,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fbif  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #be1         
#bjbe,mrs4 ,d+ell 7= h]self & ,mr4      
,b]gman7 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$ic>e program4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,advanc+ ,access to ,teleheal? ,act4    
#b4 ,mak+ p]man5t c]ta9 teleheal?       
flexibilities "u ,m$ic>e  7a7 ,exp&$    
access to teleheal? s]vices ,section    
#ahcd7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem7m77 is am5d$-- 7#a7 9 
p>agraph 7#b77;,b77iii71 by /rik+ ,9 !  
case t & all t foll[s ?r\gh end+        
,septemb] #cj1 #bjbe1 & ins]t+ ,)       

respect to teleheal? s]vices t are      
furni%$ on or aft] ! fir/ day ( !       
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b712 &  7#b7 9 p>agraph 
7#d77;,c77iii71 by /rik+ ,9 ! case t &  
all t foll[s ?r\gh end+ on ,septemb]    
#cj1 #bjbe1 & ins]t+ ,) respect to      
teleheal? s]vices t are furni%$ on or   
aft] ! fir/ day ( ! em]g5cy p]iod       
describ$ 9 section #aace7;g77#a77;,b714 
7b7 ,expansion ( practition]s eligible  
,to furni% teleheal? s]vices ,section   
#ahcd7m77#d77;,e7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77#d77;,e77 
is am5d$ by /rik+ 9 ! case t & all t    
foll[s ?r\gh end+ on ,septemb] #cj1     
#bjbe1 & ins]t+ beg9n+ on ! fir/ day ( !
 em]g5cy p]iod describ$ 9 section       
#aace7;g77#a77;,b714  7c7 ,ext5sion (   
teleheal? s]vices furni%$ by ,f$]ally   
qualifi$ heal? c5t]s & rural heal?      
cl9ics ,section #ahcd7m77#h77;,a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#h77;,a77 is am5d$ by /rik+   
,dur+ ! em]g5cy & all t foll[s ?r\gh    

end+ on ,septemb] #cj1 #bjbe & ins]t+   
,beg9n+ on ! fir/ day ( ! em]g5cy p]iod 
describ$ 9 section #aace7;g77#a77;,b74  
7d7 ,treatm5t ( teleheal? s]vices       
furni%$ us+ audio-,only                 
telecommunications te*nology ,section   
#ahcd7m77#i7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7m77#i77 is am5d$--
 7#a7 by /rik+ ,9 ! case t & all t      
foll[s ?r\gh ! ,secret>y %all cont9ue to
 & ins]t+ ,! ,secret>y %all2  7#b7 by   
/rik+ id5tifi$ 9 p>agraph 7#d77;,f77i7 z
 ( ! date ( ! enactm5t ( ?is p>agraph2 &
  7#c7 by /rik+ dur+ ! p]iod & all t    
foll[s ?r\gh ! p]iod at ! end & ins]t+  
on or aft] ! fir/ day ( ! em]g5cy p]iod 
describ$ 9 section #aace7;g77#a77;,b744 
7e7 ,elim9ation ( 9-,p]son requirem5ts  
"u ,m$ic>e = c]ta9 s]vices furni%$ ?r\gh
 teleheal?  7#a7 ,home dialysis mon?ly  
,,esrd-relat$ visit2 /roke teleheal?    
s]vices2 sub/ance use disord] s]vices & 
m5tal heal? s]vices  7,a7 ,9 g5]al      
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$ 

by /rik+ p>agraphs 7#e7 ?r\gh 7#g7 &    
r$esignat+ p>agraphs 7#h7 & 7#i7 z      
p>agraphs 7#e7 & 7#f71 accord+ly4  7,b7 
,con=m+ *anges ,section #ahcd7m7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77 is am5d$-- 7i7 9 p>agraph    
7#a71 by /rik+ ,subject to p>agraphs    
7#h7 & 7#i7 & ins]t+ ,subject to        
p>agraphs 7#e7 & 7#f72  7ii7 9 p>agraph 
7#b7-- 7,i7 9 subp>agraph 7,a71 by /rik+
 ,subject to p>agraph 7#h7 & ins]t+     
,subject to p>agraph 7#e72 &  7,,ii7 9  
subp>agraph 7,b71 by /rik+ & p>agraph   
7#f77;,c72 &  7iii7 9 p>agraph 7#d7--   
7,i7 9 subp>agraph 7,a71 by /rik+       
,subject to p>agraph 7#h7 & ins]t+      
,subject to p>agraph 7#e72  7,,ii7 9    
subp>agraph 7,c7-- 7aa7 9 clause 7i71 by
 /rik+ & p>agraphs 7#e71 7#f71 & 7#g72 &
  7bb7 9 clause 7ii77,x71 by /rik+ or   
teleheal? s]vices describ$ 9 p>agraph   
7#g72 &  7,,iii7 9 subp>agraph 7,f71 by 
/rik+ ,subject to p>agraph 7#h7 & ins]t+
 ,subject to p>agraph 7#e74  7#b7 ,m5tal
 heal? visits furni%$ by ,f$]ally       

qualifi$ heal? c5t]s ,section           
#ahcd7o77#d77;,b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7o77#d77;,b77 
is am5d$ by /rik+ prior to ,octob] #a1  
#bjbe4  7#c7 ,m5tal heal? visits furni%$
 by rural heal? cl9ics ,section         
#ahcd7y77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciem7y77#b77 is am5d$  
by /rik+ prior to ,octob] #a1 #bjbe4