,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #gadi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #cj1          
#bjbd,mrs4 ,/eel 7= h]self1 ,ms4 ,lee ( 
,nevada1 ,mr4 ,kelly ( ,p5nsylvania1    
,mr4 ,la,hood1 ,mr4 ,davis ( ,nor?      
,c>ol9a1 ,ms4 ,c>aveo1 ,mrs4            
,*avez-,de,remer1 ,mr4 ,bacon1 ,ms4 ,de 
,la ,cruz1 ,ms4 ,sal9as1 & ,mr4         
,valadao7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = 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 ,,xi 
( ! ,social ,security ,act to require ! 
,c5t] = ,m$ic>e & ,m$icaid ,innovation  
to te/ a model to improve access to     
specialty heal? s]vices = c]ta9 ,m$ic>e 
& ,m$icaid b5efici>ies4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,equal       
,access to ,specialty ,c>e ,ev]y:]e ,act
 ( #bjbd or ! ,,ease ,act ( #bjbd4  #b4 

,requir+ ! ,c5t] = ,m$ic>e & ,m$icaid   
,innovation to te/ a model to improve   
access to specialty heal? s]vices =     
c]ta9 ,m$ic>e & ,m$icaid b5efici>ies    
,section #aaae;,a ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acae;a7 is am5d$-- 
7#a7 9 subsection 7b77#b7-- 7,a7 9      
subp>agraph 7,a71 9 ! ?ird s5t5ce1 by   
ins]t+ 1 & %all include ! model describ$
 9 subp>agraph 7,b77xxviii7 be=e ! p]iod
 at ! end2 &  7,b7 9 subp>agraph 7,b71  
by add+ at ! end ! foll[+ new clause3   
7xxviii7 ,! ,specialty ,heal? ,c>e      
,s]vices ,access ,model describ$ 9      
subsection 7h74  2 &  7#b7 by add+ at ! 
end ! foll[+ new subsection3  7h7       
,specialty ,heal? ,c>e ,s]vices ,access 
,model  7#a7 ,9 g5]al ,= purposes (     
subsection 7b77#b77;,b77xxviii71 !      
,specialty ,heal? ,c>e ,s]vices ,access 
,model describ$ 9 ?is subsection is a   
model "u :i* ! ,secret>y ent]s into an  
agreem5t "o or m provid] networks       
select$ 9 accordance ) p>agraph 7#b7 =  
purposes ( furni%+ specialty heal? c>e  

s]vices 7z specifi$ by ! ,secret>y7 to  
eligible individuals ?r\gh ! use (      
digital modalities 7su* z teleheal? &   
o!r remote te*nologies7 9 coord9ation ) 
su* individuals' prim>y c>e provid]s4   
7#b7 ,selection ( provid] networks ,!   
,secret>y %all select "o or m networks (
 provid]s = purposes ( furni%+ s]vices  
"u ! model describ$ 9 p>agraph 7#a74    
,any su* network s select$ %all-- 7,a7  
be compris$ ( at lea/ #ej ,f$]ally      
qualifi$ heal? c5t]s1 rural heal?       
cl9ics1 or community heal? cl9ics2  7,b7
 be a nonpr(it entity "u section        
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf2  7,c7 h an e/abli%$ record (   
support+ ! deliv]y ( heal? c>e &        
address+ social det]m9ants ( heal? 9    
und]s]v$ communities 9 multiple regions 
?r\gh\t ! c\ntry2 &  7,d7 agree to      
support public heal? & s]ve z a national
 cl9ical rese>* network1 includ+ by     
conduct+ rese>* ) respect to bo? insur$ 
& un9sur$ individuals4  7#c7 ,eligible  
individual def9$ ,= purposes ( ?is      

subsection1 ! t]m eligible individual   
means an individual-- 7,a7 entitl$ to   
b5efits "u "p ,a ( title ,,xviii1       
enroll$ "u "p ,b ( su* title1 or enroll$
 "u a ,/ate plan 7or waiv] ( su* plan7  
"u title ,,xix2 &  7,b7 locat$ 9 a rural
 or und]s]v$ area 7z specifi$ by !      
,secret>y74  4