,,ii  #aah? ,,congress  #a/ ,session    
,s4 #gcj  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #i1 #bjbc,mr4     
,k5n$y introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act & !  
,,support = ,pati5ts & ,communities ,act
 to provide = ,m$ic>e & ,m$icaid m5tal &
 behavioral heal? treatm5t ?r\gh        
teleheal?4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,enhance ,access to     
,support ,ess5tial ,behavioral ,heal?   
,s]vices ,act or ! ,,ease ,behavioral   
,heal? ,s]vices ,act4  #b4 ,f9d+s       
,congress f9ds z foll[s3 7#a7 ,ne>ly #ah
 p]c5t ( adults 9 ! ,unit$ ,/ates       
report$ a m5tal1 behavioral1 or         
emotional disord] 9 #bjae4  7#b7 ,*ildr5
 are also significantly impact$4        
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 #a 9 #f *ildr5 ages #b   
ye>s ?r\gh #h ye>s h a diagnos$ m5tal1  
behavioral1 or developm5tal disord]1    
indicat+ t disord]s beg9 9 e>ly *ildhood

 & affect lifelong heal?4  7#c7         
,moreov]1 #a 9 #g *ildr5 & adolesc5ts h 
at lea/ "o treatable m5tal heal?        
disord]4  7#d7 ,!re is a critical l9k   
betwe5 m5tal heal? & sub/ance use       
disord]s4 ,accord+ to ! ,sub/ance ,abuse
 & ,m5tal ,heal? ,s]vices ,adm9i/ration1
 #a 9 #d adults ) sev]e m5tal illness _h
 a sub/ance use disord] 9 #bjag4  7#e7  
,moreov]1 *ildr5 :o h _h a major        
depressive episode are m ?an twice z    
likely to use illicit drugs4  7#f7 ,9   
#bjag1 approximately #ai4g million p ag$
 #ab ye>s or old] _h a sub/ance use     
disord] relat$ to _! use ( alcohol or   
illicit drugs 9 ! pa/ ye>4  7#g7        
,despite ?is ov]:elm+ ne$1 access to    
behavioral heal? s]vices rema9s among ! 
mo/ press+ heal? c>e *all5ges 9 our     
c\ntry4  7#h7 ,an e/imat$ #ef p]c5t (   
,am]icans ) a m5tal heal? disord] did n 
receive treatm5t 9 #bjag4  7#i7         
,simil>ly1 half ( *ildr5 & adolesc5ts   
did n receive treatm5t = _! m5tal heal? 
disord] 9 #bjaf4  7#aj7 ,fur!r          

complicat+ access to c>e1 z dem& =      
behavioral heal? s]vices increases 9    
communities across ! ,unit$ ,/ates1 !   
numb] ( psy*iatri/s available to treat  
!m cont9ues to decl9e4  7#aa7 ,!        
population ( practic+ psy*iatri/s decl9$
 by m ?an #aj p]c5t betwe5 ! p]iod (    
#bjjc ?r\gh #bjac1 :ile ! population (  
prim>y c>e physicians & neurologi/s grew
 dur+ ! same p]iod4  7#ab7 ,te*nology   
has evolv$ to connect individuals to    
heal? c>e s]vices 9 new ways1 includ+   
via teleheal?4  7#ac7 ,moreov]1 /udies  
%[ t video visits are an effective      
/rategy to provide m5tal heal? treatm5t 
to *ildr5 &1 9 fact1 may be pref]able 9 
"s cases4  7#ad7 ,dur+ ! #aae?          
,congress1 ,congress recogniz$ !        
pot5tial ( teleheal? to ensure t ^? 9   
urg5t ne$ ( sub/ance use disord]        
treatm5t receive ! c>e !y require4      
7#ae7 ,z pass$ & sign$ into law1        
sections #bjja & #ajji ( ! ,,support =  
,pati5ts & ,communities ,act 7,public   
,law #aae-bga7 exp&s ! use ( teleheal?  

s]vices = ! treatm5t ( opioid use       
disord] & o!r sub/ance use disord]s4    
7#af7 ,x is widely recogniz$ t !re is a 
close relation%ip betwe5 m5tal heal? &  
sub/ance use disord]s4  #c4 ,m$ic>e     
treatm5t ( behavioral heal? s]vices     
furni%$ ?r\gh teleheal? ,section        
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9 
p>agraph 7#d77;,c7-- 7,a7 9 clause 7i71 
by /rik+ & 7#g7 & ins]t+ 7#g71 & 7#aj72 
&  7,b7 9 clause 7ii77,x7-- 7i7 by /rik+
 or teleheal? s]vices & ins]t+ 1        
teleheal? s]vices2 &  7ii7 by ins]t+ or 
teleheal? s]vices describ$ 9 p>agraph   
7#aj7 be=e ! p]iod at ! end2 &  7#b7 by 
add+ at ! end ! foll[+ new p>agraph3    
7#aj7 ,treatm5t ( behavioral heal?      
s]vices furni%$ ?r\gh teleheal? ,!      
geographic requirem5ts describ$ 9       
p>agraph 7#d77;,c77i7 %all n apply )    
respect to teleheal? s]vices t are      
behavioral heal? s]vices furni%$ on or  
aft] ,janu>y #a1 #bjbe1 to eligible     
teleheal? individuals1 includ+ initial  

pati5t evaluations1 foll[-up m$ical     
managem5t1 & o!r behavioral heal?       
s]vices1 z det]m9$ by ! ,secret>y1 at an
 orig9at+ site describ$ 9 p>agraph      
7#d77;,c77ii7 7o!r ?an an orig9at+ site 
describ$ 9 subclause 7,,ix7 ( su*       
p>agraph74  4  #d4 ,m$icaid m5tal &     
behavioral heal? treatm5t ?r\gh         
teleheal? ,section #ajji ( ! ,,support =
 ,pati5ts & ,communities ,act 7,public  
,law #aae-bga7 is am5d$-- 7#a7 9        
subsection 7b7-- 7,a7 9 ! head]1 by     
/rik+ treatm5t = sub/ance use disord]s &
 ins]t+ treatm5t = sub/ance use disord]s
 & m5tal heal? disord]s & behavioral    
heal? disord]s2  7,b7 9 ! matt] prec$+  
p>agraph 7#a71 by /rik+ ,n lat] ?an #a  
ye> aft] ! date ( enactm5t ( ?is ,act1 !
 ,secret>y & ins]t+ ,! ,secret>y2  7,c7 
9 p>agraph 7#a7-- 7i7 by /rik+ treatm5t 
= sub/ance use disord]s & ins]t+        
treatm5t = sub/ance use disord]s & m5tal
 heal? disord]s & behavioral heal?      
disord]s2 &  7ii7 by ins]t+ psy*o!rapy1 
aft] c\nsel+12  7,d7 9 p>agraph 7#b71 by

 ins]t+ or m5tal heal? disord]s &       
behavioral heal? disord]s aft] sub/ance 
use disord]s2  7,e7 9 p>agraph 7#c71 by 
ins]t+ & m5tal heal? disord]s &         
behavioral heal? disord]s aft] sub/ance 
use disord]s2 &  7,f7 by add+ at ! end1 
bel[ & aft] p>agraph 7#c71 ! foll[+ flu%
 left text3 ,! ,secret>y %all issue !   
guidance "u ?is subsection n lat] ?an #a
 ye> aft] ! date ( ! enactm5t ( ?is     
,act1 ) respect to ! matt]s describ$ 9 !
 previ\s provisions ( ?is subsection    
relat+ to sub/ance use disord]s1 & n    
lat] ?an #d ye>s aft] ! date ( !        
enactm5t ( ?is ,act1 ) respect to !     
matt]s describ$ 9 su* previ\s provisions
 relat+ to m5tal heal? disord]s &       
behavioral heal? disord]s4 2  7#b7 9    
subsection 7c7-- 7,a7 9 ! head]1 by     
/rik+ treatm5t = sub/ance use disord]s &
 ins]t+ treatm5t = sub/ance use disord]s
 & m5tal heal? disord]s & behavioral    
heal? disord]s2  7,b7 9 p>agraph 7#a71  
by /rik+ treatm5t = sub/ance use        
disord]s & ins]t+ treatm5t = sub/ance   

use disord]s & m5tal heal? disord]s &   
behavioral heal? disord]s ea* place x   
appe>s2 &  7,c7 9 p>agraph 7#b7-- 7i7 by
 ins]t+ ) respect to sub/ance use       
disord]s1 aft] p>agraph 7#a712 &  7ii7  
by add+ at ! end ! foll[+ new s5t5ce3 ,n
 lat] ?an #d ye>s aft] ! date ( enactm5t
 ( ?is ,act1 ! ,comptroll] ,g5]al %all  
submit to ,congress a report conta9+ !  
results ( ! evaluation conduct$ "u      
p>agraph 7#a71 ) respect to m5tal heal? 
disord]s & behavioral heal? disord]s1   
toge!r ) recomm5dations = su*           
legislation & adm9i/rative action z !   
,comptroll] ,g5]al det]m9es             
appropriate42 &  7#c7 9 subsection      
7d77#a7-- 7,a7 9 ! matt] prec$+         
subp>agraph 7,a71 by ins]t+ & m5tal     
heal? disord]s & behavioral heal?       
disord]s aft] sub/ance use disord]s2    
7,b7 9 subp>agraph 7,a71 by ins]t+ 1 &  
m5tal heal? disord]s & behavioral heal? 
disord]s aft] opioid use disord]2 &     
7,c7 9 subp>agraph 7,b71 by ins]t+ &    
m5tal heal? disord]s & behavioral heal? 

disord]s aft] sub/ance use disord]s4