,,ib ,union ,cal5d> ,no4 #ghe #aah? ,,congress #b;d ,session ,h4 ,r4 #ideg ,report ,no4 #aah-hgf1 ,"p ,i ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #f1 #bjbd ,mr4 ,bean ( ,florida introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,education & ! ,work=ce1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = 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$ ,decemb] #af1 #bjbd ,report$ f ! ,committee on ,education & ! ,work=ce ) an am5dm5t ,/rike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,decemb] #af1 #bjbd ,ref]ral to ! ,committee on ,en]gy & ,comm]ce ext5d$ = a p]iod end+ n lat] ?an ,decemb] #ai1 #bjbd ,decemb] #ai1 #bjbd ,committee on ,en]gy & ,comm]ce dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$ ,= text ( introduc$ bill1 see copy ( bill z introduc$ on ,septemb] #f1 #bjbd ,a ,,bill ,to am5d ! ,employee ,retirem5t ,income ,security ,act ( #aigd to prohibit increas$ paym5ts "u a gr\p heal? plan or gr\p heal? insurance cov]age = teleheal? s]vices furni%$ by a provid] locat$ at a facility4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,transp>5t ,teleheal? ,bills ,act ( #bjbd4 #b4 ,prohibit+ increas$ paym5ts "u a gr\p heal? plan or gr\p heal? insurance cov]age = teleheal? s]vices furni%$ by a provid] locat$ at a facility 7a7 ,9 g5]al ,subp>t ,b ( "p #g ( subtitle ,b ( title ,i ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #gbf4 ,prohibition on increas$ paym5ts = teleheal? s]vices furni%$ by a provid] locat$ at a facility 7a7 ,9 g5]al ,9 ! case ( a teleheal? s]vice furni%$ to a p>ticipant or b5efici>y ( a gr\p heal? plan or gr\p heal? insurance cov]age by a heal? c>e provid] locat$ at a heal? c>e facility1 ! total am\nt recogniz$ by su* plan or cov]age z paym5t = su* s]vice 7includ+ any facility fee or o!r am\nt t may be bill$ sep>ately by su* facility 9 relation to su* provid]'s furni%+ ( su* s]vice7 may n exce$ ! total am\nt t w\ld h be5 recogniz$ by su* plan or cov]age z paym5t = su* s]vice _h su* provid] n be5 locat$ at su* a facility4 7b7 ,teleheal? s]vice def9$ ,= purposes ( ?is section1 ! t]m teleheal? s]vice means a s]vice furni%$ by a heal? c>e provid] via a telecommunications sy/em :]e su* provid] is n at ! same location z ! individual receiv+ su* s]vice4 4 7b7 ,cl]ical am5dm5t ,! table ( cont5ts 9 section #a ( su* ,act is am5d$ by ins]t+ aft] ! item relat+ to section #gbe ! foll[+ new item3 ,sec4 #gbf4 ,prohibition on increas$ paym5ts = teleheal? s]vices furni%$ by a provid] locat$ at a facility4 4 7c7 ,report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on :at is kn[n ab\t ! use ( teleheal? "u gr\p heal? plans & gr\p or individual heal? insurance cov]age 7z su* t]ms are def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #aciex774 ,su* report %all include ! foll[+3 7#a7 ,tr5ds & /ati/ics reg>d+ ! use ( teleheal? = specific types ( c>e1 includ+ prim>y c>e1 m5tal heal? c>e1 & specialty c>e4 7#b7 ,tr5ds & /ati/ics reg>d+ ! availability1 access1 & utilization ( teleheal? s]vices by individuals resid+ 9 rural areas & urban areas4 7#c7 ,tr5ds & /ati/ics reg>d+ ! application ( hospital facility fees 9 ! context ( teleheal? s]vices4 7#d7 ,tr5ds & /ati/ics reg>d+ h[ individuals access teleheal? s]vices1 includ+ ) respect to ! devices us$ & tools (f]$ by su* plans & issu]s ( su* cov]age to facilitate access to su* s]vices & ) respect to ! utilization ( audio-only teleheal? s]vices4 7#e7 ,tr5ds & /ati/ics ) respect to individuals access+ teleheal? s]vices provid$ f physicians or o!r m$ical pr(essionals resid+ 9 a ,/ate o!r ?an ! ,/ate t ! individual is locat$ 9 :ile receiv+ su* s]vices & ) respect to applicable ,/ate laws or ,/ate-to-,/ate compacts t impact cross-,/ate provision ( teleheal? s]vices4 7#f7 ,tr5ds & /ati/ics reg>d+ paym5t & reimbursem5t = teleheal? s]vices4 7#g7 ,tr5ds & /ati/ics reg>d+ premiums = su* plans & cov]age (f]+ teleheal? s]vices4 7d7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbf4 #c4 ,prohibit+ heal? c>e provid]s & facilities f impos+ c]ta9 facility fees = teleheal? 7a7 ,9 g5]al ,subtitle ,b ( title ,i ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #ajba et seq47 is am5d$ by add+ at ! end ! foll[+ new "p3 #i ,bill+ ,requirem5ts = ,heal? ,c>e ,facilities & ,provid]s #ija4 ,limitation on teleheal? facility fees ,a heal? c>e facility may n bill a sep>ate facility fee :5 a heal? c>e provid] :o provid$ teleheal? s]vices is au?oriz$ to bill indep5d5tly = ! pr(essional s]vices r5d]$4 4 7b7 ,en=cem5t ,section #ejb ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aacb7 is am5d$-- 7#a7 9 subsection 7a77#f71 by /rik+ or 7#i7 & ins]t+ 7#i71 or 7#ac72 & 7#b7 9 subsection 7c71 by add+ at ! end ! foll[+ new p>agraph3 7#ac7 ,if a heal? c>e provid] or facility is f\nd by ! ,secret>y to be 9 violation ( section #ija1 ! ,secret>y may assess a civil monet>y p5alty aga9/ su* provid] or facility 9 an am\nt n to exce$ #aj1jjj p] violation4 4 7c7 ,cl]ical am5dm5t ,! table ( cont5ts ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #ajja note7 is am5d$ by ins]t+ aft] ! item relat+ to section #hjd ! foll[+ new item3 ,"p #i--;,bill+ ,requirem5ts = ,heal? ,c>e ,facilities & ,provid]s #ija4 ,limitation on teleheal? facility fees4 4 ,decemb] #ai1 #bjbd ,committee on ,en]gy & ,comm]ce dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$