,i #aai? ,,congress #b;d ,session ,h4 ,r4 #ajcgf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ad1 #bjbf,mr4 ,walk9%aw 7= himself & ,mr4 ,c>t] ( ,georgia7 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 ,,xviii ( ! ,social ,security ,act to e/abli% report+ & transp>5cy requirem5ts = data relat$ to teleheal? s]vices "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,teleheal? ,report+ & ,transp>5cy ,act ( #bjbf4 #b4 ,e/abli%+ report+ & transp>5cy requirem5ts = teleheal? data "u ,m$ic>e 7a7 ,report+ & transp>5cy requirem5ts ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#aa7 ,report+ & transp>5cy requirem5ts 7,a7 ,annual teleheal? report 7i7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is p>agraph1 & annually !reaft]1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report t includes ! in=mation specifi$ 9 clause 7ii7 9 accordance ) ! requirem5ts 9 clause 7iii74 7ii7 ,in=mation specifi$ ,= purposes ( reports submitt$ "u clause 7i71 ! in=mation specifi$ 9 ?is clause is1 ) respect to claims = teleheal? s]vices = :i* paym5t 0 made "u ?is subsection dur+ ! #ab-mon? p]iod end+ on ! date t is #ahj days be=e ! date on :i* su* report is requir$ to be submitt$-- 7,i7 ! total numb] ( su* claims2 7,,ii7 ! geographic di/ribution ( su* claims1 includ+-- 7aa7 ) respect to ea* ,/ate1 ! numb] ( su* claims = :i* ! orig9at+ site 0 locat$ 9 su* ,/ate2 7bb7 ! numb] ( su* claims = :i* ! orig9at+ site 0 locat$ 9 a rural area 7z def9$ 9 section #ahhf7;d77#b77;,d772 & 7cc7 ! numb] ( su* claims = :i* ! orig9at+ site 0 locat$ 9 an urban area 7z def9$ 9 su* section72 7,,iii7 in=mation ) respect to pot5tial causes ( any *anges ( #aj p]c5t or m 7or su* o!r p]c5tage z ! ,secret>y may det]m9e7 9 ! numb]s report$ "u subclause 7,i71 subclause 7,,ii77aa71 subclause 7,,ii77bb71 or subclause 7,,ii77cc7 :5 comp>$ to ! previ\s #ab-mon? p]iod2 7,,iv7 ! numb] ( su* claims disaggregat$ by ! age1 race1 e?nicity1 income level 7or su* o!r indicator ( income /atus z ! ,secret>y det]m9es appropriate1 includ+ eligibility = ! ,m$ic>e ,sav+s ,program1 z def9$ 9 section #aadd7;c77#g71 or = ! l[-income subsidy program "u section #ahfj;,d-#ad71 disability /atus1 &1 to ! ext5t available1 pref]r$ language ( individuals ) respect to :om su* claims 7 made2 7,v7 an id5tification ( :i* populations1 if any1 exp]i5c$ rates ( utilization ( su* s]vices t1 z det]m9$ by ! ,secret>y1 fell mat]ially bel[ ! national av]age2 7,,vi7 to ! ext5t practicable on ! basis ( ,f$]al broadb& availability data available to ! ,secret>y1 a description ( :e!r !re are any b>ri]s to access+ broadb& s]vices or telecommunication te*nologies t may h limit$ access to su* s]vices = ! populations id5tifi$ "u subclause 7,v72 7,,vii7 to ! ext5t available1 metrics ) respect to pati5t outcomes aft] receiv+ su* s]vices = disease managem5t1 behavioral heal?1 or prev5tive c>e2 7,,viii7 an analysis 7n includ+ individual m$ical record review7 ( *>act]i/ics ( su* claims t are indicative ( improp] bill+1 includ+ ab]rant bill+ patt]ns id5tifi$ ?r\gh program integrity analytics2 7,,ix7 a description ( any in=mation ) respect to actions tak5 to detect & prev5t fraud1 wa/e1 & abuse ) respect to paym5ts = su* s]vices2 7,x7 ! numb] ( physicians & practition]s :o furni%$ su* s]vices2 7,,xi7 ! specialties ( su* physicians & practition]s2 & 7,,xii7 any b>ri]s to furni%+ su* s]vices t are report$ by su* physicians & practition]s4 7iii7 ,requirem5ts ,= purposes ( clause 7i71 ! requirem5ts 9 ?is clause are t ! ,secret>y1 9 prep>+ a report requir$ by clause 7i7-- 7,i7 %all rely on data already available to ! ,secret>y2 7,,ii7 %all int]pret su* data us+ appropriate context & me?odology1 includ+ by consid]+ ext]nal factors affect+ utilization ( teleheal? s]vices = :i* paym5t is made "u ?is subsection2 7,,iii7 %all consult ) individuals enroll$ "u ?is "p1 physicians & practition]s 7includ+ physicians & practition]s s]v+ rural1 und]s]v$1 & l[-income populations71 b5efici>y advocates1 & su* o!r teleheal? /akehold]s z ! ,secret>y may designate2 & 7,,iv7 may n impose new report+ or adm9i/rative requirem5ts on physicians & practition]s = ! purposes ( ga!r+ data = su* report4 7,b7 ,transp>5cy requirem5ts 7i7 ,public da%bo>d ,beg9n+ n lat] ?an #ahj days aft] ! fir/ date on :i* a report is requir$ to be submitt$ "u subp>agraph 7,a71 ! ,secret>y %all e/abli% & ma9ta9 on ! int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices a publicly available da%bo>d display+ ! aggregat$ in=mation includ$ 9 ! mo/ rec5t report submitt$ "u su* subp>agraph 9 a se>*able & d[nloadable =mat4 7ii7 ,me?odology disclosure ,n lat] ?an #ahj days aft] ea* date on :i* a report is requir$ to be submitt$ "u subp>agraph 7,a71 ! ,secret>y %all make publicly available on ! int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices a description ( any /&>diz$ me?odologies1 def9itions1 & data specifications t 7 us$ 9 ! prep>ation ( su* report4 4 7b7 ,,gao audit ,n e>li] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act & n lat] ?an #e ye>s aft] su* date1 ! ,comptroll] ,g5]al %all submit to ,congress an audit ( ! implem5tation ( ?is ,act t includes recomm5dations on h[ to improve ! quality & usefulness ( data ga!r$ ) respect to teleheal? s]vices = :i* paym5t is made "u section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m774