,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #fiid  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #i1 #bjbf,mr4 
,dunn ( ,florida introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ! ,judici>y1 = 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 !          
,controll$ ,sub/ances ,act to modify    
requirem5ts relat+ to ! prescription (  
controll$ sub/ances by means ( !        
int]net1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,m5tal  
,heal? ,,talk ,,safe ,act ( #bjbf4  #b4 
,teleheal? prescrib+ ( controll$        
sub/ances  7a7 ,def9ition ( valid       
prescription ,section #cji7;e77#b77;,a7 
( ! ,controll$ ,sub/ances ,act 7#ba     
,u4,s4,c4 #hbi7;e77#b77;,a77 is am5d$-- 
7#a7 9 clause 7i71 by /rik+ or at ! end2
  7#b7 9 clause 7ii71 by /rik+ ! p]iod  
at ! end & ins]t+ a semicolon2 &  7#c7  

by add+ at ! end ! foll[+3  7iii7 a     
teleheal? practition] :o1 = purposes (  
prescrib+ an approv$ m5tal heal?        
controll$ sub/ance1 has conduct$ at lea/
 #a teleheal? evaluation ( ! pati5t2 or 
7iv7 a practition] :o1 = purposes (     
prescrib+ a controll$ sub/ance 9 s*$ule 
,,ii1 ,,iii1 ,,iv1 or ,v = ! treatm5t ( 
an opioid use disord]1 has conduct$ at  
lea/ #a teleheal? evaluation ( ! pati5t4
  4  7b7 ,def9ition ( cov]+ practition] 
,section #cji7;e77#b77;,c77i7 ( su* ,act
 7#ba ,u4,s4,c4 #hbi7;e77#b77;,c7 7i77  
is am5d$ to read z foll[s3  7i7 has     
conduct$ at lea/ #a 9-p]son m$ical      
evaluation ( ! pati5t1 an evaluation ( !
 pati5t ?r\gh ! practice ( telem$ic9e1  
or a teleheal? evaluation ( ! pati5t1 )9
 ! previ\s #ij days2 &  4  7c7          
,additional def9itions ,section         
#cji7;e77#b7 ( su* ,act 7#ba ,u4,s4,c4  
#hbi7;e77#b77 is am5d$ by add+ at ! end 
! foll[+3  7,d7 ,! t]m approv$ m5tal    
heal? controll$ sub/ance means a        
controll$ sub/ance 9 s*$ule ,,ii        

non-n>cotics1 ,,iii1 ,,iv1 or ,v t is   
be+ prescrib$-- 7i7 = ! treatm5t ( a    
m5tal heal? disord]2 &  7ii7 only = !   
conditions1 & only 9 ! mann] (          
adm9i/ration & ov]sight1 approv$ by !   
,food & ,drug ,adm9i/ration4  7,e7 ,!   
t]m exempt entity means-- 7i7 a f$]ally 
qualifi$ heal? c5t]2  7ii7 a hospital2  
7iii7 a non-pr(it organization2  7iv7 a 
,f$]al1 ,/ate1 or local gov]nm5t ag5cy2 
or  7v7 an exempt heal? c>e             
organization4  7,f7 ,! t]m exempt heal? 
c>e organization means a legal entity t1
 directly or indirectly1 acquires all1  
or sub/antially all1 ( ! /ock1 equity   
int]e/s1 or assets (1 or m]ges ) or     
into1 a teleheal? entity :]e su*        
teleheal? entity1 z ( ! effective date (
 su* acquisition or m]g]-- 7i7 has met !
 crit]ia to be a teleheal? entity = ea* 
( ! previ\s #bd mon?s2  7ii7 employs at 
lea/ #bej psy*iatri/s :o ea* "w at lea/ 
#cj h\rs p] week = ! teleheal? entity2 &
  7iii7 has at lea/ #ge p]c5t ( !       
teleheal? entity's total pati5t volume  

attribut$ to individuals :o are direct  
pati5ts ( ! teleheal? entity4  7,g7 ,!  
t]m f$]ally qualifi$ heal? c5t] means an
 organization describ$ 9 section        
#ahfa7;aa77#d7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7aa77#d774    
7,h7 ,! t]m heal? c>e provid] means any 
individual :o-- 7i7 is engag$ 9 !       
deliv]y ( heal? c>e s]vices 9 a ,/ate2 &
  7ii7 is requir$ by ,/ate law 7includ+ 
regulations7 to be lic5s$ or c]tifi$ by 
! ,/ate to engage 9 ! deliv]y ( su*     
s]vices 9 ! ,/ate4  7,i7 ,! t]m hospital
 means an in/itution 9 any ,/ate 9 :i*  
,/ate or applicable local law provides =
 ! lic5s+ ( hospitals1 t is-- 7i7 lic5s$
 z a hospital pursuant to su* law2 or   
7ii7 approv$1 by ! ag5cy ( su* ,/ate or 
locality responsible = lic5s+ hospitals1
 z meet+ ! /&>ds e/abli%$ = su* lic5s+4 
7,j7 ,! t]m int]active                  
telecommunications sy/em means !        
multim$ia communications equipm5t t     
includes1 at a m9imum1 audio-only or    
audio-video equipm5t p]mitt+ two-way1   

real-"t int]active communication betwe5 
! pati5t & ! heal? c>e provid]4  7,k7 ,!
 t]m nonpr(it organization means an     
organization describ$ 9 section         
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf t is exempt f taxation "u       
section #eja7;a7 ( su* ,act4  7,l7 ,!   
t]m physician means a doctor ( m$ic9e or
 o/eopa?y legally au?oriz$ to practice  
m$ic9e by ! ,/ate 9 :i* su* individual  
p]=ms su* function or action4  7,m7 7i7 
,! t]m psy*iatric-m5tal heal? advanc$   
practice nurse means a regi/]$          
pr(essional nurse :o meets ! requirem5ts
 specifi$ 9 clause 7ii7 or 7iii74  7ii7 
,if ! ,/ate specifies qualifications =  
psy*iatric-m5tal heal? advanc$ practices
 nurses1 ! individual mu/-- 7,i7 be     
curr5tly lic5s$ to practice 9 ! ,/ate z 
a regi/]$ pr(essional nurse2 &  7,,ii7  
meet ! ,/ate requirem5ts = qualification
 z a psy*iatric-m5tal heal? advanc$     
practice nurse 9 ! ,/ate 9 :i* !        
individual furni%es ! s]vices4  7iii7   
,if ! ,/ate does n specify              

qualifications = psy*iatric-m5tal heal? 
advance practice nurses1 ! individual   
mu/-- 7,i7 meet ! qualifications =      
nurses 9 advanc$ practice or g5]al nurse
 practition]s z def9$ by ! ,/ate2 &     
7,,ii7 ma9ta9 an active psy*iatric-m5tal
 heal? nurs+ c]tification f ! ,am]ican  
,nurses ,cr$5tial+ ,c5t] or ! ,am]ican  
,academy ( ,nurse ,practition]s         
,c]tification ,bo>d4  7,n7 ,! t]m       
psy*iatri/ means a physician :o has     
complet$ a psy*iatry resid5cy program   
accr$it$ by ! ,accr$itation ,c\ncil =   
,graduate ,m$ical ,education & ^:       
practice focuses pr$om9antly on !       
diagnosis1 treatm5t1 prev5tion1 or /udy 
( m5tal heal? disord]s4  7,o7 7i7 ,! t]m
 teleheal? affiliate means z to any     
teleheal? entity1 any o!r legal entity  
t-- 7,i7 directly or indirectly1 is 9   
control (1 is controll$ by1 or is "u    
common control )1 su* teleheal? entity2 
or  7,,ii7 provides ! majority ( !      
adm9i/rative or bus9ess s]vices t d n   
con/itute ! practice ( m$ic9e or any o!r

 lic5s$ pr(ession1 to1 or on behalf (1  
su* teleheal? entity4  7ii7 ,= purposes 
( ?is def9ition1 control ( an entity    
means ! p[]1 directly or indirectly1 to 
direct or cause ! direction ( !         
managem5t & policies ( su* entity :e!r  
by contract or o!rwise4  7,p7 ,! t]m    
teleheal? entity means an entity        
organiz$ & op]at+ )9 ! ,unit$ ,/ates t  
employs or engages ) practition]s :o    
prescribe controll$ sub/ances via a     
teleheal? evaluation &1 except 9 ! case 
( an exempt entity1 meets ea* ( ! foll[+
 requirem5ts3 7i7 ,! teleheal? entity   
does n1 directly or indirectly1 ?r\gh a 
teleheal? affiliate or o!rwise1 ma9ta9  
an own]%ip int]e/1 inve/m5t int]e/1 or  
managem5t relation%ip ) any ph>macy t-- 
7,i7 does n disp5se m$ications f        
physical locations t are accessible to !
 public2 &  7,,ii7 fills & deliv]s !    
majority ( its ph>maceutical products   
via ! mail s]vice4  7ii7 ,! teleheal?   
entity does n1 directly or indirectly1  
?r\gh a teleheal? entity or o!rwise1    

*>ge pati5ts pursuant to a f9ancial     
arrangem5t :]e pati5ts agree to make    
recurr+ paym5ts at regul> int]vals 9    
ex*ange = m$ications or pati5t c>e      
s]vices provid$ by a heal? c>e provid]  
employ$ or engag$ ) ! teleheal? entity  
7or a teleheal? affiliate74  7iii7 ,= ! 
duration ( any #ab-mon? p]iod1 no m ?an 
#ej p]c5t ( all *>ges = pati5t c>e      
s]vices provid$ by a heal? c>e provid]  
employ$ or engag$ ) ! teleheal? entity  
7or a teleheal? affiliate7 are paid by  
pati5ts directly on an out-(-pocket     
basis4  7iv7 ,at lea/ #be p]c5t ( !     
total actual "t sp5t p]=m+ pati5t c>e   
s]vices by all heal? c>e provid]s engag$
 or employ$ by ! teleheal? entity 7or a 
teleheal? affiliate7 relates to !       
diagnosis1 treatm5t1 prev5tion1 or /udy 
( m5tal heal? disord]s4  7v7 ,at lea/   
#aj p]c5t ( all heal? c>e provid]s      
employ$ or engag$ by ! teleheal? entity 
7or a teleheal? affiliate71 exclud+ any 
cov]+ practition]s1 are practition]s :o 
are bona fide employees :o "w at lea/   

#cj h\rs p] week = ! teleheal? entity4  
7vi7 ,at lea/ #be p]c5t ( all heal? c>e 
provid]s employ$ or engag$ by !         
teleheal? entity 7or a teleheal?        
affiliate71 exclud+ any cov]+           
practition]s1 are bona fide employees ( 
! teleheal? entity :o "w at lea/ #cj    
h\rs p] week = ! entity4  7vii7 ,! total
 numb] ( advanc$ practice nurses employ$
 or engag$ ) ! teleheal? entity 7or a   
teleheal? affiliate71 exclud+ any cov]+ 
practition]s1 does n exce$ two-?irds ( !
 total numb] ( practition]s employ$ or  
engag$ ) ! teleheal? entity 7or a       
teleheal? affiliate74  7viii7 ,nei!r !  
teleheal? entity nor any teleheal?      
affiliate comp5sates any practition] 9 a
 mann] :]e m ?an #ge p]c5t ( ! total    
annual comp5sation ( su* practition]    
v>ies1 directly or indirectly1 ) !      
volume or value ( teleheal? evaluations 
provid$ by su* practition]4  7ix7 ,!    
teleheal? entity 7or a teleheal?        
affiliate7 at all times employs a       
full-"t ,*ief ,compliance ,(fic] :o--   

7,i7 d$icates ! majority ( su*          
individual's "t work+ = ! teleheal?     
entity on compliance matt]s2 &  7,,ii7  
does n also s]ve z ! ,*ief ,cl9ical     
,quality ,practition] or ,*ief ,m$ical  
,(fic]4  7x7 ,! teleheal? entity 7or a  
teleheal? affiliate7 at all times       
employs a full-"t ,*ief ,cl9ical        
,quality ,practition] :o-- 7,i7 is a    
bo>d-c]tifi$ psy*iatri/2  7,,ii7        
d$icates ! majority ( su* individual's  
"t work+ = ! teleheal? entity on cl9ical
 quality matt]s2 &  7,,iii7 does n also 
s]ve z ! ,*ief ,compliance ,(fic] or    
,*ief ,m$ical ,(fic] = ! teleheal?      
entity4  7xi7 ,! teleheal? entity 7or a 
teleheal? affiliate7 at all times       
employs a full-"t ,*ief ,m$ical ,(fic]  
:o-- 7,i7 is a bo>d-c]tifi$ psy*iatri/2 
7,,ii7 d$icates ! majority ( su*        
individual's "t work+ = ! teleheal?     
entity on cl9ical quality matt]s2 &     
7,,iii7 does n also s]ve z ! ,*ief      
,compliance ,(fic] or ,*ief ,cl9ical    
,quality ,practition] ( ! teleheal?     

entity4  7xii7 ,! teleheal? entity      
conducts r\t9e monitor+ to ensure all   
approv$ m5tal heal? controll$ sub/ances 
prescrib$ by teleheal? practition]s     
employ$ or engag$ by ! teleheal? entity 
are prescrib$ only = ! conditions1 &    
only 9 ! mann] ( adm9i/ration &         
ov]sight1 approv$ by ! ,food & ,drug    
,adm9i/ration4  7xiii7 ,! teleheal?     
entity at all times ma9ta9s active      
accr$itation f ! ,accr$itation ,c\nsel =
 ,cont9u+ ,m$ical ,education4  7,q7 ,!  
t]m teleheal? evaluation means a m$ical 
evaluation t is conduct$ 9 accordance ) 
applicable ,f$]al & ,/ate laws by a     
heal? c>e provid] :o is-- 7i7 at a      
location remote f ! pati5t2 &  7ii7     
communicat+ ) ! pati5t us+ an int]active
 telecommunications sy/em4  7,r7 ,! t]m 
teleheal? practition] means a psy*iatri/
 or a psy*iatric-m5tal heal? advanc$    
practice nurse :o meets ! foll[+        
requirem5ts3 7i7 ,! individual is an    
employee or indep5d5t contractor ( a    
teleheal? entity4  7ii7 ,except 9 ! case

 ( an exempt entity1 ! individual works 
at lea/ #aj h\rs p] week = ! teleheal?  
entity4  7iii7 ,except 9 ! case ( an    
exempt entity1 no m ?an #ge p]c5t ( !   
total annual comp5sation receiv$ by !   
individual f ! teleheal? entity 7or a   
teleheal? affiliate7 v>ies ) ! volume or
 value ( ! teleheal? evaluations provid$
 by su* practition]4  7iv7 ,! individual
 only prescribes controll$ sub/ances "u 
subp>agraph 7,a77ii7 = "o teleheal?     
entity 9 any giv5 cal5d> mon?4  4  7d7  
,m9imum /&>ds be=e refus+ ,to fill a    
prescription ,section #cji7;e7 ( su*    
,act 7#ba ,u4,s4,c4 #hbi7;e77 is am5d$  
by add+ at ! end ! foll[+3  7#d7 ,m9imum
 /&>ds be=e refus+ to fill a            
prescription  7,a7 ,prohibition ,a      
ph>maci/ %all n refuse to fill a        
prescription = a controll$ sub/ance     
issu$ 9 compliance ) ?is subsection bas$
 solely ^u a conc]n ! prescription 0    
issu$ via a teleheal? evaluation4  7,b7 
,validation ( prescription ,be=e a      
ph>maci/ c refuse to fill a prescription

 bas$ solely ^u a conc]n ) ! validity ( 
! prescription1 ! ph>maci/ %all attempt 
to resolve ^? conc]ns & %all attempt to 
validate ! prescription by p]=m+ !      
foll[+3 7i7 ,initiate communication ) ! 
pati5t 7or ! pati5t's repres5tative7 to 
acquire in=mation relevant to ! conc]n )
 ! validity ( ! prescription4  7ii7     
,initiate communication ) ! prescrib] or
 ! prescrib]'s ag5t to-- 7,i7 describe !
 ph>maci/'s conc]n ) ! validity ( !     
prescription2 &  7,,ii7 acquire         
in=mation relevant to ! ph>maci/'s      
conc]n ) ! validity ( ! prescription4   
7,c7 ,civil p5alty ,any p]son :o        
violates ?is p>agraph %all1 ) respect to
 any su* violation1 be subject to a     
civil p5alty ( up to #be1jjj p]         
violation4  4  7e7 ,repeals  7#a7       
,practice ( telem$ic9e def9$ ,section   
#ajb7ed77;,e7 ( su* ,act 7#ba ,u4,s4,c4 
#hjb7ed77;,e77 is repeal$4  7#b7        
,special regi/ration = telem$ic9e       
,section #caa7;h7 ( su* ,act 7#ba       
,u4,s4,c4 #hca7;h77 is repeal$4  7f7    

,effective date ,! am5dm5ts made by ?is 
section %all take effect on ! date (    
enactm5t ( ?is ,act4  #c4 ,controll$    
sub/ances regi/rations  7a7 ,9 g5]al    
,section #cjb7;e7 ( su* ,act 7#ba       
,u4,s4,c4 #hbb7;e77 is am5d$ by add+ at 
! end ! foll[+3  7#e7 7,a7 ,not)/&+     
p>agraph 7#a71 a regi/rant %all n be    
requir$ to obta9 additional regi/rations
 ) ! ,drug ,en=cem5t ,adm9i/ration 9 any
 additional ,/ate :]e ! disp5s+ 7includ+
 prescrib+ & adm9i/]+7 occurs if !      
disp5s+ is conduct$ via ! practice (    
telem$ic9e or foll[+ a teleheal?        
evaluation4  7,b7 ,a regi/rant :o is    
employ$ or contract$ ) a teleheal?      
entity may use ! address ( su* teleheal?
 entity z ! pr9cipal place ( bus9ess or 
pr(essional practice ( ! regi/rant s    
long z ! regi/rant-- 7i7 is a teleheal? 
practition]2 &  7ii7 only disp5ses      
7includ+ prescrib+ & adm9i/]+7 controll$
 sub/ances via ! practice ( telem$ic9e  
or a teleheal? evaluation4  4  7b7      
,effective date ,! am5dm5t made by      

subsection 7a7 %all take effect on !    
date ( enactm5t ( ?is ,act4  #d4        
,psy*iatri/ lic5sure  7a7 ,9 g5]al ,9 ! 
case ( a cov]$ psy*iatri/ :o has 9      
effect m$ical pr(essional liability     
insurance cov]age & provides 9 a        
second>y ,/ate cov]$ psy*iatry s]vices t
 are )9 ! scope ( practice ( su* cov]$  
psy*iatri/ 9 ! prim>y ,/ate to a        
pati5t-- 7#a7 su* m$ical pr(essional    
liability insurance cov]age %all cov]   
7subject to any relat$ premium          
adju/m5ts7 su* cov]$ psy*iatri/ )       
respect to su* cov]$ psy*iatry s]vices  
provid$ by ! psy*iatri/ 9 ! second>y    
,/ate to su* pati5t z if su* s]vices 7  
provid$ by su* psy*iatri/ 9 ! prim>y    
,/ate to su* pati5t2 &  7#b7 to ! ext5t 
su* cov]$ psy*iatri/ is lic5s$ "u !     
requirem5ts ( ! prim>y ,/ate to provide 
su* s]vices to su* pati5t1 ! psy*iatri/ 
%all be treat$ z satisfy+ any lic5sure  
requirem5ts ( ! second>y ,/ate to       
provide su* s]vices to su* pati5t to !  
ext5t ! lic5sure requirem5ts ( !        

second>y ,/ate are sub/antially simil>  
to ! lic5sure requirem5ts ( ! prim>y    
,/ate4  7b7 ,rule ( con/ruction ,no?+ 9 
?is section %all be con/ru$-- 7#a7 to   
all[ a cov]$ psy*iatri/ to provide      
psy*iatry s]vices 9 ! second>y ,/ate t  
exce$ ! scope ( t psy*iatri/'s lic5se 9 
! prim>y ,/ate2 or  7#b7 to all[ a cov]$
 psy*iatri/ to provide psy*iatry s]vices
 9 ! second>y ,/ate t exce$ ! scope ( a 
sub/antially simil> psy*iatri/ lic5se 9 
! second>y ,/ate4  7c7 ,def9itions ,9   
?is ,act3 7#a7 ,cov]$ psy*iatri/ ,! t]m 
cov]$ psy*iatri/ means a physician--    
7,a7 :o has complet$ a psy*iatry        
resid5cy program accr$it$ by !          
,accr$itation ,c\ncil = ,graduate       
,m$ical ,education2  7,b7 ^: practice   
focuses pr$om9antly on ! diagnosis1     
treatm5t1 prev5tion1 or /udy ( m5tal    
heal? disord]s2 &  7,c7 :o is lic5s$ to 
practice 9 ! prim>y ,/ate4  7#b7 ,cov]$ 
psy*iatry s]vices ,! t]m cov]$ psy*iatry
 s]vices means m$ical c>e relat+ to !   
diagnosis1 treatm5t1 or prev5tion (     

m5tal heal? or behavioral heal? disord]s
 conduct$ by a cov]$ psy*iatri/ :o is at
 a location remote f ! pati5t & is      
communicat+ ) ! pati5t ?r\gh ! use (    
teleheal? te*nologies4  7#c7 ,lic5se ,! 
t]m lic5se or lic5sure1 z appli$ )      
respect to a cov]$ psy*iatri/1 means a  
psy*iatri/ t has met ! requirem5ts & is 
approv$ to provide cov]$ psy*iatry      
s]vices 9 accordance ) ,/ate laws &     
regulations 9 ! prim>y ,/ate4  7#d7     
,prim>y /ate ,! t]m prim>y ,/ate means1 
) respect to a cov]$ psy*iatri/1 ! ,/ate
 9 :i*-- 7,a7 ! cov]$ psy*iatri/ is     
lic5s$ to practice2 &  7,b7 ! majority (
 ! cov]$ psy*iatri/'s practice is       
und]writt5 = m$ical pr(essional         
liability insurance cov]age4  7#e7      
,second>y /ate ,! t]m second>y ,/ate    
means1 ) respect to a cov]$ psy*iatri/1 
any ,/ate t is n ! prim>y ,/ate4  7#f7  
,/ate ,! t]m ,/ate means ea* ( ! sev]al 
,/ates1 ! ,di/rict ( ,columbia1 & ea*   
commonweal?1 t]ritory1 or possession ( !
 ,unit$ ,/ates4  7#g7 ,sub/antially     

simil> ,! t]m sub/antially simil>1 )    
respect to ! lic5sure by prim>y &       
second>y ,/ates ( a psy*iatri/1 means t 
bo? ! prim>y & second>y ,/ates h 9 place
 a =m ( lic5sure = su* pr(essionals t   
p]mits su* pr(essionals to provide cov]$
 psy*iatry s]vices4  7#h7 ,teleheal?    
te*nologies ,! t]m teleheal? te*nologies
 means te*nologies relat+ to ! use (    
electronic in=mation & telecommunication
 te*nologies1 to support & promote1 at a
 di/ance1 heal? c>e1 pati5t &           
pr(essional heal?-relat$ education1     
heal? adm9i/ration1 & public heal?4  7d7
 ,effective date ,?is section %all take 
effect on ! date ( enactm5t ( ?is ,act4 
#e4 ,/ate laws affect$ ,! provisions (  
?is ,act 7includ+ ! am5dm5ts made by ?is
 ,act7 sup]s$e & preempt any ,/ate      
/atute1 regulation1 ord]1 or            
int]pretation to ! ext5t su* /atute1    
regulation1 ord]1 or int]pretation w\ld 
directly or indirectly prohibit or      
re/rict ! activities p]mitt$ by ?is ,act
 7or ! am5dm5ts made by ?is ,act74