,,ii  #aah? ,,congress  #b;d ,session   
,s4 #djgh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #i1 #bjbd,mr4   
,mull9 7= himself1 ,ms4 ,s9ema1 & ,mr4  
,tillis7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,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    
7a7 ,9 g5]al ,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 critical access hospitals1 or   
rural em]g5cy hospitals1 at lea/ half ( 
:i* are locat$ 9 rural areas 7z def9$ by
 ! ,adm9i/rator ( ! ,heal? ,res\rces &  
,s]vices ,adm9i/ration72  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 9 rural & und]s]v$  
communities 9 multiple regions ?r\gh\t !
 c\ntry2 &  7,d7 h ! ability to collect1
 ex*ange1 & evaluate data = purposes ( !
 model describ$ 9 p>agraph 7#a74  7#c7  
,eligible individual def9$ ,= purposes (
 ?is subsection1 ! t]m eligible         
individual means an individual-- 7,a7   
:o-- 7i7 is entitl$ to b5efits "u "p ,a 
( title ,,xviii or enroll$ "u "p ,b (   
su* title2 or  7ii7 is enroll$ "u !     
,m$icaid program "u title ,,xix or !    
,*ildr5's ,heal? ,insurance ,program "u 
title ,,xxi & meets all compon5ts =     

eligibility = m$ical assi/ance1 *ild    
heal? assi/ance1 or pregnancy-relat$    
assi/ance 7z applicable71 includ+ ^?    
describ$ 9 sections #aijb7;a77#df77;,b7 
& #aacg7;d72 &  7,b7 :o is locat$ 9 a   
rural or und]s]v$ area 7z specifi$ by ! 
,secret>y74  4  7b7 ,limitation ,any    
am\nts appropriat$ or allocat$ to c>ry  
out ! am5dm5ts made by ?is section %all 
be subject to ! requirem5ts conta9$ 9   
,public ,law #aag-cbh = funds = programs
 au?oriz$ "u sections #ccj ?r\gh #cdj ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bed;b ?r\gh #bef74