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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public" slc-id="S1-RYA23A77-RVN-87-064"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>115 S2447 IS: Strengthening Telehealth and Education for Rural Communities Act of 2023</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2023-07-20</dc:date>
<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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<distribution-code display="yes">II</distribution-code><congress>118th CONGRESS</congress><session>1st Session</session><legis-num>S. 2447</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20230720">July 20, 2023</action-date><action-desc><sponsor name-id="S402">Ms. Rosen</sponsor> (for herself and <cosponsor name-id="S410">Ms. Lummis</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSAF00">Committee on Agriculture, Nutrition, and Forestry</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To reauthorize the distance learning and telemedicine grant program, and for other purposes.</official-title></form><legis-body><section id="S1" 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>Strengthening Telehealth and Education for Rural Communities Act of 2023</short-title></quote>.</text></section><section commented="no" display-inline="no-display-inline" id="id44ed2f447f344f23824dc9389ff3b7e4"><enum>2.</enum><header>Distance learning and telemedicine grant program</header><subsection id="id539c54a8e78c4d6f80b510840b767732"><enum>(a)</enum><header>Use of grants for operating expenses</header><text>Section 2333 of the Food, Agriculture, Conservation, and Trade Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa-2">7 U.S.C. 950aaa–2</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="idff402be2958d4e0bae54425b9e736684"><enum>(1)</enum><text>in subsection (a), by inserting <quote>and operation</quote> after <quote>construction</quote>;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id24cff862b6034fba9dc7095d152a7cac"><enum>(2)</enum><text>in subsection (c)—</text><subparagraph commented="no" display-inline="no-display-inline" id="id73e3d605b292428ab6cd6eb580458c1e"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1)(B), by adding <quote>and</quote> at the end; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idd70645d8fe67475d9d0ed32dda19366d"><enum>(B)</enum><text>in paragraph (2)(A), by striking <quote>or extend</quote> each place it appears and inserting <quote>extend, or operate</quote>;</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ida12d9862e6764997bf0411680b5e00c6"><enum>(3)</enum><text>in subsection (f)—</text><subparagraph commented="no" display-inline="no-display-inline" id="id94a5299b9b3f498c8e59a08392113f7e"><enum>(A)</enum><text>in paragraph (3), by striking <quote>or</quote> at the end;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2d2ee5a4cbf544f0a151143039199b1f"><enum>(B)</enum><text>by redesignating paragraph (4) as paragraph (5); and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idd8975affe71843d19334f7cd3fa8b94a"><enum>(C)</enum><text>by inserting after paragraph (3) the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idEDB24B46693A4CE1A71E2122AAD80CD6"><paragraph commented="no" display-inline="no-display-inline" id="id9f0d66deda8a48a08f21cec228ad412a"><enum>(4)</enum><text>operation of the programming, equipment, or facilities referred to in paragraphs (1) and (2); or</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id0b131e4601564f64acfa3dbf6dfc9910"><enum>(4)</enum><text>by striking subsection (g) and inserting the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="idF6A4C54FF41640B9953432865F13C042"><subsection commented="no" display-inline="no-display-inline" id="id0b3d41571e7b4b2aa8be4e43be7613e9"><enum>(g)</enum><header>Operating expenses</header><text>Not more than 15 percent of the amount of financial assistance provided to a recipient under this chapter may be used for recurring or operating expenses, including salaries or administrative expenses, that are reasonable and allocable to the project carried out by the recipient.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="id90e7e1a926d74004add90f17625f5c4d"><enum>(b)</enum><header>Waiver of matching requirement</header><text>Section 2334 of the Food, Agriculture, Conservation, and Trade Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa-3">7 U.S.C. 950aaa–3</external-xref>) is amended by adding at the end the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id09BC45BF67654BC2993B792319E9C51A"><subsection commented="no" display-inline="no-display-inline" id="id0a40d9fc1b5c42d8bcac76f7f8e57c73"><enum>(g)</enum><header>Waiver of matching requirement</header><text>The Secretary shall waive any requirement for a recipient of financial assistance under this chapter to provide non-Federal matching funds—</text><paragraph commented="no" display-inline="no-display-inline" id="idba2671b084614b3b823f93a9603107a8"><enum>(1)</enum><text display-inline="yes-display-inline">in a case of demonstrated need or if the matching requirement would create a substantial burden, as determined by the Secretary; or</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idbfe41f28c4ee4abaafbe84edeb8276d6"><enum>(2)</enum><text>if the recipient is a federally recognized Indian Tribe.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection commented="no" display-inline="no-display-inline" id="id1b6c9c8428b9499084cf493fc56f394a"><enum>(c)</enum><header>Authorization of appropriations</header><text>Section 2335A of the Food, Agriculture, Conservation, and Trade Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa-5">7 U.S.C. 950aaa–5</external-xref>) is amended by striking <quote>2019 through 2023</quote> and inserting <quote>2024 through 2028</quote>.</text></subsection><subsection commented="no" display-inline="no-display-inline" id="id5b16b612021c4b5497399c2da61f744b"><enum>(d)</enum><header>Set-Aside for substance use disorder treatment and mental health services</header><paragraph commented="no" display-inline="no-display-inline" id="id15a9c338057148d2a8a5a1be483beec2"><enum>(1)</enum><header>In general</header><subparagraph id="PHA51BAD65292F4EF49D0518C9EF6F453C"><enum>(A)</enum><header>Substance use disorder set-aside</header><text>Subject to subparagraph (B), for each of fiscal years 2024 through 2028, the Secretary of Agriculture shall make available not less than 20 percent of amounts made available under section 2335A of the Food, Agriculture, Conservation, and Trade Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa-5">7 U.S.C. 950aaa–5</external-xref>) for financial assistance under chapter 1 of subtitle D of title XXIII of that Act (<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa">7 U.S.C. 950aaa et seq.</external-xref>) for telemedicine projects that provide substance use disorder treatment services or mental health services.</text></subparagraph><subparagraph id="PHEEF48ED686124237879E9BA7DEDCC0EF"><enum>(B)</enum><header>Exception</header><text>In the case of a fiscal year for which the Secretary of Agriculture determines that there are not sufficient qualified applicants to receive financial assistance for projects providing substance use disorder treatment services or mental health services to reach the 20-percent requirement under subparagraph (A), the Secretary of Agriculture may make available less than 20 percent of amounts made available under section 2335A of the Food, Agriculture, Conservation, and Trade Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa-5">7 U.S.C. 950aaa–5</external-xref>) for those services.</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idf5f2cf4328c34379b9b0b8ca5d1441ad"><enum>(2)</enum><header>Conforming amendments</header><text>Section 6101(a)(1)(A)(i) of the Agriculture Improvement Act of 2018 (<external-xref legal-doc="public-law" parsable-cite="pl/115/334">Public Law 115–334</external-xref>; 132 Stat. 4726) is amended—</text><subparagraph commented="no" display-inline="no-display-inline" id="id3191f998bea4421d9804a936658c6c94"><enum>(A)</enum><text display-inline="yes-display-inline">by inserting <quote>for each of fiscal years 2019 through 2023,</quote> before <quote>the Secretary</quote>; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id4c6344d1c58f48488ddfab4424c42181"><enum>(B)</enum><text>by striking <quote>(<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa-2">7 U.S.C. 950aaa–2</external-xref>)</quote> and inserting <quote>(<external-xref legal-doc="usc" parsable-cite="usc/7/950aaa-5">7 U.S.C. 950aaa–5</external-xref>)</quote>.</text></subparagraph></paragraph></subsection></section></legis-body></bill> 

