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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HDAB5CF0130704CD68DFF3FC827E9F622" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>H. R. 6110</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20100914">September 14, 2010</action-date>
			<action-desc><sponsor name-id="B001251">Mr. Butterfield</sponsor>
			 introduced the following bill; which was referred to the
			 <committee-name committee-id="HIF00">Committee on Energy and
			 Commerce</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend the Public Health Service Act to reauthorize
		  telehealth and telemedicine grant programs.</official-title>
	</form>
	<legis-body id="H45E89B79114B4A3188E61E3D4D8B910A" style="OLC">
		<section id="H8C4997570D634066A1B8EB681E58E435" 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>Telehealth Improvement and Expansion Act of
			 2010</short-title></quote>.</text>
		</section><section id="HA38DD8C9A80D4A0BA7A4B1CEB4995BD4"><enum>2.</enum><header>Reauthorization
			 of telehealth and telemedicine grant programs</header>
			<subsection id="H33B6B939261C4A268A7160D3EE55D0E9"><enum>(a)</enum><header>Telehealth
			 network and telehealth resource centers grant programs</header><text display-inline="yes-display-inline">Section 330I (42 U.S.C. 254c–14) is
			 amended—</text>
				<paragraph id="HAD79345CDFBB4A41B975748259E66ACF"><enum>(1)</enum><text>in subsection (a),
			 by amending paragraph (3) to read as follows:</text>
					<quoted-block display-inline="no-display-inline" id="H3CC1383B22A4412996AC4513992293AE" style="OLC">
						<paragraph id="HA7844FAFB2A64346BDECD8E29FAA1C01"><enum>(3)</enum><header>Frontier
				community</header><text display-inline="yes-display-inline">The term
				<term>frontier community</term> shall have such meaning as developed by the
				Secretary, in consultation with the Secretary of Agriculture, not later than
				one year after the date of the enactment of the Telehealth Improvement and
				Expansion Act of 2010.</text>
						</paragraph><after-quoted-block>;
				</after-quoted-block></quoted-block>
				</paragraph><paragraph id="H6306999D19C0487B95324E80E1EBBA25"><enum>(2)</enum><text>in subsection (b),
			 by striking <quote>, under section 301,</quote>;</text>
				</paragraph><paragraph id="H1D8B99A0ABBD47E4AAC4B45A79E89DBA"><enum>(3)</enum><text>in subsection
			 (c)(2), by striking <quote>under section 301</quote> and inserting <quote>under
			 this section</quote>;</text>
				</paragraph><paragraph id="H3DB45BCE35554978B9C54D6B1294D46C"><enum>(4)</enum><text>in subsection
			 (f)(1)(B)(iii)—</text>
					<subparagraph id="HA5430E421FC64058AD8262CA02A780D1"><enum>(A)</enum><text>in subclause (IV),
			 by striking <quote>Local health departments</quote> and inserting <quote>State,
			 local, or tribal health departments</quote>;</text>
					</subparagraph><subparagraph id="H57BB4407977145ED90C51D2ED0FD0E06"><enum>(B)</enum><text>in subclause
			 (VII), by inserting <quote>, including skilled nursing facilities</quote>
			 before the period at the end;</text>
					</subparagraph><subparagraph id="H6B539E0ED0E140AE9B32069FC56C1BF2"><enum>(C)</enum><text>in subclause (IX),
			 by inserting <quote>, including community mental health centers or county
			 mental health and public mental health facilities</quote> before the period at
			 the end; and</text>
					</subparagraph><subparagraph id="H6F20582D0CE846CABE140D94182A8499"><enum>(D)</enum><text>by adding at the
			 end the following:</text>
						<quoted-block display-inline="no-display-inline" id="HF3E8BD33BF044537BB7CA43B4FD0BAFD" style="OLC">
							<subclause id="H2953515915344F79B169E27E6A02FA9D"><enum>(XIII)</enum><text display-inline="yes-display-inline">Renal dialysis
				facilities.</text>
							</subclause><after-quoted-block>;</after-quoted-block></quoted-block>
					</subparagraph></paragraph><paragraph id="H8097A22C6DD447148F912ABF4CBC8A15"><enum>(5)</enum><text>by amending
			 subsection (i) to read as follows:</text>
					<quoted-block display-inline="no-display-inline" id="H6F990EE912F540DA8697D691BF97B9A1" style="OLC">
						<subsection id="HA42E182FE6B54A7EA64029E9FE676249"><enum>(i)</enum><header>Preferences</header>
							<paragraph id="H81FF8A4DA33F43D48B7B8AA718DEB163"><enum>(1)</enum><header>Telehealth
				Networks</header><text display-inline="yes-display-inline">In awarding grants
				under subsection (d)(1) for projects involving telehealth networks, the
				Secretary shall give preference to eligible entities meeting at least one of
				the following:</text>
								<subparagraph id="HBCC699A2936A4789A240898898A83146"><enum>(A)</enum><header>Network</header><text>The
				eligible entity is a health care provider in, or proposing to form, a health
				care network that furnishes services in a medically underserved area or a
				health professional shortage area.</text>
								</subparagraph><subparagraph id="HAE0FDD8E865B42FBA76D60C3DB32C8A3"><enum>(B)</enum><header>Broad geographic
				coverage</header><text>The eligible entity demonstrates broad geographic
				coverage in the rural or medically underserved areas of the State or States in
				which the entity is located.</text>
								</subparagraph><subparagraph id="HF9AAC1AC310144DEA16B685338F71464"><enum>(C)</enum><header>Linkages</header><text>The
				eligible entity demonstrates its ability to use the grant to establish or
				develop plans for telehealth systems that will link rural hospitals and rural
				health care providers to other hospitals, health care providers, and
				patients.</text>
								</subparagraph><subparagraph id="H1BCCB32FE191493AA743128DB72A4242"><enum>(D)</enum><header>Efficiency</header><text>The
				eligible entity demonstrates its ability to use the grant to promote greater
				efficiency in the use of health care resources.</text>
								</subparagraph><subparagraph id="H7F03C7425F75415194A2E192BFF0E97C"><enum>(E)</enum><header>Viability</header><text display-inline="yes-display-inline">The eligible entity demonstrates the
				long-term viability of projects through—</text>
									<clause id="H1D76B1A9DBD442E89FDCB21112CB957F"><enum>(i)</enum><text>availability of
				non-Federal funding sources; and</text>
									</clause><clause id="H9F89C9AD07C9435080E4D7267DF3C6D3"><enum>(ii)</enum><text>institutional and
				community support for the telehealth network.</text>
									</clause></subparagraph><subparagraph id="H112E3225734E425095365D96E3A6CFCB"><enum>(F)</enum><header>Services</header><text>The
				eligible entity provides a plan for coordinating system use by eligible
				entities and prioritizes use of grant funds for health care services over
				nonclinical uses.</text>
								</subparagraph></paragraph><paragraph id="HA306FE855A8541DBA885E30A41F21DEA"><enum>(2)</enum><header>Telehealth
				resource centers</header><text display-inline="yes-display-inline">In awarding
				grants under subsection (d)(2) for projects involving telehealth resource
				centers, the Secretary shall give preference to eligible entities meeting at
				least one of the following:</text>
								<subparagraph id="H98795F64957B46109EEFC6F0BEF3C5AA"><enum>(A)</enum><header>Provision of a
				broad range of services</header><text>The eligible entity has a record of
				success in the provision of a broad range of telehealth services to medically
				underserved areas or populations.</text>
								</subparagraph><subparagraph id="HB3F7D370CF644434AA1775227E21C970"><enum>(B)</enum><header>Provision of
				telehealth technical assistance</header><text>The eligible entity has a record
				of success in the provision of technical assistance to providers serving
				medically underserved areas or populations in the establishment and
				implementation of telehealth services.</text>
								</subparagraph><subparagraph id="H93590D87B2CD4096A410EDFEAD74CB6C"><enum>(C)</enum><header>Collaboration
				and sharing of expertise</header><text>The eligible entity has a demonstrated
				record of collaborating and sharing expertise with providers of telehealth
				services at the national, regional, State, and local
				levels.</text>
								</subparagraph></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
				</paragraph><paragraph id="H6AA9828CBF084D44BEF0A8F385259CBC"><enum>(6)</enum><text>in subsection
			 (j)(2)(B), by striking <quote>such projects for fiscal year 2001</quote> and
			 all that follows through the period and inserting <quote>such projects for
			 fiscal year 2010.</quote>;</text>
				</paragraph><paragraph id="H523FC16C471549B4A6C5820D1CBC2C24"><enum>(7)</enum><text>in subsection
			 (k)(1)—</text>
					<subparagraph id="H5A2A7B5A74C641CAB420183921718CEC"><enum>(A)</enum><text>in subparagraph
			 (E)(i), by striking <quote>transmission of medical data</quote> and inserting
			 <quote>transmission and electronic archival of medical data</quote>; and</text>
					</subparagraph><subparagraph id="H98A22E3549E347D893911D305F4AD22D"><enum>(B)</enum><text>by amending
			 subparagraph (F) to read as follows:</text>
						<quoted-block display-inline="no-display-inline" id="H8038B73200A4464F88D817F1C958335A" style="OLC">
							<subparagraph id="H0F6314A1463A45B2B27E6108FC1FE1F2"><enum>(F)</enum><text display-inline="yes-display-inline">developing projects to use telehealth
				technology to—</text>
								<clause id="HC02614D61F6940D181A09B8B8EE03B4C"><enum>(i)</enum><text>facilitate
				collaboration between health care providers;</text>
								</clause><clause id="H3C71599FC12045CA8BDDD14A5D4F1523"><enum>(ii)</enum><text>promote
				telenursing services; or</text>
								</clause><clause id="HFDB2046A264B4E15B18375C7BC2CD47B"><enum>(iii)</enum><text display-inline="yes-display-inline">promote patient understanding and adherence
				to national guidelines for chronic disease and self-management of such
				conditions;</text>
								</clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
					</subparagraph></paragraph><paragraph id="H8EC6158E5C7B44D29E72BFFE7A27069A"><enum>(8)</enum><text>in subsection (n),
			 by inserting <quote>and minimize duplication</quote> before the period at the
			 end;</text>
				</paragraph><paragraph id="H4026AAF73E27455FB632C8F78D1E77DE"><enum>(9)</enum><text>in subsection (q),
			 by striking <quote>Not later than September 30, 2005</quote> and inserting
			 <quote>Not later than 1 year after the date of the enactment of the Telehealth
			 Improvement and Expansion Act of 2010, and annually thereafter</quote>;</text>
				</paragraph><paragraph id="H56CEDD8F2EF049BD8058CDC8AD8E9D56"><enum>(10)</enum><text>by striking
			 subsection (r);</text>
				</paragraph><paragraph id="HE520C01BB2094C66BE84EAB37A4D8953"><enum>(11)</enum><text>by redesignating
			 subsection (s) as subsection (r); and</text>
				</paragraph><paragraph id="H4C0BAF59F3A14B17A56528BAE1DC394A"><enum>(12)</enum><text>in subsection (r)
			 (as so redesignated)—</text>
					<subparagraph id="H82E48F84686B485CAC1F5078DBE2749A"><enum>(A)</enum><text>in paragraph
			 (1)—</text>
						<clause id="H901FDCB085254DE1B565A0B7A9926B76"><enum>(i)</enum><text>by
			 striking <quote>and</quote> before <quote>such sums</quote>; and</text>
						</clause><clause id="HE2023FA3C470418FA884F22AC994CBA4"><enum>(ii)</enum><text>by
			 inserting <quote>, $10,000,000 for each of the fiscal years 2012 through
			 2016</quote> before the semicolon; and</text>
						</clause></subparagraph><subparagraph id="H00C8AE39E00542C9A4BAB7BF3204D0AF"><enum>(B)</enum><text>in paragraph
			 (2)—</text>
						<clause id="H899EC6A60F6C4BAB8AA3C6582568B672"><enum>(i)</enum><text>by
			 striking <quote>and</quote> before <quote>such sums</quote>; and</text>
						</clause><clause id="H31FCC5AACB43428EB513846F2446C833"><enum>(ii)</enum><text>by
			 inserting <quote>, $10,000,000 for each of the fiscal years 2012 through
			 2016</quote> before the period.</text>
						</clause></subparagraph></paragraph></subsection><subsection id="H8A05E506B6944B9986729C0C845831FC"><enum>(b)</enum><header>Telemedicine;
			 incentive grants regarding coordination among States</header><text>Subsection
			 (b) of section 330L (42 U.S.C. 254c–18) is amended by inserting <quote>,
			 $10,000,000 for each of the fiscal years 2012 through 2016</quote> before the
			 period at the end.</text>
			</subsection></section></legis-body>
</bill>
