,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ihbi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bb1 #bjbf,mr4  
,bab9 introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to provide = !    
safety ( pati5ts receiv+ d5tal s]vices  
?r\gh teleheal?1 & = o!r s]vices4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,ov]sight ( ,responsible ,tel$5ti/ry =  
,heal?y ,outcomes ,act or ! ,,or?o ,act4
  #b4 ,tel$5tri/y safety  7a7           
,requirem5t = tel$5ti/ry ,n lat] ?an    
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,f$]al ,trade ,commission %all 
promulgate regulations "u section #eec (
 title #e1 ,unit$ ,/ates ,code1 t       
require ! foll[+3  7#a7 ,except z       
provid$ 9 p>agraphs 7#b7 & 7#c71 a d5ti/
 to p]=m an 9-p]son exam9ation ( a      
pati5t be=e ! d5ti/ may provide d5tal   
s]vices or m$ical devices to t pati5t   
?r\gh tel$5ti/ry4  7#b7 ,a provid] to   
e/abli% a relation%ip ) a pati5t ?r\gh  
tel$5ti/ry only--  7,a7 = ! purpose (   

em]g5t c>e2  7,b7 z "p ( a public heal? 
program2 or  7,c7 to make an initial    
diagnosis ( a malposition ( tee? & a    
det]m9ation ( ! ne$ = an or?odontic     
appliance by a d5ti/ ex]cis+ indep5d5t  
cl9ical judgm5t1 & n solely ?r\gh       
automat$ or algori?mic processes4  7#c7 
,any initial diagnosis & det]m9ation    
describ$ 9 p>agraph 7#b77;,c7 to be made
 or affirm$ by a d5ti/ ex]cis+ indep5d5t
 cl9ical judgm5t & to be confirm$ ?r\gh 
an 9-p]son visit & review ( any         
radiographic record ( ! pati5t be=e !   
pati5t beg9s us+ ! or?odontic appliance4
  7b7 ,rulemak+ by ,commission ,rules s 
prescrib$ %all be exempt f ! requirem5ts
 ( ! ,magnuson-,moss ,w>ranty--,f$]al   
,trade ,commission ,improvem5t ,act 7#ae
 ,u4,s4,c4 #bcja et seq474 ,any su*     
regulations %all be issu$ 9 accordance )
 section #eec ( title #e1 ,unit$ ,/ates 
,code4  7c7 ,en=cem5t by ,f$]al ,trade  
,commission  7#a7 ,unfair or deceptive  
acts or practices ,a violation (        
subsection 7a7 or a regulation          

promulgat$ "u su* subsection %all be    
treat$ z a violation ( a regulation "u  
section #ah7;a77#a77;,b7 ( ! ,f$]al     
,trade ,commission ,act 7#ae ,u4,s4,c4  
#eg;a7a77#a77;,b77 reg>d+ unfair or     
deceptive acts or practices4  7#b7 ,p[]s
 ( ,commission ,! ,commission %all en=ce
 ?is section & any regulation promulgat$
 "u ?is section 9 ! same mann]1 by !    
same means1 & ) ! same jurisdiction1    
p[]s1 & duties z ?\gh all applicable    
t]ms & provisions ( ! ,f$]al ,trade     
,commission ,act 7#ae ,u4,s4,c4 #da et  
seq47 7 incorporat$ into & made a "p (  
?is section4 ,any p]son :o violates ?is 
section or a regulation promulgat$ "u   
?is section %all be subject to !        
p5alties & entitl$ to ! privileges &    
immunities provid$ 9 ! ,f$]al ,trade    
,commission ,act4  7d7 ,en=cem5t by     
,/ates  7#a7 ,9 g5]al ,9 any case 9 :i* 
! attorney g5]al ( a ,/ate1 or an       
(ficial or ag5cy ( a ,/ate1 has reason  
to believe t an int]e/ ( ! resid5ts ( t 
,/ate has be5 or is ?reat5$ or adv]sely 

affect$ by an act or practice 9         
violation ( subsection 7a7 or a         
regulation promulgat$ "u su* subsection1
 ! attorney g5]al1 (ficial1 or ag5cy ( !
 ,/ate1 z p>5s patriae1 may br+ a civil 
action on behalf ( ! resid5ts ( ! ,/ate 
9 an appropriate di/rict c\rt ( ! ,unit$
 ,/ates--  7,a7 to enjo9 su* act or     
practice2 or  7,b7 to obta9 damages on  
behalf ( resid5ts ( ! ,/ate1 9 an am\nt 
equal to ! great] (--  7i7 ! actual     
monet>y loss suff]$ by su* resid5ts2 or 
7ii7 ! am\nt det]m9$ "u p>agraph 7#d74  
7#b7 ,notice ,be=e fil+ an action "u ?is
 subsection1 ! attorney g5]al1 (ficial1 
or ag5cy ( ! ,/ate involv$ %all provide 
to ! ,commission a writt5 notice ( su*  
action & a copy ( ! compla9t = su*      
action4 ,if ! attorney g5]al1 (ficial1  
or ag5cy det]m9es t x is n feasible to  
provide ! notice describ$ 9 ?is p>agraph
 be=e ! fil+ ( ! action1 ! attorney     
g5]al1 (ficial1 or ag5cy %all provide   
writt5 notice ( ! action & a copy ( !   
compla9t to ! ,commission imm$iately ^u 

! fil+ ( ! action4  7#c7 ,au?ority (    
,f$]al ,trade ,commission  7,a7 ,9 g5]al
 ,on receiv+ notice "u p>agraph 7#b7 (  
an action "u ?is subsection1 !          
,commission %all h ! "r--  7i7 to       
int]v5e 9 ! action2  7ii7 ^u s int]v5+1 
to be he>d on all matt]s aris+ !re92 &  
7iii7 to file petitions = appeal4  7,b7 
,limitation on ,/ate action :ile ,f$]al 
action is p5d+ ,if ,commission or !     
,attorney ,g5]al ( ! ,unit$ ,/ates has  
in/itut$ a civil action = violation (   
subsection 7a7 or a regulation          
promulgat$ "u su* subsection 7ref]r$ to 
9 ?is p>agraph z ! ,f$]al action71 no   
,/ate attorney g5]al1 (ficial1 or ag5cy 
may br+ an action "u ?is subsection dur+
 ! p5d5cy ( ! ,f$]al action aga9/ any   
def5dant nam$ 9 ! compla9t 9 ! ,f$]al   
action = any violation ( su* subsection 
or regulation alleg$ 9 su* compla9t4    
7,c7 ,toll+ ( /atute ( limitations dur+ 
,f$]al action ,if ! ,commission or !    
,attorney ,g5]al in/itutes a civil      
action "u ?is p>agraph1 ! "t limit =    

fil+ su* civil action = a ,/ate attorney
 g5]al1 (ficial1 or ag5cy %all be toll$ 
dur+ ! p5d5cy ( ! ,f$]al action4  7#d7  
,/atutory damages ,= purposes ( p>agraph
 7#a77;,b77ii71 ! am\nt det]m9$ "u ?is  
p>agraph is ! am\nt calculat$ by        
multiply+ ! numb] ( violations 7ea*     
sep>ate remote visit or s]vice provid$  
to an individual 9 violation (          
subsection 7a7 %all be #a violation7 by 
#a1jjj4 ,! c\rt may increase a damage   
aw>d to an am\nt equal to n m ?an ?ree  
times ! am\nt o!rwise available "u ?is  
p>agraph if ! c\rt det]m9es t ! def5dant
 committ$ ! violation willfully &       
kn[+ly4  7#e7 ,attorney fees ,9 ! case (
 any successful action "u p>agraph 7#a71
 ! c\rt1 9 its discretion1 may aw>d !   
co/s ( ! action & reasonable attorney   
fees to ! ,/ate4  7e7 ,def9itions ,9 ?is
 section3  7#a7 ,asyn*ron\s transmission
 ,! t]m asyn*ron\s transmission means   
/ore & =w>d te*nology t all[s a provid] 
to transmit ! heal? in=mation ( a pati5t
 to ano!r provid] = view+ at a lat] "t4 

7#b7 ,commission ,! t]m ,commission     
means ! ,f$]al ,trade ,commission4  7#c7
 ,d5tal s]vices ,! t]m d5tal s]vices    
means diagno/ic1 prev5tive1 or          
corrective proc$ures provid$ by or "u ! 
sup]vision ( a d5ti/1 includ+ treatm5t  
(-- 7,a7 ! tee? & associat$ /ructures ( 
! oral cavity2 &  7,b7 disease1 injury1 
or impairm5t t may affect ! oral or     
g5]al heal? ( an individual4  7#d7      
,d5ti/ ,! t]m d5ti/ means an individual 
lic5s$ to practice d5ti/ry or d5tal     
surg]y4  7#e7 ,di/ant site ,! t]m di/ant
 site means ! location ( ! d5ti/ :o is  
provid+ tel$5ti/ry s]vices to a pati5t  
locat$ at an orig9at+ site4  7#f7       
,em]g5t c>e ,! t]m em]g5t c>e--  7,a7   
means ! provision ( d5tal s]vices = !   
treatm5t ( pa91 infection1 or any o!r   
intraoral or p]ioral condition :i*      
pres5ts imm$iate h>m to ! well-be+ ( !  
individual & = :i* treatm5t _c be       
po/pon$ us+ electronic or               
telecommunication te*nology2 &  7,b7    
includes pati5t education relat$ to su* 

d5tal s]vices & ! adm9i/ration ( su*    
d5tal s]vices4  7#g7 ,m$ical device ,!  
t]m m$ical device has ! mean+ giv5 ! t]m
 device 9 section #bja ( ! ,f$]al ,food1
 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 
#cba74  7#h7 ,orig9at+ site ,! t]m      
orig9at+ site means ! location ( ! site 
:]e a pati5t is receiv+ tel$5ti/ry      
s]vices f a d5ti/ locat$ at a di/ant    
site4  7#i7 ,public heal? program ,! t]m
 public heal? program means a program = 
d5tal s]vices approv$ by a ,/ate ,d5tal 
,bo>d or any heal? program adm9i/]$ by--
 7,a7 ! ,unit$ ,/ates ,dep>tm5t ( ,heal?
 & ,human ,s]vices2 or  7,b7 a heal?    
di/rict or ,/ate heal? dep>tm5t4  7#aj7 
,/ate ,! t]m ,/ate means ea* ( ! sev]al 
,/ates1 ! ,di/rict ( ,columbia1 ea*     
commonweal?1 t]ritory1 or possession ( !
 ,unit$ ,/ates1 & ea* f$]ally recogniz$ 
,indian ,tribe4  7#aa7 ,tel$5ti/ry ,!   
t]m tel$5ti/ry-- 7,a7 means ! use (     
teleheal? by a d5ti/ :o is locat$ at a  
di/ant site to facilitate ! diagnosis1  
treatm5t1 education1 c>e managem5t1 &   

self-managem5t ( or consultation ) a    
pati5t :o is locat$ at an orig9at+ site2
 &  7,b7 includes1 )\t limitation-- 7i7 
real-"t int]actions betwe5 a pati5t at  
an orig9at+ site & a provid] at a di/ant
 site2  7ii7 ! asyn*ron\s transmission (
 m$ical & d5tal in=mation conc]n+ a     
pati5t f an orig9at+ site to a provid]  
at a di/ant site2  7iii7 int]action     
betwe5 a provid] at a di/ant site :o is 
provid+ d5tal s]vices to a pati5t at an 
orig9at+ site & ano!r provid] at !      
orig9at+ site2 &  7iv7 monitor+ ( a     
pati5t at an orig9at+ site by a provid] 
at a di/ant site4  7f7 ,relation%ip )   
,/ate law ,?is section does n prohibit a
 ,/ate f adopt+ or en=c+ supplem5tal law
 or regulation t is consi/5t ) ?is      
section1 includ+ any crim9al1 civil1 or 
adm9i/rative f9e = a violation ( any su*
 law or regulation4