,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #bjg  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #i1 #bjbc,mr4 
,s*weik]t introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,vet]ans' ,affairs1
 = 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 provide cov]age & paym5t =     
c]ta9 te/s & assi/ive teleheal?         
consultations1 & = o!r purposes4  #a4   
,%ort title2 table ( cont5ts  7a7 ,%ort 
title ,?is ,act may be cit$ z ! ,advanc$
 ,safe ,te/+ at ,resid5ce ,teleheal?    
,act ( #bjbc4  7b7 ,table ( cont5ts ,!  
table ( cont5ts is z foll[s3  ,sec4 #a4 
,%ort title4 ,sec4 #b4 ,cov]age & paym5t
 = c]ta9 te/s & assi/ive teleheal?      
consultations2 demon/ration program "u  
c]ta9 ,/ate ,m$icaid programs4  ,sec4   
#ahei;,a4 ,te/s & assi/ive teleheal?    

consultations demon/ration4 ,sec4 #c4   
,pilot program on improv$ access to     
c]ta9 te/s & assi/ive teleheal?         
consultations = vet]ans4  #b4 ,cov]age &
 paym5t = c]ta9 te/s & assi/ive         
teleheal? consultations2 demon/ration   
program "u c]ta9 ,/ate ,m$icaid programs
  7a7 ,te/s & assi/ive teleheal?        
consultations demon/ration ,"p ,c (     
title ,,xviii ( ! ,social ,security ,act
 is am5d$ by ins]t+ aft] section #ahei  
7#db ,u4,s4,c4 #aciew-#bh7 ! foll[+ new 
subsection3  #ahei;,a4 ,te/s & assi/ive 
teleheal? consultations demon/ration    
7a7 ,e/abli%m5t  7#a7 ,9 g5]al ,!       
,secret>y %all e/abli% a ,value-,bas$   
,insurance ,design ,model demon/ration  
program 79 ?is section ref]r$ to z !    
,,vbid demon/ration program7 to provide 
to eligible ,m$ic>e b5efici>ies--  7,a7 
an assi/ive teleheal? consultation t is 
furni%$ via a telecommunications sy/em  
by a physician or practition] to an     
eligible teleheal? individual enroll$ "u
 "p ,b not)/&+ t ! individual physician 

or practition] ord]+ ! te/ did n furni% 
! te/ or t ! individual physician or    
practition] provid+ ! assi/ive teleheal?
 consultation is n at ! same location z 
! b5efici>y2 &  7,b7 home &             
community-bas$ c>e4  7#b7 ,agreem5ts ,! 
,secret>y %all ent] into agreem5ts )    
eligible ,,ma organizations "u :i* su*  
organizations %all (f] eligible ,,ma    
plans "u ! ,,vbid demon/ration program  
to eligible ,m$ic>e b5efici>ies4  7#c7  
,limitations on numb] ( plans = ,,vbid  
demon/ration program ,! ,,vbid          
demon/ration program %all be c>ri$ out )
 respect to n great] ?an #be ,,ma plans1
 ) a m9imum ( #aj ,,ma plans t s]ve     
rural or und]s]v$ areas4  7#d7 ,eligible
 ,,ma plans def9$ ,= purposes ( ?is     
section1 ! t]m eligible ,,ma plan means 
a plan t1 9 addition to items & s]vices 
= :i* cov]age is o!rwise provid$ "u ?is 
"p 7includ+ b5efits "u section          
#aheb7;a77#c7 & not)/&+ any waiv]s "u   
section #aiae7;c771 provides = cov]age  
(-- 7,a7 te/s t are m$ical devices 7z   

def9$ 9 section #bja7;h7 ( ! ,f$]al     
,food1 ,drug1 & ,cosmetic ,act or       
we>able pati5t monitor+ device1 includ+ 
adaptive artificial intellig5ce1 ma*9e  
le>n+1 & s(tw>e z a m$ical device       
7,sa,m,d7 te*nologies t op]ate to ! full
 scope ( m$ical purpose def9$ by !      
,adm9i/rator ( ! ,food & ,drug          
,adm9i/ration7 & are id5tifi$ by !      
,secret>y z hav+ appropriate at home use
 t is approv$ "u section #eje ( ! ,f$]al
 ,food1 ,drug1 & ,cosmetic ,act1 & are  
ei!r--  7i7 a diagno/ic te/ or scre5+ = 
! diagnosis ( influ5za or a simil>      
respiratory condition t is requir$ to   
obta9 a f9al diagnosis ( ,,covid-#ai =  
an individual :5 su* te/ is ord]$ by a  
physician or practition] 9 conjunction )
 a ,,covid-#ai diagno/ic te/ or scre5+ =
 purposes ( disc\nt+ a diagnosis (      
influ5za or a relat$ diagnosis = su*    
individual2  7ii7 a s]ology te/ =       
,,covid-#ai2  7iii7 a diagno/ic te/ or  
scre5+ = ! diagnosis ( pro/ate canc]1   
ov>ian canc]1 brea/ canc]1              

hypo?yroidism1 rheumatoid ar?ritis1     
celiac disease1 vascul> inflammation1   
c>diovascul> heal?1 /rep ?roat1 or      
lipoprote9 7,a72  7iv7 a haptoglob9     
g5etic te/2  7v7 a pr$iabetes & diabetes
 scre5+2  7vi7 an ,ig,e all]gy te/2     
7vii7 a scre5+ or diagno/ic capsule     
endoscopy2 or  7viii7 any o!r te/       
id5tifi$ by ! ,secret>y1 includ+ ^?     
propos$ by ! ,,ma organization1 z hav+  
appropriate = at-home use t is approv$  
"u section #eje ( ! ,f$]al ,food1 ,drug1
 & ,cosmetic ,act2  7,b7 assi/ive       
teleheal? consultations2  7,c7 teleheal?
 s]vices2  7,d7 fitness b5efits2  7,e7  
meal b5efits 7beyond limit$ basis72     
7,f7 transportation s]vices2  7,g7      
safety & o!r equipm5t n o!rwise cov]$ "u
 ?is title2 &  7,h7 c>e 9 rural or      
highly rural areas 7z det]m9$ 9         
consultation ) ! ,secret>y (            
,agriculture us+ ! ,rural-,urban        
,commut+ ,areas cod+ sy/em74  7#e7 ,o!r 
matt]s relat+ to docum5tation & claims  
review ,! requirem5ts ( p>agraphs 7#b7 &

 7#c7 ( section #daj4cb7;d7 ( title #db1
 ,code ( ,f$]al ,regulations 7z 9 effect
 on ! date ( ! enactm5t ( ?is p>agraph71
 relat+ to docum5tation & claims review1
 respectively1 %all apply to a te/      
describ$ 9 p>agraph 7#d77;,a7 & an      
assi/ive teleheal? consultation4  7#f7  
,demographic data ,to be eligible =     
reimbursem5t "u ?is p>agraph1 ea* claim 
= reimbursem5t %all include1 ) respect  
to ea* eligible ,m$ic>e b5efici>y1 !    
foll[+ demographic data3 7,a7 ,age4     
7,b7 ,race & e?nicity4  7,c7 ,g5d]4     
7,d7 ,an affirmative or negative /atem5t
 ( ! exi/5ce ( any *ronic condition4    
7,e7 ,any o!r in=mation ! ,secret>y     
det]m9es appropriate4  7#g7 ,assi/ive   
teleheal? consultation ,9 ?is           
subsection1 ! t]m assi/ive teleheal?    
consultation means a teleheal? s]vice 7z
 def9$ 9 section #ahcd7m77#d77;,f77 t   
is-- 7,a7 an evaluation & managem5t     
s]vice2  7,b7 an assessm5t ( any evid5ce
 ( sy/ems :i* w\ld make a diagno/ic te/ 
or scre5+ necess>y to be furni%$ 9 !    

home ( an eligible teleheal? individual2
  7,c7 ! ord]+ ( a diagno/ic te/ or     
scre5+2  7,d7 an assessm5t ( an         
individual succe$+ ! deliv]y ( a        
diagno/ic te/ or scre5+2  7,e7 any      
assi/ance 9 ! collection 7or            
transmission7 ( images or data necess>y 
= a diagno/ic te/ or scre5+ & secur+ !  
sample = %ipp+2  7,f7 ! ref]ral ( an    
eligible teleheal? individual to a      
physician or practition] = 9-p]son      
treatm5t2 or  7,g7 ! review ( a         
diagno/ic te/ or scre5+ by a physician  
or practition]4  7b7 ,eligible ,,ma     
organizations ,= purposes ( ?is section1
 ! t]m eligible ,,ma organization means 
an ,,ma organization t-- 7#a7 is locat$ 
9 a ,/ate t ! ,secret>y has det]m9$ is  
able to p>ticipate 9 ! ,,vbid           
demon/ration program by agree+ to make  
available data necess>y = purposes (    
conduct+ ! indep5d5t evaluation requir$ 
"u subsection 7h72 &  7#b7 meets su* o!r
 crit]ia z ! ,secret>y may require4  7c7
 ,eligible ,m$ic>e b5efici>y def9$ ,9   

?is section1 ! t]m eligible ,m$ic>e     
b5efici>y means a ,m$ic>e b5efici>y :o--
  7#a7 is eligible = b5efits "u ?is     
title &-- 7,a7 is eligible to enroll 9  
an eligible ,,ma plan "u ! ,,vbid       
demon/ration program2  7,b7 is a        
subsidy-eligible individual 7z def9$ 9  
section #ahfj;,d-#ad7;a77#c77;,a772 &   
7,c7 is age #fe or old]2 or  7#b7 is a  
dual eligible individual 7z def9$ 9     
section #aiae7;h77#b77;,b77 or qualifi$ 
m$ic>e b5efici>y 7z def9$ 9 section     
#aije7p77#a77 :o is eligible = m$ical   
assi/ance "u a ,/ate plan "u title      
,,xix4  7d7 ,paym5ts ,! ,secret>y %all  
e/abli% paym5t rates = eligible ,,ma    
organizations (f]+ eligible ,,ma plans  
"u ! ,,vbid demon/ration program =      
b5efits cov]$ "u su* program 7& n       
o!rwise cov]$ "u "p ,c7 & provid$ to    
eligible ,m$ic>e b5efici>ies "u su*     
plans4 ,su* paym5t rates %all--  7#a7 be
 bas$ ^u paym5t rates e/abli%$ =        
purposes ( paym5t "u section #ahec2     
7#b7 be 9 addition to paym5ts o!rwise   

made to su* organization ) respect to   
su* plans "u "p ,c2  7#c7 be adju/$ to  
reflect ! co/s ( treat+ eligible ,m$ic>e
 b5efici>ies "u ?is section2 &  7#d7 n  
be made = a te/ via a telecommunications
 sy/em describ$ 9 subsection 7a77#d71   
unless ! physician or practition]       
det]m9es su* a te/ is m$ically necess>y 
& appropriate 7z det]m9$ by !           
,secret>y74  7e7 ,special election p]iod
 ,not)/&+ sections #aheb7;e77#b77;,c7 & 
#ahfj;,d-#a7;b77#a77;,b77iii71 an       
eligible ,m$ic>e b5efici>y may1 o!r ?an 
dur+ ! annual1 coord9at$ election p]iods
 "u su* sections discont9ue enrollm5t 9 
an ,,ma plan n p>ticipat+ 9 ! ,,vbid    
demon/ration program & enroll 9 an ,,ma 
plan p>ticipat+ 9 su* program4  7f7     
,b5efici>y education ,! ,secret>y %all  
help to educate1 ?r\gh ,/ate ,heal?     
,insurance ,assi/ance ,programs & o!r   
organizations t assi/ s5iors ) respect  
to b5efits & enrollm5t "u ?is title1    
eligible ,m$ic>e b5efici>ies on !       
availability ( ! ,,vbid demon/ration    

program4  7g7 ,implem5tation  7#a7      
,deadl9e ,! ,,vbid demon/ration program 
%all be implem5t$ n lat] ?an ,janu>y #a 
( ! second ye> beg9n+ aft] ! date ( !   
enactm5t ( ?is section4  7#b7 ,duration 
,subject to p>agraph 7#c71 ! ,,vbid     
demon/ration program %all be conduct$ = 
a p]iod ( five ye>s4  7#c7 ,ext5sion or 
expansion ,tak+ into acc\nt ! report "u 
subsection 7h77#b71 ! ,secret>y may1    
?r\gh notice & comm5t rulemak+1 exp& !  
duration1 scope1 or bo? ! duration &    
scope ( ! ,,vbid demon/ration program   
7includ+ implem5tation on a nationwide  
or p]man5t basis or bo?71 o!r ?an "u !  
orig9al ,m$ic>e fee-=-s]vice program "u 
p>ts ,a & ,b ( su* title1 to ! ext5t    
det]m9$ appropriate by ! ,secret>y1     
unless ! ,secret>y det]m9es t su*       
expansion is expect$ to-- 7,a7 increase 
aggregate exp5ditures "u ?is title &    
title ,,xix ) respect to eligible       
,m$ic>e b5efici>ies p>ticipat+ 9 !      
,,vbid demon/ration program2 or  7,b7   
decrease ! quality ( heal? c>e s]vices  

furni%$ to eligible ,m$ic>e b5efici>ies 
p>ticipat+ 9 ! ,,vbid demon/ration      
program4  7h7 ,indep5d5t evaluation &   
reports  7#a7 ,indep5d5t evaluation     
7,a7 ,9 g5]al ,! ,secret>y %all provide 
= ! evaluation ( ! ,,vbid demon/ration  
program by an indep5d5t ?ird p>ty4  7,b7
 ,evaluation objectives ,su* evaluation 
%all det]m9e ! ext5t to :i* ! ,,vbid    
demon/ration program has result$ 9-- 7i7
 improv$ pati5t c>e2  7ii7 r$uc$        
hospitalizations or rehospitalizations2 
7iii7 r$uc$ or delay$ nurs+ facility    
admissions & l5g?s ( /ay "u title ,,xix2
  7iv7 r$uc$ sp5d d[n ( income & assets 
= purposes ( becom+ eligible = m$ical   
assi/ance "u a ,/ate plan "u title      
,,xix2  7v7 improv$ quality ( life = !  
eligible ,m$ic>e b5efici>ies enroll$ 9  
an eligible ,,ma plan p>ticipat+ 9 !    
,,vbid demon/ration program2  7vi7      
improv$ c>egiv] satisfaction2 &  7vii7  
address+ disp>ities & access = und]s]v$ 
populations4  7,c7 ,evaluation process  
,su* evaluation %all be complet$ 9      

accordance ) ! foll[+ process3 7i7 ,!   
,secret>y %all1 prior to ! implem5tation
 ( su* program1 e/abli% goals = su*     
program ) respect to ! evaluation       
objectives describ$ 9 subp>agraph 7,b7 &
 crit]ia = measur+ ! ext5t to :i* an    
eligible ,,ma plan p>ticipat+ 9 ! ,,vbid
 demon/ration program meets su* goals4  
7ii7 ,! ,secret>y %all implem5t cle>    
data collection & report+ requirem5ts = 
su* eligible ,,ma plans 9 ord] to c>ry  
out su* evaluation4  ,9 c>ry+ out su*   
process1 ! ,secret>y %all recognize t   
def9itions1 b5efits1 & program          
requirem5ts = long-t]m c>e s]vices &    
supports v>y across ,/ates4  7#b7       
,reports ,n lat] ?an f\r ye>s aft] !    
implem5tation ( ! ,,vbid demon/ration   
program1 ! ,secret>y %all submit to     
,congress a report conta9+ ! results ( !
 evaluation conduct$ "u p>agraph 7#a71  
toge!r ) su* recomm5dations =           
legislative or adm9i/rative action z !  
,secret>y det]m9es appropriate4 ,9      
prep>+ su* report1 ! ,secret>y %all use 

at lea/ ?ree ye>s wor? ( data "u !      
,,vbid demon/ration program4  7i7       
,budget neutrality ,= any ye> aft] !    
?ird ye> ( ! ,,vbid demon/ration        
program1 ! ,secret>y %all ensure t !    
aggregate paym5ts made "u ?is title &   
title ,,xix1 includ+ "u ! ,,vbid        
demon/ration program1 d n exce$ ! am\nt 
:i* ! ,secret>y e/imates w\ld h be5     
exp5d$ "u su* titles dur+ su* ye> if !  
,,vbid demon/ration program _h n be5    
implem5t$4  7j7 ,pap]work r$uction act  
,*apt] #ce ( title #dd1 ,unit$ ,/ates   
,code1 %all n apply to ! te/+ &         
evaluation ( ! ,,vbid demon/ration      
program4  4  7b7 ,demon/ration program  
"u c]ta9 ,/ate ,m$icaid programs  7#a7  
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( ! enactm5t ( ?is ,act1 subject to     
p>agraph 7#c71 ! ,secret>y ( ,heal? &   
,human ,s]vices1 act+ ?r\gh ! ,deputy   
,adm9i/rator & ,director ( ! ,c5t] =    
,m$ic>e & ,m$icaid ,innovation ( !      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1    
%all adm9i/] a program t aw>ds grants to

 at lea/ #e1 b n m ?an #aj ,/ates or    
t]ritories = purposes ( ! ,/ate ,m$icaid
 program to provide cov]age to          
individuals entitl$ to b5efits "u !     
,/ate plan "u title ,,xix ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 = te/s describ$ 9 section         
#ahei;,a7a77#d7 ( su* ,act t are ord]$ &
 assi/ive teleheal? consultations t are 
furni%$ via a telecommunications sy/em  
by a physician or practition] to su*    
individuals not)/&+ t ! individual      
physician or practition] ord]+ ! te/ did
 n furni% ! te/ or t ! individual       
physician or practition] provid+ !      
assi/ive teleheal? consultation is n at 
! same location z ! individuals4  7#b7  
,applications ,to be eligible to receive
 a grant "u ?is subsection1 a ,/ate %all
 submit an application to ! ,secret>y 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#c7 ,duration2 
am\nt  7,a7 ,duration ,a grant "u ?is   
subsection %all be = a #d-ye> p]iod4    
7,b7 ,am\nt ,a ,/ate t is aw>d$ a grant 

"u ?is subsection %all be = an am\nt n  
to exce$ #ab1jjj1jjj4  7#d7 ,fund+ ,!   
,secret>y1 act+ ?r\gh ! ,deputy         
,adm9i/rator & ,director1 %all provide =
 n m ?an #ajj1jjj1jjj to c>ry out !     
program describ$ 9 p>agraph 7#a7 f      
am\nts o!rwise appropriat$ pursuant to  
section #aaae;,a7f7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acae;a7f774  #c4 ,pilot program on     
improv$ access to c]ta9 te/s & assi/ive 
teleheal? consultations = vet]ans  7a7  
,pilot program  7#a7 ,e/abli%m5t ,n lat]
 ?an #ahj days aft] ! date ( ! enactm5t 
( ?is ,act1 ! ,secret>y ( ,vet]ans %all 
e/abli% a pilot program on improv$      
access to c]ta9 teleheal? s]vices =     
vet]ans 79 ?is section ref]r$ to z !    
pilot program74 ,"u ! pilot program1 !  
,secret>y %all furni% cov]$ s]vices to  
p>ticipants1 at no co/ to ! p>ticipants1
 9 accordance ) ?is section4  7#b7      
,provision ( cov]$ s]vices  7,a7 ,heal? 
c>e provid]s ,! ,secret>y %all select n 
few] ?an five facilities ( ! ,dep>tm5t (

 ,vet]ans ,affairs ?r\gh :i* to c>ry out
 ! program1 ( :i* n few] ?an ?ree %all  
s]ve vet]ans 9 rural or highly rural    
areas 7z det]m9$ ?r\gh ! use ( !        
,rural-,urban ,commut+ ,areas cod+ sy/em
 ( ! ,dep>tm5t ( ,agriculture74  7,b7   
,cov]$ s]vices ,"u ! pilot program1 &   
not)/&+ t ! provid] ord]+ or provid+ !  
s]vice is n at ! same location z !      
p>ticipant receiv+ ! s]vice1 heal? c>e  
provid]s at ea* facility select$ "u     
subp>agraph 7,a7 %all furni% to program 
p>ticipants ! foll[+ s]vices3  7i7 ,te/s
 describ$ 9 subp>agraph 7,c7 t are ord]$
 by ! heal? c>e provid] via a           
telecommunications sy/em4  7ii7         
,assi/ive teleheal? consultations t are 
provid$ by ! heal? c>e provid] via a    
telecommunications sy/em4  7,c7 ,te/s   
describ$ ,a te/ describ$ 9 ?is          
subp>agraph is a te/ t-- 7i7 is a m$ical
 device 7z def9$ 9 section #bja7;h7 ( ! 
,f$]al ,food1 ,drug1 & ,cosmetic ,act7  
or we>able pati5t monitor+ device1 &    
7ii7 is = a condition det]m9$ relevant  

by ! ,secret>y = purposes ( ! pilot     
program4  7#c7 ,p>ticipation 9 program  
7,a7 ,application ,to p>ticipate 9 !    
pilot program1 vet]ans eligible to apply
 "u subp>agraph 7,b7 %all submit an     
application = su* p>ticipation 9 su* =m1
 at su* "t1 & conta9+ su* in=mation z ! 
,secret>y det]m9es appropriate4  7,b7   
,eligibility ,a vet]an is eligible to   
submit an application = p>ticipation 9 !
 pilot program if ! vet]an-- 7i7 is     
enroll$ 9 ! sy/em ( pati5t enrollm5t ( !
 ,dep>tm5t "u section #agje7;a7 ( title 
#ch1 ,unit$ ,/ates ,code2 &  7ii7 has   
receiv$ heal? c>e "u ! laws adm9i/]$ by 
! ,secret>y dur+ ! two-ye> p]iod prec$+ 
! date on :i* ! vet]an is fir/ select$  
by ! ,secret>y = p>ticipation 9 ! pilot 
program4  7#d7 ,no paym5t  7,a7 ,pilot  
program ,! ,secret>y may n *>ge a       
program p>ticipant = any co/ ( s]vices  
furni%$ "u ! pilot program4  7,b7       
,effect on c]ta9 9 p]son te/s ,:ile a   
vet]an is a program p>ticipant 9 ! pilot
 program1 ! ,secret>y may n make paym5t 

= a te/ describ$ 9 p>agraph 7#b77;,c7 t 
is furni%$ 9-p]son by a physician or    
practition] to ! vet]an if a physician  
or practition] has previ\sly ord]$ su* a
 te/ = ! vet]an "u ! pilot program via a
 telecommunications sy/em1 unless !     
physician or practition] det]m9es su* a 
te/ is m$ically necess>y & appropriate  
7z det]m9$ by ! ,secret>y74  7#e7       
,t]m9ation  7,a7 ,9 g5]al ,subject to   
subp>agraph 7,b71 ! pilot program %all  
t]m9ate on ! date t is ?ree ye>s aft] ! 
date on :i* ! pilot program comm5ces4   
7,b7 ,ext5sion ,if ! ,secret>y det]m9es1
 bas$ on ! results ( ! int]im report "u 
subsection 7b77#a71 t x is appropriate  
to ext5d ! pilot program1 ! ,secret>y   
may ext5d ! t]m9ation ( su* program = a 
p]iod ( n m ?an two ye>s4  7b7 ,reports 
7#a7 ,int]im report ,n lat] ?an "o ye>  
aft] ! date on :i* ! pilot program      
comm5ces1 ! ,secret>y %all submit to !  
appropriate congressional committees an 
int]im report4 ,su* report %all include 
! foll[+ in=mation3  7,a7 ,! numb] (    

vet]ans :o h p>ticipat$ 9 ! pilot       
program4  7,b7 ,! types ( at-home       
diagno/ics furni%$ "u ! pilot program4  
7,c7 ,an assessm5t ( :e!r p>ticipation 9
 ! pilot program result$ 9 any *anges 9 
cl9ically relevant endpo9ts = !         
p>ticipant ) respect to ! conditions    
id5tifi$ dur+ an assi/ive teleheal?     
consultation or ?r\gh a cov]$ te/ "u !  
pilot program4  7,d7 ,an assessm5t ( !  
quality ( life ( vet]ans :o h p>ticipat$
 9 ! pilot program1 includ+ ! results ( 
a satisfaction survey provid$ to ea* su*
 vet]an4  7#b7 ,f9al report ,n lat] ?an 
#ij days aft] ! date ( t]m9ation ( !    
pilot program "u subsection 7a77#d77;,a7
 7or1 if ! pilot program is ext5d$ "u   
subsection 7a77#d77;,b71 ! date on :i*  
su* ext5sion t]m9ates71 ! ,secret>y %all
 submit to ! appropriate congressional  
committees a f9al report on ! pilot     
program t conta9s any relevant updates  
to ! in=mation specifi$ 9 p>agraph 7#a74
  7c7 ,def9itions ,9 ?is section3  7#a7 
,! t]m appropriate congressional        

committees means-- 7,a7 ! ,committee on 
,en]gy & ,comm]ce1 ! ,committee on      
,vet]ans' ,affairs1 & ! ,committee on   
,ways & ,means ( ! ,h\se (              
,repres5tatives2 &  7,b7 ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
& ! ,committee on ,vet]ans' ,affairs ( !
 ,s5ate4  7#b7 ,! t]m assi/ive teleheal?
 consultation has ! mean+ giv5 su* t]m 9
 section #ahei;,a7a77#g7 ( ! ,social    
,security ,act1 z add$ by section #a (  
?is ,act4