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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>112th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 1124</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20110526">May 26, 2011</action-date>
			<action-desc><sponsor name-id="S201">Mr. Conrad</sponsor> introduced
			 the following bill; which was read twice and referred to the
			 <committee-name committee-id="SSVA00">Committee on Veterans'
			 Affairs</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend title 38, United States Code, to improve the
		  utilization of teleconsultation, teleretinal imaging, telemedicine, and
		  telehealth coordination services for the provision of health care to veterans,
		  and for other purposes.</official-title>
	</form>
	<legis-body display-enacting-clause="yes-display-enacting-clause">
		<section id="idB26EFB062E31470290F6C82F82F3971B" 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>Veterans Telemedicine Act of
			 2011</short-title></quote>.</text>
		</section><section id="ID2872e330a95f4a5a945a1055eb80d430" section-type="subsequent-section"><enum>2.</enum><header>Teleconsultation and
			 telemedicine</header>
			<subsection id="id69BD644D0F0F45F98E362C64D874B542"><enum>(a)</enum><header>Teleconsultation
			 and teleretinal imaging</header>
				<paragraph id="idC2F91DF3081F4DC0B263F2CEA3508C57"><enum>(1)</enum><header>In
			 general</header><text>Subchapter I of chapter 17 of title 38, United States
			 Code, is amended by adding at the end the following new section:</text>
					<quoted-block display-inline="no-display-inline" id="idD6FB79C2E5A0444B922987E7318401E5" style="USC">
						<section id="idA028FC9242EF4530942020EC424FBFEA"><enum>1709.</enum><header>Teleconsultation
				and teleretinal imaging</header>
							<subsection id="ID7df09665763742e6b46aeb9997c072df"><enum>(a)</enum><header>Teleconsultation</header><paragraph commented="no" display-inline="yes-display-inline" id="idA808DA86092D4D79A31C4C5F49BD0764"><enum>(1)</enum><text>The Secretary shall
				carry out a program of teleconsultation for the provision of remote mental
				health and traumatic brain injury assessments in facilities of the Department
				that are not otherwise able to provide such assessments without contracting
				with third party providers or reimbursing providers through a fee basis
				system.</text>
								</paragraph><paragraph id="id2CAC29A3931D460BB753A1CBA83B5749" indent="up1"><enum>(2)</enum><text>The Secretary shall, in consultation
				with appropriate professional societies, promulgate technical and clinical care
				standards for the use of teleconsultation services within facilities of the
				Department.</text>
								</paragraph></subsection><subsection id="ID760ca0713d884282aabedc0a36108daa"><enum>(b)</enum><header>Teleretinal
				imaging</header><paragraph commented="no" display-inline="yes-display-inline" id="idCBB760FB3F584F87A2B3F659765FAFA0"><enum>(1)</enum><text>The Secretary shall
				carry out a program of teleretinal imaging in each Veterans Integrated Services
				Network (VISN).</text>
								</paragraph><paragraph id="id20B105E24E4D40FB9B9432DA8CF38D66" indent="up1"><enum>(2)</enum><text>In each fiscal year beginning with
				fiscal year 2010 and ending with fiscal year 2015, the Secretary shall increase
				the number of patients enrolled in each teleretinal imaging program under
				paragraph (1) by not less than five percent from the number of patients
				enrolled in each respective program in the previous fiscal year.</text>
								</paragraph></subsection><subsection id="ID486b354ad0f84a5197f5f917cf2b5ebe"><enum>(c)</enum><header>Definitions</header><text>In
				this section:</text>
								<paragraph id="ID791757aa9c3b4f9780e755e52166c3a4"><enum>(1)</enum><text>The term
				<term>teleconsultation</term> means the use by a health care specialist of
				telecommunications to assist another health care provider in rendering a
				diagnosis or treatment.</text>
								</paragraph><paragraph id="id5BCE0D66232B4987BCFBCF2B3E8883BC"><enum>(2)</enum><text>The term
				<term>teleretinal imaging</term> means the use by a health care specialist of
				telecommunications, digital retinal imaging, and remote image interpretation to
				provide eye
				care.</text>
								</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph><paragraph id="idFC412581F73F4D728C784F6E4761BFCA"><enum>(2)</enum><header>Clerical
			 amendment</header><text>The table of sections at the beginning of chapter 17 of
			 such title is amended by inserting after the item related to section 1708 the
			 following new item:</text>
					<quoted-block display-inline="no-display-inline" id="id3FE855AF50534CB38098605D0EC36E0C" style="USC">
						<toc>
							<toc-entry bold="off" level="section">1709. Teleconsultation and
				teleretinal
				imaging.</toc-entry>
						</toc>
						<after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph></subsection><subsection id="ID966b5cc5f5fd4b9086f94f554a4ccf57"><enum>(b)</enum><header>Training in
			 telemedicine</header><text>The Secretary of Veterans Affairs shall require each
			 Department of Veterans Affairs facility that is involved in the training of
			 medical residents to work with each university concerned to develop an elective
			 rotation in telemedicine for such residents.</text>
			</subsection><subsection id="idE42E14F7A2E3447DA8A64FA9E67C5BFF"><enum>(c)</enum><header>Enhancement of
			 VERA</header>
				<paragraph id="ID6109635ef5dd486cb3587f8a46e0004a"><enum>(1)</enum><header>Incentives for
			 provision of teleconsultation, teleretinal imaging, telemedicine, and
			 telehealth services</header><text>The Secretary of Veterans Affairs shall
			 modify the Veterans Equitable Resource Allocation system to provide incentives
			 for the utilization of teleconsultation, teleretinal imaging, telemedicine, and
			 telehealth coordination services.</text>
				</paragraph><paragraph id="id9E14BB986BCD4BC294DA21A531FCC025"><enum>(2)</enum><header>Inclusion of
			 telemedicine visits in workload reporting</header><text>The Secretary shall
			 modify the Veterans Equitable Resource Allocation system to require the
			 inclusion of all telemedicine visits in the calculation of facility
			 workload.</text>
				</paragraph></subsection><subsection id="id862C61135EB844AB9B9329E958D29264"><enum>(d)</enum><header>Definitions</header><text>In
			 this section:</text>
				<paragraph id="id21B182BC277743B2ACAADD9422386821"><enum>(1)</enum><header>Teleconsultation
			 and teleretinal imaging</header><text>The terms <term>teleconsultation</term>
			 and <term>teleretinal imaging</term> have the meanings given such terms in
			 section 1720G of title 38, United States Code, as added by subsection
			 (a).</text>
				</paragraph><paragraph id="IDd1f88d7c4aa34c628207c37e70a4671a"><enum>(2)</enum><header>Telemedicine</header><text>The
			 term <term>telemedicine</term> means the use by a health care provider of
			 telecommunications to assist in the diagnosis or treatment of a patient's
			 medical condition.</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDdfe9cae7c2e24965b26c2c1c128b5ad3"><enum>(3)</enum><header>Telehealth</header><text>The
			 term <term>telehealth</term> means the use of telecommunications to collect
			 patient data remotely and send data to a monitoring station for
			 interpretation.</text>
				</paragraph></subsection></section></legis-body>
</bill>
