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<bill bill-stage="Introduced-in-House" dms-id="H14C1073049554E14A56E6476BE038317" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>116 HR 7879 IH: VA Telehealth Expansion Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2020-07-30</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">H. R. 7879</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20200730">July 30, 2020</action-date><action-desc><sponsor name-id="L000590">Mrs. Lee of Nevada</sponsor> (for herself, <cosponsor name-id="B001299">Mr. Banks</cosponsor>, <cosponsor name-id="S001213">Mr. Steil</cosponsor>, and <cosponsor name-id="T000484">Ms. Torres Small of New Mexico</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HVR00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To direct the Secretary of Veterans Affairs to establish a grant program to expand and improve the provision of telehealth services to veterans.</official-title></form><legis-body id="H3465B8098F09406081778B3441C59696" style="OLC"><section id="H6A48286EFB4940A98EFD3E0A988C1F50" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>VA Telehealth Expansion Act</short-title></quote>.</text></section><section id="HA0AC5522DE7A464D8558BC289B63AAF6" section-type="subsequent-section"><enum>2.</enum><header>Grant program to expand telehealth from Department of Veterans Affairs</header><subsection id="HDCC2CCD01D544FD99D57736D3CDFDC2D"><enum>(a)</enum><header>In general</header><text>The Secretary of Veterans Affairs shall enter into partnerships, and expand existing partnerships, with entities that represent or serve veterans, nonprofit organizations, private businesses, and other interested parties for the expansion of telehealth capabilities and the provision of telehealth services to veterans through the award of grants under subsection (c). Such telehealth services shall be provided by health care providers of the Department of Veterans Affairs or through the Veterans Community Care Program under section 1703 of title 38, United States Code.</text></subsection><subsection id="H7DDF715E911A412C8171463D731DC7BC"><enum>(b)</enum><header>Preference</header><text display-inline="yes-display-inline">When selecting entities with which to enter into or to expand a partnership under subsection (a), the Secretary shall give preference to entities that—</text><paragraph id="H8BD8B2B131F5487B88AEAF4A4792936B"><enum>(1)</enum><text>represent veterans in rural or highly rural areas (as determined through the use of the Rural-Urban Commuting Areas coding system of the Department of Agriculture); or</text></paragraph><paragraph id="HDF2C198DA20849D99DFC5F4A4264BEAE"><enum>(2)</enum><text>operate in a medically underserved community (as defined in section 799B of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/295p">42 U.S.C. 295p</external-xref>)).</text></paragraph></subsection><subsection id="H7359F8C384ED4F14A51A3B44040F3E9B"><enum>(c)</enum><header>Award of grants</header><paragraph id="H4241F82970434178B08E273AB0E7FFEE"><enum>(1)</enum><header>In general</header><text>In carrying out partnerships entered into or expanded under this section with entities described in subsection (a), the Secretary shall award grants to those entities.</text></paragraph><paragraph id="H464194E4A5894B97805025F6902628B9"><enum>(2)</enum><header>Maximum amount of grants</header><text display-inline="yes-display-inline">The amount of a grant awarded under this subsection may not exceed $75,000 in one year.</text></paragraph><paragraph id="HC68D3B337AE0495A93408E9087F38344"><enum>(3)</enum><header>Use of grants</header><subparagraph id="H2F13FD0FDD7C4088B14CCFD114261892"><enum>(A)</enum><header>In general</header><text>Grants awarded to an entity under this subsection may be used for one or more of the following:</text><clause id="H4312AC153ADA4F5F95A26AEF1CE50C0B"><enum>(i)</enum><text>Purchasing or upgrading hardware or software necessary for the provision of secure and private telehealth services.</text></clause><clause id="H24E743F9707D4DE789218B6171176B6E"><enum>(ii)</enum><text>Upgrading security protocols for consistency with the security requirements of the Department.</text></clause><clause id="HC7E7FA6DAB0847A0B0455BB98DE2F10D"><enum>(iii)</enum><text>Training of employees, including payment of those employees for completing that training, with respect to—</text><subclause id="H631D20D39D614711B735F6455AA85374"><enum>(I)</enum><text>military and veteran cultural competence, if the entity is not an organization that represents veterans;</text></subclause><subclause id="H3432385FF7684D7880FE98D3C865CE4C"><enum>(II)</enum><text display-inline="yes-display-inline">appropriate processes for handling emergencies that occur during telehealth;</text></subclause><subclause id="H842B9B725E714B9E8CDAC0AE3571A616"><enum>(III)</enum><text>equipment required to provide telehealth services; or</text></subclause><subclause id="H315C8CF92E51486E960E68B071EEEBB9"><enum>(IV)</enum><text>any other unique training needs for the provision of telehealth services to veterans.</text></subclause></clause><clause id="HB5DCD5329D06464BBB1562CA9659160D"><enum>(iv)</enum><text>Upgrading existing infrastructure owned or leased by the entity to make rooms more conducive to telehealth care, including—</text><subclause id="H647F276DB7624ED29CC6DF048F06D667"><enum>(I)</enum><text>additions or modifications to windows or walls in an existing room, or other alterations as needed to create a new, private room;</text></subclause><subclause id="H403445BC81E040EE94533150DF2FFBA7"><enum>(II)</enum><text>soundproofing of an existing room;</text></subclause><subclause id="HC3CA97FBFCE24D3F8655443E326EAC3D"><enum>(III)</enum><text>new electrical or internet outlets in an existing room; or</text></subclause><subclause id="H76B0A0F8DDBA4AF59BF3431C8CE579EC"><enum>(IV)</enum><text>aesthetic or other enhancements to establish a more suitable therapeutic environment.</text></subclause></clause><clause id="HE1825BEC4010486CB390A629D68E6608"><enum>(v)</enum><text>Upgrading existing infrastructure to comply with the Americans with Disabilities Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12101">42 U.S.C. 12101</external-xref> et seq.).</text></clause><clause id="H544E73EA035246ABB5BEC796EB4E08EC"><enum>(vi)</enum><text>Upgrading infrastructure or internet services.</text></clause></subparagraph><subparagraph id="H2732B2143EC84EEDA8B1B5F6DE00B4CE"><enum>(B)</enum><header>Exclusion</header><text>Grants may not be used for the purchase of new property or for major construction projects, as determined by the Secretary.</text></subparagraph></paragraph></subsection><subsection id="H2B97ED8793074733B61A3F6CB26A0C09"><enum>(d)</enum><header>Agreement on telehealth access points</header><paragraph id="H045698F50DAA43A0A09544AED13C08BF"><enum>(1)</enum><header>In general</header><text>An entity described in subsection (a) that seeks to establish a telehealth access point for veterans but does not require grant funding under this section to do so may enter into an agreement with the Department for the establishment of such an access point.</text></paragraph><paragraph id="H4C58855EE8EA4A328AFF3C740E3328D5"><enum>(2)</enum><header>Inspection to determine adequacy of facilities</header><text>The Secretary shall inspect any such access point to determine whether the access point is private, secure, and accessible to veterans.</text></paragraph></subsection><subsection id="HD47112A26FF84EC4B1C38ED1AA8001DB"><enum>(e)</enum><header>Assessment of barriers to access</header><paragraph id="HC6047BF71FFC4027ADB7A652748D29BC"><enum>(1)</enum><header>In general</header><text>Not later than 18 months after the date of the enactment of this Act, the Secretary shall complete an assessment of barriers faced by veterans in accessing telehealth services.</text></paragraph><paragraph id="H6DC88CF3E16F46C9BE55EE243871289D"><enum>(2)</enum><header>Elements</header><text>The assessment required by paragraph (1) shall include the following:</text><subparagraph id="H954CB55EA43F43DE9C6CCFD3E2413133"><enum>(A)</enum><text display-inline="yes-display-inline">An assessment of current and potential future barriers, including—</text><clause id="HB0BAC7F37AC44EF8A0FC0A7DAD4D66BC"><enum>(i)</enum><text>cost;</text></clause><clause id="HDED8C60DA2C14F788CCAC7F2366B374F"><enum>(ii)</enum><text>access to broadband internet infrastructure and technology;</text></clause><clause id="HFA353ADFEC9F46F58A7C2BF33BD4F56A"><enum>(iii)</enum><text>digital competency; and</text></clause><clause id="HCBFED13253DA4737B0BF2E28D6E1A8E0"><enum>(iv)</enum><text>discrimination (including cultural, language, or medical discrimination).</text></clause></subparagraph><subparagraph id="H025652949E234589884B55C140460191"><enum>(B)</enum><text>A description of how the Secretary plans to address the barriers described in subparagraph (A).</text></subparagraph><subparagraph id="H57B3AE7F0C734715B913D9C8A4F0BDEA"><enum>(C)</enum><text>Such other matters related access by veterans to telehealth while not on property of the Department the Secretary determines relevant.</text></subparagraph></paragraph><paragraph id="H5DB3109F81B14E08A88995D75EF10B0E"><enum>(3)</enum><header>Report</header><text>Not later than 120 days after the completion of the assessment required by paragraph (1), the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the assessment, including any recommendations for legislative or administrative action based on the results of the assessment.</text></paragraph></subsection></section></legis-body></bill> 

