,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #agej  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #bg1         
#bjbe,ms4 ,/rickl& introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committees on ,ways & ,means1 &        
,natural ,res\rces1 = 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 ! ,public  
,heal? ,s]vice ,act to provide = great] 
inve/m5ts 9 rese>* on r>e diseases &    
conditions disproportionately affect+   
m9ority populations1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,heal? ,equity & ,r>e ,disease ,act ( 
#bjbe or ! ,,he>d ,act ( #bjbe4  #b4    
,,nih expansion1 int5sification1 &      
coord9ation ( rese>* on r>e diseases    
heal? equity ,"p ,b ( title ,,iv ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhd et seq47 is am5d$ by add+
 at ! end ! foll[+3  #dji,k4 ,r>e       

diseases heal? equity  7a7 ,expansion1  
int5sification1 & coord9ation (         
activities  7#a7 ,9 g5]al ,! ,director (
 ,,nih %all exp&1 int5sify1 & coord9ate 
rese>* & o!r activities ( ! ,national   
,in/itutes ( ,heal? ) respect to r>e    
diseases heal? equity4  7#b7            
,allocations by ,director ( ,,nih ,)    
respect to am\nts appropriat$ to c>ry   
out ?is section = a fiscal ye>1 !       
,director ( ,,nih %all allocate ! am\nts
 among ! national rese>* in/itutes t are
 c>ry+ out p>agraph 7#a74  7b7          
,coord9at+ ,committee  7#a7 ,9 g5]al ,! 
,secret>y %all ma9ta9 a coord9at+       
committee ) respect to r>e diseases     
heal? equity 7ref]r$ to 9 ?is section z 
! ,coord9at+ ,committee7 to coord9ate   
activities across ! ,national ,in/itutes
 & ) o!r ,f$]al heal? programs &        
activities relat+ to r>e diseases heal? 
equity4  7#b7 ,composition ,! ,coord9at+
 ,committee %all be compos$ (-- 7,a7 !  
directors 7or _! designees7 ( ea* ( !   
national rese>* in/itutes involv$ 9     

rese>* ) respect to r>e diseases &      
m9ority heal? or heal? equity2 &  7,b7  
repres5tatives ( all o!r ,f$]al         
dep>tm5ts & ag5cies ^: programs involve 
heal? functions or responsibilities     
relevant to su* r>e diseases1 includ+ ! 
,c5t]s = ,disease ,control & ,prev5tion 
& ! ,food & ,drug ,adm9i/ration4  7#c7  
,*air  7,a7 ,9 g5]al ,) respect to r>e  
diseases heal? equity1 ! ,*air ( !      
,coord9at+ ,committee %all s]ve z !     
pr9cipal advisor to ! ,secret>y1 !      
,assi/ant ,secret>y = ,heal?1 & !       
,director ( ,,nih1 & %all provide advice
 to ! ,director ( ! ,c5t]s = ,disease   
,control & ,prev5tion1 ! ,commission] ( 
,food & ,drugs1 & o!r relevant ag5cies4 
7,b7 ,director ( ,,nih ,! ,*air ( !     
,coord9at+ ,committee %all be directly  
responsible to ! ,director ( ,,nih4  7c7
 ,plan = ,,nih ,activities  7#a7 ,9     
g5]al ,n lat] ?an #a ye> aft] ! date ( !
 enactm5t ( ?is section1 ! ,coord9at+   
,committee %all develop a plan =        
conduct+ & support+ rese>* & education  

on r>e diseases heal? equity1 & r>e     
diseases or conditions 9 m9ority        
populations1 ?r\gh ! national rese>*    
in/itutes4 ,! ,coord9at+ ,committee %all
 p]iodically review & revise ! plan4 ,! 
plan %all-- 7,a7 provide = a broad range
 ( rese>* & education activities relat+ 
to biom$ical1 psy*osocial1 &            
rehabilitative issues1 includ+ /udies ( 
! disproportionate impact ( su* diseases
 or conditions on m9ority populations2  
7,b7 id5tify priorities among ! programs
 & activities ( ! ,national ,in/itutes (
 ,heal? reg>d+ su* diseases or          
conditions2 &  7,c7 reflect input f a   
broad range ( sci5ti/s1 pati5ts1 &      
advocacy gr\ps4  7#b7 ,c]ta9 elem5ts (  
plan ,! plan "u p>agraph 7#a7 %all1 )   
respect to r>e diseases or conditions 9 
m9ority populations1 provide = ! foll[+ 
z appropriate3 7,a7 ,rese>* to det]m9e !
 reasons und]ly+ ! incid5ce & preval5ce 
( ! diseases or conditions1 includ+     
among subpopulations4  7,b7 ,basic      
rese>* conc]n+ ! etiology & causes ( !  

diseases or conditions4  7,c7           
,epidemiological /udies to address !    
frequ5cy & natural hi/ory ( ! diseases  
or conditions1 includ+ any diff]5ces    
among ! sexes & among racial & e?nic    
gr\ps4  7,d7 ,! developm5t ( improv$    
scre5+ te*niques4  7,e7 ,cl9ical rese>* 
= ! developm5t & evaluation ( new       
treatm5ts1 includ+ new biological ag5ts4
  7,f7 ,in=mation & education programs =
 heal? c>e pr(essionals & ! public4     
7#c7 ,implem5tation ( plan ,! ,director 
( ,,nih %all ensure t programs &        
activities ( ! ,national ,in/itutes (   
,heal? reg>d+ r>e diseases or conditions
 9 m9ority populations are implem5t$ 9  
accordance ) ! plan "u p>agraph 7#a74   
7d7 ,def9itions ,9 ?is section3 7#a7 ,! 
t]m m9ority has ! mean+ giv5 su* t]m 9  
section #dfdz-#c4  7#b7 ,! t]m r>e      
disease or condition has ! mean+ giv5   
su* t]m 9 section #ebf ( ! ,f$]al ,food1
 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 
#cfj;bb74  4  #c4 ,collaborative        
compreh5sive plan to address r>e        

diseases & conditions 9 m9ority         
populations ,subp>t #bj ( "p ,c ( title 
,,iv ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bhet et seq47 is am5d$  
by add+ at ! end ! foll[+3  #dfdz-#g4   
,collaborative compreh5sive plan to     
address r>e diseases & conditions 9     
m9ority populations ,n lat] ?an #ahj    
days aft] ! date ( enactm5t ( ?is       
section1 ! ,director ( ,,nih1 !         
,director ( ! ,in/itute1 ! ,director ( !
 ,national ,c5t] = ,advanc+             
,translational ,sci5ces1 ! ,director ( !
 ,national ,he>t1 ,lung1 & ,blood       
,in/itute1 & ! directors ( ! o!r ag5cies
 ( ! ,national ,in/itutes ( ,heal? 9    
collaboration 7& 9 consultation ) !     
advisory c\ncil = ! ,in/itute7 %all--   
7#a7 develop a compreh5sive ,f$]al plan 
to address r>e diseases & conditions 9  
m9ority populations 7z ^? t]ms are def9$
 9 section #dji,k71 includ+ a /rategy to
 increase div]sity 9 g5etic programs at 
! program = ,!rapeutics = ,r>e &        
,neglect$ ,diseases at ! ,national      

,in/itutes ( ,heal?2  7#b7 conduct or   
support ?r\gh grants or coop]ative      
agreem5ts basic1 cl9ical1 &             
translational rese>* on r>e diseases &  
conditions 9 m9ority populations1       
includ+ rese>* on-- 7,a7 e>ly detection1
 diagnosis1 & treatm5t ( su* diseases & 
conditions 9 su* populations2 &  7,b7   
improv+ ! quality ( life = individuals )
 r>e diseases or conditions & _!        
families2  7#c7 conduct or support      
cl9ical tra9+ programs = physicians &   
o!r heal? c>e practition]s ) respect to 
detect+1 diagnos+1 & treat+ su* diseases
 & conditions 9 su* populations2 &  7#d7
 develop guidance = increas+            
p>ticipation ( heal? pr(essionals :o are
 memb]s ( m9ority gr\ps 7z def9$ 9      
section #dfdz-#c7 9 rese>* conduct$ or  
support$ by ! ,national ,in/itutes (    
,heal? on su* diseases & conditions 9   
su* populations4  4  #d4 ,grants to     
collect & analyze data on r>e diseases &
 conditions 9 m9ority populations       
,section #agjg7;b7 ( ! ,public ,heal?   

,s]vice ,act 7#db ,u4,s4,c4             
#cjju-#f7;b77 is am5d$ by add+ at ! end 
! foll[+3  7#aa7 ,9 coord9ation ) !     
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 aw>d grants to public &  
private nonpr(it entities to-- 7,a7     
collect1 analyze1 & report data on r>e  
diseases & conditions 9 m9ority         
populations1 includ+ on epidemiological 
data ) respect to incid5ce ( su*        
diseases & conditions 9 su* populations2
  7,b7 conduct outrea* & engagem5t      
activities ) ! m9ority populations      
impact$ by su* r>e diseases & conditions
 by-- 7i7 improv+ heal? lit]acy )       
respect to r>e diseases & conditions2   
7ii7 dissem9at+ in=mation on heal? &    
community s]vices relat$ to r>e diseases
 & conditions2 &  7iii7 provid+         
in=mation reg>d+ ! ma9t5ance ( r>e      
diseases & conditions4  7#ab7 ,submit to
 ,congress1 on a biannual basis 7beg9n+ 
n lat] ?an #b ye>s aft] ! date ( !      
enactm5t ( ! ,,he>d ,act ( #bjbe71 a    
report describ+ ! activities c>ri$ out  

pursuant to p>agraph 7#aa74  4  #e4     
,physician tra9+ programs ) respect to  
r>e diseases ,subp>t ,,ii ( "p ,c (     
title ,,vii ( ! ,public ,heal? ,s]vice  
,act is am5d$ by add+ at ! end ! foll[+3
  #gdi;,c4 ,physician tra9+ programs )  
respect to r>e diseases  7a7 ,9 g5]al ,!
 ,secret>y %all e/abli% a program to    
aw>d grants to accr$it$ s*ools (        
allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 &   
nurs+1 & o!r heal? pr(essional tra9+    
programs = ! tra9+ ( heal? c>e          
pr(essionals-- 7#a7 to improve !        
provision ( c>e to individuals :o h r>e 
diseases or conditions 7z def9$ 9       
section #ebf ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bb772
  7#b7 to improve ! provision ( c>e to  
su* individuals via teleheal?2 &  7#c7  
to conduct rese>* relevant to r>e       
diseases & conditions4  7b7 ,eligibility
 ,to be eligible = a grant "u subsection
 7a71 an entity describ$ 9 su*          
subsection %all submit to ! ,secret>y an
 application at su* "t1 9 su* mann]1 &  

conta9+ su* in=mation z ! ,secret>y may 
require4  7c7 ,report+ requirem5ts  7#a7
 ,p]iodic reports ,ea* entity aw>d$ a   
grant "u ?is section %all p]iodically   
submit to ! ,secret>y a report on !     
/atus ( activities conduct$ us+ ! grant1
 includ+ a description ( ! impact ( su* 
tra9+ on pati5t outcomes1 z applicable4 
7#b7 ,report to ,congress ,n lat] ?an #b
 ye>s aft] ! date ( enactm5t ( ?is      
section1 ! ,secret>y %all submit a      
report to ,congress on ! activities     
conduct$ us+ grants "u subsection 7a7 & 
any be/ practices id5tifi$ & dissem9at$ 
"u subsection 7d74  7d7 ,be/ practices  
,! ,secret>y may id5tify & dissem9ate   
be/ practices = ! tra9+ describ$ 9      
subsection 7a74  #gdi;,d4 ,heal?        
pr(essionals education on r>e diseases &
 conditions 9 m9ority populations  7a7  
,9 g5]al ,! ,secret>y may aw>d grants1  
coop]ative agreem5ts1 & contracts to    
accr$it$ s*ools ( m$ic9e & nurs+1 & o!r 
heal? pr(essional tra9+ programs1 = !   
developm5t & implem5tation ( programs to

 provide education & tra9+ to heal? c>e 
pr(essionals on ! causes & effects ( r>e
 diseases & conditions 9 m9ority        
populations4  7b7 ,def9itions ,9 ?is    
section3 7#a7 ,! t]m m9ority has ! mean+
 giv5 su* t]m 9 section #dfdz-#c4  7#b7 
,! t]m r>e disease or condition has !   
mean+ giv5 su* t]m 9 section #ebf ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cfj;bb74  #gdi;,e4      
,m5tor+ program = heal? c>e pr(essionals
 seek+ to "w 9 r>e diseases & conditions
 ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator
 ( ! ,heal? ,res\rces & ,s]vices        
,adm9i/ration1 may aw>d grants1         
contracts1 or coop]ative agreem5ts to   
public & nonpr(it private entities      
7includ+ ,tribal entities7 = !          
e/abli%m5t ( a m5tor+ program = heal?   
c>e pr(essionals seek+ to treat pati5ts 
) r>e diseases & conditions4  #gdi;,f4  
,s*ol>%ip & loan repaym5t program =     
physicians & g5etic c\nselors s]v+      
populations ) r>e diseases & conditions 
7a7 ,loan repaym5t program  7#a7 ,9     

g5]al ,! ,secret>y %all e/abli% a       
program ( ent]+ into contracts )        
eligible individuals "u :i* !           
individuals agree to s]ve z heal? c>e   
pr(essionals s]v+ populations ) r>e     
diseases or conditions 9 consid]ation ( 
! ,f$]al ,gov]nm5t agree+ to pay1 = ea* 
ye> ( su* s]vice1 up to #ej1jjj 7plus an
 am\nt det]m9$ by ! ,secret>y on an     
annual basis to reflect inflation7 ( !  
pr9cipal & int]e/ ( ! educational loans 
( su* individuals4  7#b7 ,det]m9ation ( 
am\nt ,9 mak+ a det]m9ation ( ! am\nt to
 pay = a ye> ( su* s]vice by an         
individual1 ! ,secret>y %all consid] !  
ext5t to :i* ea* su* det]m9ation-- 7,a7 
affects ! ability ( ! ,secret>y to      
maximize ! numb] ( contracts t c be     
provid$ "u ! program f ! am\nts         
appropriat$ = su* contracts2  7,b7      
provides an inc5tive to s]ve z heal? c>e
 pr(essionals s]v+ populations ) r>e    
diseases or conditions2 &  7,c7 provides
 an inc5tive ) respect to ! heal?       
pr(essional involv$ to rema9 s]v+       

populations ) r>e diseases or           
conditions1 includ+ aft] ! completion ( 
! p]iod ( obligat$ s]vice "u ! program4 
7#c7 ,eligible individuals ,9 ?is       
subsection1 ! t]m eligible individual   
means an individual :o is enroll$ or    
accept$ = enrollm5t z a full-"t or "p-"t
 /ud5t 9 a s*ool ( m$ic9e4  7#d7        
,applicability ( c]ta9 provisions ,)    
respect to ! ,national ,heal? ,s]vice   
,corps ,loan ,repaym5t ,program e/abli%$
 9 subp>t ,,iii ( "p ,d ( title ,,iii ( 
?is ,act1 ! provisions ( su* subp>t     
%all1 except z inconsi/5t ) p>agraph    
7#a71 apply to ! program e/abli%$ 9 ?is 
section 9 ! same mann] & to ! same ext5t
 z su* provisions apply to ! ,national  
,heal? ,s]vice ,corps ,loan ,repaym5t   
,program4  7b7 ,s*ol>%ip program  7#a7  
,9 g5]al ,! ,secret>y %all c>ry out a   
program ( ent]+ into contracts )        
eligible individuals "u :i* ea* su*     
individual agrees to s]ve1 = a p]iod ( n
 less ?an #e ye>s1 z a heal? c>e        
pr(essional prim>ily s]v+ populations ) 

r>e diseases or conditions1 9           
consid]ation ( ! ,f$]al ,gov]nm5t agree+
 to provide to ! individual a s*ol>%ip =
 att5dance at a s*ool ( m$ic9e4  7#b7   
,eligible individuals ,9 ?is subsection1
 ! t]m eligible individual means an     
individual :o is enroll$ or accept$ =   
enrollm5t z a full-"t or "p-"t /ud5t 9 a
 s*ool ( m$ic9e4  7#c7 ,applicability ( 
c]ta9 provisions ,! provisions ( subp>t 
,,iii ( "p ,d ( title ,,iii %all1 except
 z inconsi/5t ) ?is section1 apply to ! 
program e/abli%$ 9 p>agraph 7#a7 9 !    
same mann] & to ! same ext5t z su*      
provisions apply to ! ,national ,heal?  
,s]vice ,corps ,s*ol>%ip ,program       
e/abli%$ 9 su* subp>t4  4  #f4 ,increas+
 m9ority repres5tation 9 rese>* on r>e  
diseases & conditions ,"p ,g ( title    
,,iv ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bhh et seq47 is am5d$ by
 add+ at ! end ! foll[+3  #dhg;,e4      
,increas+ m9ority repres5tation 9 rese>*
 on r>e diseases & conditions  7a7      
,grant program ,9 c>ry+ out section     

#dhg1 ! ,secret>y may aw>d grants to    
eligible entities involv$ 9 rese>* on   
r>e diseases & m9ority heal? to e/abli% 
programs to increase ! recruitm5t &     
ret5tion ( memb]s ( m9ority gr\ps to    
conduct rese>* 9 matt]s relat+ to !     
cause1 diagnosis1 prev5tion1 & treatm5t 
( r>e diseases or conditions1 includ+ by
 exp&+ ! numb] ( int]n%ips & m5tor+     
opportunities4  7b7 ,eligible entities  
,9 subsection 7a71 ! t]m eligible       
entities means accr$it$ s*ools (        
allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 &   
nurs+1 & o!r heal? pr(essional tra9+    
programs4  4  #g4 ,report to ,congress  
on ,f$]al ef=ts on r>e diseases &       
conditions 9 m9ority populations ,n lat]
 ?an #b ye>s aft] ! date ( enactm5t (   
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices1 act+ ?r\gh ! ,director ( !    
,national ,in/itutes ( ,heal? & 9       
consultation ) ! ,director ( ! ,c5t]s = 
,disease ,control & ,prev5tion1 %all    
submit to ,congress-- 7#a7 a report on  
rese>* & public heal? activities c>ri$  

out by ! ,f$]al ,gov]nm5t ) respect to  
r>e diseases or conditions 9 m9ority    
populations 7z ^? t]ms are def9$ 9      
section #dji,k ( ! ,public ,heal?       
,s]vice ,act1 z add$ by section #b ( ?is
 ,act72  7#b7 a compreh5sive li/ ( kn[n 
r>e diseases & conditions t impact      
m9ority populations heavily or          
disproportionately2 &  7#c7 an analysis 
( data gaps ) respect to r>e diseases & 
conditions & ! effect ( su* diseases &  
conditions on m9ority populations4  #h4 
,rese>* & aw>5ess campaigns ) respect to
 r>e diseases & conditions 9 m9ority    
populations ,"p ,b ( title ,,iii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdc et seq47 is am5d$ by     
ins]t+ aft] section #cag,v 7#db         
,u4,s4,c4 #bdg;b-#bd7 ! foll[+3  #cag,w4
 ,rese>* & aw>5ess campaigns ) respect  
to r>e diseases & conditions 9 m9ority  
populations  7a7 ,rese>* ,! ,secret>y1  
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all    
conduct or support rese>* & c>ry out    

public heal? aw>5ess campaigns ) respect
 to r>e diseases & conditions 9 m9ority 
populations 7z def9$ 9 section #dji,k74 
7b7 ,aw>5ess campaign ,! ,secret>y %all1
 directly or ?r\gh grants or contracts1 
e/abli% a public education program 9    
coop]ation ) exi/+ national public      
aw>5ess campaigns to increase aw>5ess   
ab\t r>e diseases & conditions 9 m9ority
 populations ?r\gh culturally &         
l+ui/ically appropriate in=mation       
campaigns ab\t prev5tion & managem5t (  
r>e diseases & conditions4  4  #i4 ,,fda
 survey & report on cl9ical trial       
div]sity ,n lat] ?an #b ye>s aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,commission] ( ,food & ,drugs1 %all--   
7#a7 conduct a survey ( policies &      
programs ( ! ,food & ,drug ,adm9i/ration
 to support an increase ! availability (
 cl9ical trial data on m9ority          
populations1 ) an emphasis on m9ority   
populations ) r>e diseases & conditions2
 &  7#b7 submit to ,congress a report   

conta9+-- 7,a7 ! f9d+s ( su* survey2    
7,b7 ! ,secret>y's recomm5dations =     
/atutory or regulatory *anges to        
increase ! availability ( su* data2     
7,c7 ! ,secret>y's recomm5dations =     
/rategies to enc\rage drug manufactur]s 
to address racial equity & inclusion 9  
rese>* & developm5t ( treatm5ts ( r>e   
diseases or conditions t                
disproportionately impact m9ority       
populations2 &  7,d7 ! ,secret>y's      
recomm5dations = /rategies to address   
rese>* & developm5t ( treatm5ts ( r>e   
diseases or conditions t                
disproportionately impact m9ority       
populations4  #aj4 ,tribal epidemiology 
c5t] grant program ,title ,,ii ( !      
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afba et seq47 is am5d$  
by add+ at ! end ! foll[+3  #bbg4       
,tribal epidemiology c5t] grant program 
7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! 
,s]vice1 %all aw>d grants to ,tribal    
,epidemiology ,c5t]s & ,tribal & ,urban 
,indian ,heal? ,c5t]s to support        

cl9ically & culturally appropriate      
rese>* & o!r activities ) respect to r>e
 diseases & conditions 9 ,native        
,am]ican or ,tribal communities4  7b7   
,p]missible activities ,! activities    
fund$ ?r\gh a grant "u subsection 7a7   
may include coord9ation ( data          
collection on ! prev5tion1 diagnosis1   
treatm5t1 & c>e ( r>e diseases &        
conditions by heal? c>e pr(essionals    
s]v+ ,am]ican ,indian & ,alaska ,native 
populations4  4  #aa4 ,m$ic>e review &  
report ,n lat] ?an #ahj days aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vice %all conduct a  
review ( & submit to ,congress a report 
on ! foll[+3 7#a7 ,regulatory b>ri]s "u 
! ,m$ic>e program "u title ,,xviii ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 t inhibit access to !    
treatm5t ( r>e diseases = ,m$ic>e       
b5efici>ies ( color1 includ+ b>ri]s t   
inhibit heal? c>e provid]s f improv+ c>e
 relat$ to su* diseases = su*           
b5efici>ies4  7#b7 ,requirem5ts relat+  

to ! furni%+ ( teleheal? s]vices "u su* 
title ins(> z su* s]vices relate to !   
treatm5t ( r>e diseases4  ,su* report   
%all include any recomm5dations det]m9$ 
appropriate by ! ,secret>y bas$ on su*  
review4