ic1 or community heal? c5t]1   
respectively1 if practicable71 9-p]son  
outpati5t visits1 inpati5t admissions1 &
 em]g5cy dep>tm5t visits4  7#b7 ,a      
description ( any *anges 9 utilization  

patt]ns = ! c>e sett+s describ$ 9       
p>agraph 7#a7 ov] ! c\rse ( su* em]g5cy 
p]iod comp>$ to su* patt]ns prior to su*
 em]g5cy p]iod4  7#c7 ,an analysis (    
utilization ( teleheal? s]vices "u su*  
"p ,a or ,b dur+ su* em]g5cy p]iod1     
brok5 d[n by race & e?nicity1 geographic
 region1 & income level 7z measur$      
directly or indirectly1 su* z by        
pati5t's zip code tabulation area m$ian 
income z publicly report$ by ! ,unit$   
,/ates ,c5sus ,bureau71 & ( any tr5ds 9 
su* utilization dur+ su* em]g5cy p]iod1 
s brok5 d[n4 ,su* analysis may n include
 any p]sonally id5tifiable in=mation or 
protect$ heal? in=mation4  7#d7 ,a      
description ( exp5ditures & any sav+s "u
 su* "p ,a or ,b attributable to use (  
su* teleheal? s]vices dur+ su* em]g5cy  
p]iod4  7#e7 ,a description ( any       
in/ances ( fraud id5tifi$ by !          
,secret>y1 act+ ?r\gh ! ,(fice ( !      
,inspector ,g5]al or o!r relevant       
ag5cies & dep>tm5ts1 ) respect to su*   
teleheal? s]vices furni%$ "u su* "p ,a  

or ,b dur+ su* em]g5cy p]iod & a        
comp>ison ( ! numb] ( su* in/ances ) !  
numb] ( in/ances ( fraud s id5tifi$ )   
respect to 9-p]son s]vices s furni%$    
dur+ su* em]g5cy p]iod4  7#f7 ,a        
description ( any privacy conc]ns )     
respect to ! furni%+ ( su* teleheal?    
s]vices 7su* z cyb]security or ransomw>e
 conc]ns71 includ+ a description ( any  
actions tak5 by ! ,secret>y1 act+ ?r\gh 
! ,heal? ,sector ,cyb]security          
,coord9ation ,c5t] or o!r relevant      
ag5cies & dep>tm5ts1 dur+ su* em]g5cy   
p]iod to assi/ heal? c>e provid]s secure
 telecommunications sy/ems4  7#g7       
,id5tification ( common ,,icd-#aj codes 
bill$ via teleheal?1 comp>+ measures (  
quality & outcomes betwe5 teleheal? c>e 
& 9-p]son c>e = ! same category (       
s]vice4  7#h7 ,recomm5dations reg>d+ !  
p]man5cy ( ! waiv]s & au?orities "u !   
provisions (1 & am5dm5ts made by1 ?is   
,act4  7b7 ,consultation ,9 conduct+ !  
/udy & submitt+ ! report "u subsection  
7a71 ! ,secret>y-- 7#a7 %all consult )--

 7,a7 ! ,m$icaid & ,,*ip ,paym5t &      
,access ,commission2  7,b7 ! ,m$ic>e    
,paym5t ,advisory ,commission2  7,c7 !  
,(fice ( ,inspector ,g5]al ( ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices2 &  7,d7 o!r
 /akehold]s det]m9$ appropriate by !    
,secret>y1 su* z pati5ts1 tribal        
communities1 m$ical pr(essionals1 heal? 
facilities1 ,/ate m$ical bo>ds1 ,/ate   
nurs+ bo>ds1 teleheal? provid]s1 heal?  
pr(essional liability provid]s1 public &
 private pay]s1 & ,/ate lead]s2 &  7#b7 
%all endeavor to include z _m racially1 
e?nically1 geographically1 &            
pr(essionally div]se p]spectives z      
possible4  7c7 ,f9al report ,n lat] ?an 
#ah mon?s aft] ! end ( ! em]g5cy p]iod  
describ$ 9 section #aace7;g77#a77;,b7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acbj;b-#e7;g77#a77;,b771 ! ,secret>y   
%all-- 7#a7 update & f9alize ! int]im   
report "u subsection 7a72 &  7#b7 submit
 su* updat$ & f9aliz$ report to !       
committees specifi$ 9 su* subsection4   
7d7 ,grants = ,m$icaid reports  7#a7 ,9 

g5]al ,n lat] ?an ,janu>y #a1 #bjbc1 !  
,secret>y %all aw>d grants to ,/ates ) a
 ,/ate plan 7or waiv] ( su* plan7 9     
effect "u title ,,xix ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #acifr7 t 
submit an application "u ?is subsection 
= purposes ( enabl+ su* ,/ates to /udy &
 submit reports to ! ,secret>y on any   
*anges made to ! provision or           
availability ( teleheal? s]vices "u su* 
plans 7or su* waiv]s7 dur+ su* p]iod4   
7#b7 ,eligibility ,to be eligible to    
receive a grant "u p>agraph 7#a71 a     
,/ate %all-- 7,a7 provide b5efits =     
teleheal? s]vices "u ! ,/ate plan 7or   
waiv] ( su* plan7 9 effect "u title     
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acifr72  7,b7 be able to     
diff]5tiate teleheal? f 9-p]son visits  
)9 claims data submitt$ "u su* plan 7or 
su* waiv]7 dur+ su* p]iod2 &  7,c7      
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation 7includ+ ! am\nt ( ! grant    
reque/$7 z ! ,secret>y may require4     

7#c7 ,use ( funds ,a ,/ate %all use     
am\nts receiv$ "u a grant "u ?is        
subsection to conduct a /udy & report   
f9d+s reg>d+ ! effects ( *anges to      
teleheal? s]vices (f]$ "u ! ,/ate plan  
7or waiv] ( su* plan7 ( su* ,/ate "u    
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 dur+ su*  
p]iod 9 accordance ) p>agraph 7#d74     
7#d7 ,reports  7,a7 ,int]im report ,n   
lat] #a ye> aft] ! date a ,/ate receives
 a grant "u ?is subsection1 ! ,/ate %all
 submit to ! ,secret>y an int]im report 
t-- 7i7 details any *anges made to !    
provision or availability ( teleheal?   
b5efits 7su* z eligibility1 cov]age1 or 
paym5t *anges7 "u ! ,/ate plan 7or waiv]
 ( su* plan7 ( ! ,/ate "u title ,,xix ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif et seq47 dur+ ! em]g5cy p]iod     
describ$ 9 p>agraph 7#a72 &  7ii7       
conta9s-- 7,i7 a summ>y & description ( 
! type describ$ 9 p>agraphs 7#a7 & 7#b71
 respectively1 ( subsection 7a72 &      
7,,ii7 to ! ext5t practicable1 an       

analysis ( ! type describ$ 9 p>agraph   
7#c7 ( subsection 7a71  except t any    
ref]5ce 9 su* subsection to su* "p ,a or
 ,b %all1 = purposes ( subclauses 7,i7 &
 7,,ii71 be treat$ z a ref]5ce to su*   
,/ate plan 7or waiv]74  7,b7 ,f9al      
report ,n lat] ?an #c ye>s aft] ! date a
 ,/ate receives a grant "u ?is          
subsection1 ! ,/ate %all update &       
f9alize ! int]im report & submit su*    
f9al report to ! ,secret>y4  7,c7       
,report by ,secret>y ,n lat] ?an ! e>li]
 ( ! date t is #a ye> aft] ! submission 
( all f9al reports "u subp>agraph 7,b7 &
 ,decemb] #ca1 #bjbg1 ! ,secret>y %all  
submit to ,congress a report on ! grant 
program1 includ+ a summ>y ( ! reports   
receiv$ f ,/ates "u ?is p>agraph4  7#e7 
,modification au?ority ,! ,secret>y may 
modify any deadl9e describ$ 9 p>agraph  
7#d7 or any in=mation requir$ to be     
includ$ 9 a report made "u ?is          
subsection to provide flexibility =     
,/ates to modify ! scope ( ! /udy &     
timel9e = su* reports4  7#f7 ,te*nical  

assi/ance ,! ,secret>y %all provide su* 
te*nical assi/ance z may be necess>y to 
a ,/ate receiv+ a grant "u ?is          
subsection 9 ord] to assi/ su* ,/ate 9  
conduct+ /udies & submitt+ reports "u   
?is subsection4  7#g7 ,/ate ,= purposes 
( ?is subsection1 ! t]m ,/ate means ea* 
( ! sev]al ,/ates1 ! ,di/rict (         
,columbia1 & ea* t]ritory ( ! ,unit$    
,/ates4  7e7 ,au?orization (            
appropriations  7#a7 ,m$ic>e ,= !       
purpose ( c>ry+ out subsections 7a7     
?r\gh 7c71 !re are au?oriz$ to be       
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4   
7#b7 ,m$icaid ,= ! purpose ( c>ry+ out  
subsection 7d71 !re are au?oriz$ to be  
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4