,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #bfci  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #c1 #bjbe,ms4  
,leg] ,f]n&ez 7= h]self1 ,ms4 ,/ansbury1
 ,mr4 ,ruiz1 ,mr4 ,ob]nolte1 & ,ms4     
,norton7 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   
make p]man5t c]ta9 teleheal?            
flexibilities "u ! ,m$ic>e program =    
teleheal? s]vices furni%$ by ,indian    
heal? programs4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,teleheal? ,access 
= ,tribal ,communities ,act ( #bjbe4    
#b4 ,mak+ p]man5t c]ta9 teleheal?       
flexibilities "u ! ,m$ic>e program =    
teleheal? s]vices furni%$ by ,indian    
heal? programs ,section #ahcd7m7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   

#aciem7m77 is am5d$-- 7#a7 9 p>agraph   
7#d77;,c77iii7-- 7,a7 by /rik+ ,9 ! case
 & ins]t+ ! foll[+3  7,i7 ,9 g5]al ,9 ! 
case  2 &  7,b7 by add+ at ! end !      
foll[+ new subclause3  7,,ii7 ,special  
rule = s]vices furni%$ by ,indian heal? 
programs ,) respect to teleheal? s]vices
 id5tifi$ 9 subp>agraph 7,f77i7 z ( !   
date ( ! enactm5t ( ?is clause furni%$  
on or aft] ,april #a1 #bjbe1 by an      
,indian heal? program 7z def9$ 9 section
 #d ( ! ,indian ,heal? ,c>e ,improvem5t 
,act7 or by an urban ,indian            
organization 7z s def9$71 or by a       
physician or practition] employ$ by or  
"u contract ) su* a program or          
organization1 to an eligible teleheal?  
individual1 ! t]m orig9at+ site means   
any site 9 ! ,unit$ ,/ates at :i* !     
eligible teleheal? individual is locat$ 
at ! "t ! s]vice is furni%$ via a       
telecommunications sy/em1 includ+ ! home
 ( an individual4  2 &  7#b7 9 p>agraph 
7#i7-- 7,a7 by /rik+ ,9 ! case & ins]t+ 
! foll[+3  7,a7 ,9 g5]al ,9 ! case  2 & 

7,b7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,b7 ,special rule =      
s]vices furni%$ by ,indian heal?        
programs ,! ,secret>y %all provide      
cov]age & paym5t "u ?is "p = teleheal?  
s]vices id5tifi$ 9 subp>agraph 7,f77i7 z
 ( ! date ( ! enactm5t ( ?is p>agraph t 
are furni%$ on or aft] ,april #a1 #bjbe1
 via an audio-only communications sy/em 
by an ,indian heal? program 7z def9$ 9  
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act7 or by an urban ,indian
 organization 7z s def9$71 or by a      
physician or practition] employ$ by or  
"u contract ) su* a program or          
organization1 to an eligible teleheal?  
individual4 ,= purposes ( ! previ\s     
s5t5ce1 ! t]m teleheal? s]vice means a  
teleheal? s]vice id5tifi$ z ( ! date ( !
 enactm5t ( ?is p>agraph by a ,,hcpcs   
code 7& any succe$+ codes7 = :i* !      
,secret>y has n appli$ ! requirem5ts (  
p>agraph 7#a7 & ! fir/ s5t5ce ( section 
#daj4gh7;a77#c7 ( title #db1 ,code (    
,f$]al ,regulations1 dur+ ! em]g5cy     

p]iod describ$ 9 subp>agraph 7,a74  4