<?xml version="1.0" encoding="UTF-8" standalone="no"?><?xml-stylesheet type="text/css" href="uslm.css"?><statuteCompilation xmlns="http://schemas.gpo.gov/xml/uslm" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:gpo="http://www.gpo.gov/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" style="-uslm-dtd:statute" xml:lang="en" xsi:schemaLocation="http://schemas.gpo.gov/xml/uslm https://www.govinfo.gov/schemas/xml/uslm/uslm-2.0.13.xsd">
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        <dc:title>Expanding Capacity for Health Outcomes Act</dc:title>
        <citableAsShortTitle>Expanding Capacity for Health Outcomes Act</citableAsShortTitle>
        <docNumber/>
        <currentThroughPublicLaw>114–270</currentThroughPublicLaw>
        <dc:type>Statute Compilation</dc:type>
        <dc:creator>United States House of Representatives</dc:creator>
        <dc:creator>Office of the Legislative Counsel</dc:creator>
        <dc:format>text/xml</dc:format>
        <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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        <processedDate>2026-09-25</processedDate>
        <containsShortTitle>ECHO Act</containsShortTitle>
        <containsShortTitle>Expanding Capacity for Health Outcomes Act</containsShortTitle>
        <property role="fileId">18446</property>
        <congress>114</congress>
        <approvedDate>2016-12-14</approvedDate>
    </meta>
    <preface style="-uslm-dtd:compilation-act-form">
        <property role="compShortTitle" style="-uslm-dtd:comp-short-title">Expanding Capacity for Health Outcomes Act</property>
        <citationNote style="-uslm-dtd:public-law">[(<citableAs>Public Law 114–270</citableAs>)]</citationNote>
        <editionNote style="-uslm-dtd:updated-through-note">[This law has not been amended]</editionNote>
        <explanationNote style="-uslm-dtd:explanatory-note"><b>[</b>Currency: This publication is a compilation of the text of Public Law 114–270. It was last amended by the public law listed in the As Amended Through note above and below at the bottom of each page of the pdf version and reflects current law through the date of the enactment of the public law listed at https://www.govinfo.gov/app/collection/comps/<b>]</b></explanationNote>
        <explanationNote style="-uslm-dtd:explanatory-note"><b>[</b>Note: While this publication does  not represent an official version of any Federal statute, substantial efforts have been made to ensure the accuracy of its contents. The official version of Federal law is found in the United States Statutes at Large and in the United States Code. The legal effect to be given to the Statutes at Large and the United States Code is established by statute (1 U.S.C. 112, 204).<b>]</b></explanationNote>
    </preface>
    <main style="-uslm-dtd:legis-body"><longTitle><docTitle style="-uslm-dtd:legis-type">AN ACT</docTitle><officialTitle style="-uslm-dtd:official-title">To require studies and reports examining the use of, and opportunities to use, technology-enabled collaborative learning and capacity building models to improve programs of the Department of Health and Human Services, and for other purposes.</officialTitle></longTitle><enactingFormula style="-uslm-dtd:enacting-clause">Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,</enactingFormula>
        <section identifier="/us/sComp/114/270/s1" style="-uslm-dtd:section" styleType="OLC">
            <num style="-uslm-dtd:enum" value="1">SECTION 1. </num><heading style="-uslm-dtd:header">SHORT TITLE. </heading>
            <content class="block" style="-uslm-dtd:text">This Act may be cited as the “<shortTitle style="-uslm-dtd:quote">Expanding Capacity for Health Outcomes Act</shortTitle>” or the “<shortTitle style="-uslm-dtd:quote">ECHO Act</shortTitle>”.</content>
        </section>
        <section identifier="/us/sComp/114/270/s2" role="definitions" style="-uslm-dtd:section" styleType="OLC">
            <num style="-uslm-dtd:enum" value="2">SEC. 2. </num><heading style="-uslm-dtd:header">DEFINITIONS. </heading>
            <chapeau class="block" style="-uslm-dtd:text">In this Act:</chapeau>
            <paragraph identifier="/us/sComp/114/270/s2/1" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Health professional shortage area.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">health professional shortage area</term>” means a health professional shortage area designated under section 332 of the Public Health Service Act (42 U.S.C. 254e).</content>
            </paragraph>
            <paragraph identifier="/us/sComp/114/270/s2/2" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Indian tribe.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">Indian tribe</term>” has the meaning given the term in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304).</content>
            </paragraph>
            <paragraph identifier="/us/sComp/114/270/s2/3" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Medically underserved area.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">medically underserved area</term>” has the meaning given the term “<term style="-uslm-dtd:quote">medically underserved community</term>” in section 799B of the Public Health Service Act (42 U.S.C. 295p).</content>
            </paragraph>
            <paragraph identifier="/us/sComp/114/270/s2/4" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="4">(4) </num><heading style="-uslm-dtd:header">Medically underserved population.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">medically underserved population</term>” has the meaning given the term in section 330(b) of the Public Health Service Act (42 U.S.C. 254b(b)).</content>
            </paragraph>
            <paragraph identifier="/us/sComp/114/270/s2/5" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="5">(5) </num><heading style="-uslm-dtd:header">Native americans.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">Native Americans</term>” has the meaning given the term in section 736 of the Public Health Service Act (42 U.S.C. 293) and includes Indian tribes and tribal organizations.</content>
            </paragraph>
            <paragraph identifier="/us/sComp/114/270/s2/6" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="6">(6) </num><heading style="-uslm-dtd:header">Secretary.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">Secretary</term>” means the Secretary of Health and Human Services.</content>
            </paragraph>
            <paragraph identifier="/us/sComp/114/270/s2/7" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="7">(7) </num><heading style="-uslm-dtd:header">Technology-enabled collaborative learning and capacity building model.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">technology-enabled collaborative learning and capacity building model</term>” means a distance health education model that connects specialists with multiple other health care professionals through simultaneous interactive videoconferencing for the purpose of facilitating case-based learning, disseminating best practices, and evaluating outcomes.</content>
            </paragraph>
            <paragraph identifier="/us/sComp/114/270/s2/8" style="-uslm-dtd:paragraph" styleType="OLC">
                <num style="-uslm-dtd:enum" value="8">(8) </num><heading style="-uslm-dtd:header">Tribal organization.—</heading><content style="-uslm-dtd:text">The term “<term style="-uslm-dtd:quote">tribal organization</term>” has the meaning given the term in section 4 of the Indian  Self-Determination and Education Assistance Act (25 U.S.C. 5304).</content>
            </paragraph>
        </section>
        <section identifier="/us/sComp/114/270/s3" style="-uslm-dtd:section" styleType="OLC">
            <num style="-uslm-dtd:enum" value="3">SEC. 3. </num><heading style="-uslm-dtd:header">EXAMINATION AND REPORT ON TECHNOLOGY-ENABLED COLLABORATIVE LEARNING AND CAPACITY BUILDING MODELS. </heading>
            <subsection identifier="/us/sComp/114/270/s3/a" style="-uslm-dtd:subsection" styleType="OLC">
                <num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Examination.—</heading>
                <paragraph identifier="/us/sComp/114/270/s3/a/1" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall examine technology-enabled collaborative learning and capacity building models and their impact on—</chapeau>
                    <subparagraph identifier="/us/sComp/114/270/s3/a/1/A" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">addressing mental and substance use disorders, chronic diseases and conditions, prenatal and maternal health, pediatric care, pain management, and palliative care;</content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/a/1/B" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">addressing health care workforce issues, such as specialty care shortages and primary care workforce recruitment, retention, and support for lifelong learning;</content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/a/1/C" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the implementation of public health programs, including those related to disease prevention, infectious disease outbreaks, and public health surveillance;</content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/a/1/D" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the delivery of health care services in rural areas, frontier areas, health professional shortage areas, and medically underserved areas, and to medically underserved populations and Native Americans; and</content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/a/1/E" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">addressing other issues the Secretary determines appropriate.</content>
                    </subparagraph>
                </paragraph>
                <paragraph identifier="/us/sComp/114/270/s3/a/2" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Consultation.—</heading><content style="-uslm-dtd:text">In the examination required under paragraph (1), the Secretary shall consult public and private stakeholders with expertise in using technology-enabled collaborative learning and capacity building models in health care settings.</content>
                </paragraph>
            </subsection>
            <subsection identifier="/us/sComp/114/270/s3/b" style="-uslm-dtd:subsection" styleType="OLC">
                <num style="-uslm-dtd:enum" value="b">(b) </num><heading style="-uslm-dtd:header">Report.—</heading>
                <paragraph identifier="/us/sComp/114/270/s3/b/1" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">Not later than 2 years after the date of enactment of this Act, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, and post on the appropriate website of the Department of Health and Human Services, a report based on the examination under subsection (a).</content>
                </paragraph>
                <paragraph identifier="/us/sComp/114/270/s3/b/2" style="-uslm-dtd:paragraph" styleType="OLC">
                    <num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Contents.—</heading><chapeau style="-uslm-dtd:text">The report required under paragraph (1) shall include findings from the examination under subsection (a) and each of the following:</chapeau>
                    <subparagraph identifier="/us/sComp/114/270/s3/b/2/A" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">An analysis of—</chapeau>
                        <clause identifier="/us/sComp/114/270/s3/b/2/A/i" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">the use and integration of technology-enabled collaborative learning and capacity building models by health care providers;</content>
                        </clause>
                        <clause identifier="/us/sComp/114/270/s3/b/2/A/ii" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the impact of such models on health care provider retention, including in health professional shortage areas in the States and communities in which such models have been adopted;</content>
                        </clause>
                        <clause identifier="/us/sComp/114/270/s3/b/2/A/iii" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">the impact of such models on the quality of, and access to, care for patients in the States and communities in which such models have been adopted;</content>
                        </clause>
                        <clause identifier="/us/sComp/114/270/s3/b/2/A/iv" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="iv">(iv) </num><content style="-uslm-dtd:text">the barriers faced by health care providers, States, and communities in adopting such models;</content>
                        </clause>
                        <clause identifier="/us/sComp/114/270/s3/b/2/A/v" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="v">(v) </num><content style="-uslm-dtd:text">the impact of such models on the ability of local health care providers and specialists to practice  to the full extent of their education, training, and licensure, including the effects on patient wait times for specialty care; and</content>
                        </clause>
                        <clause identifier="/us/sComp/114/270/s3/b/2/A/vi" style="-uslm-dtd:clause" styleType="OLC">
                            <num style="-uslm-dtd:enum" value="vi">(vi) </num><content style="-uslm-dtd:text">efficient and effective practices used by States and communities that have adopted such models, including potential cost-effectiveness of such models.</content>
                        </clause>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/b/2/B" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">A list of such models that have been funded by the Secretary in the 5 years immediately preceding such report, including the Federal programs that have provided funding for such models.</content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/b/2/C" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">Recommendations to reduce barriers for using and integrating such models, and opportunities to improve adoption of, and support for, such models as appropriate.</content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/b/2/D" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">Opportunities for increased adoption of such models into programs of the Department of Health and Human Services that are in existence as of the report.</content>
                    </subparagraph>
                    <subparagraph identifier="/us/sComp/114/270/s3/b/2/E" style="-uslm-dtd:subparagraph" styleType="OLC">
                        <num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">Recommendations regarding the role of such models in continuing medical education and lifelong learning, including the role of academic medical centers, provider organizations, and community providers in such education and lifelong learning.</content>
                    </subparagraph>
                </paragraph>
            </subsection>
        </section>
    </main>
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