II 116TH CONGRESS 2D SESSION S. 3438 To reauthorize the telehealth network and telehealth resource centers grant programs. IN THE SENATE OF THE UNITED STATES MARCH 11, 2020 Mrs. LOEFFLER (for herself and Ms. SMITH) introduced the following bill; which was read twice and referred to the Committee on Health, Edu- cation, Labor, and Pensions A BILL To reauthorize the telehealth network and telehealth resource centers grant programs. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Rural Delivery of On- 4 line Care Services Reauthorization Act of 2020’’ or the 5 ‘‘R–DOCS Reauthorization Act of 2020’’. 6 SEC. 2. TELEHEALTH NETWORK AND TELEHEALTH RE- 7 SOURCE CENTERS GRANT PROGRAMS. 8 Section 330I of the Public Health Service Act (42 9 U.S.C. 254c–14) is amended— 10 VerDate Sep 11 2014 22:58 Mar 19, 2020 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S3438.IS S3438 kjohnson on DSK79L0C42PROD with BILLS 2 •S 3438 IS (1) in subsection (d)— 1 (A) in paragraph (1)— 2 (i) in the matter preceding subpara- 3 graph (A), by striking ‘‘projects to dem- 4 onstrate how telehealth technologies can be 5 used through telehealth networks’’ and in- 6 serting ‘‘evidence-based projects that uti- 7 lize telehealth technologies through tele- 8 health networks’’; 9 (ii) in subparagraph (A)— 10 (I) by striking ‘‘the quality of’’ 11 and inserting ‘‘access to, and the 12 quality of,’’; and 13 (II) by inserting ‘‘and’’ after the 14 semicolon; 15 (iii) by striking subparagraph (B); 16 (iv) by redesignating subparagraph 17 (C) as subparagraph (B); and 18 (v) in subparagraph (B), as so redes- 19 ignated, by striking ‘‘and patients and 20 their families, for decisionmaking’’ and in- 21 serting ‘‘, patients, and their families’’; 22 and 23 (B) in paragraph (2)— 24 VerDate Sep 11 2014 22:58 Mar 19, 2020 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S3438.IS S3438 kjohnson on DSK79L0C42PROD with BILLS 3 •S 3438 IS (i) by striking ‘‘demonstrate how tele- 1 health technologies can be used’’ and in- 2 serting ‘‘support initiatives that utilize 3 telehealth technologies’’; and 4 (ii) by striking ‘‘, to establish tele- 5 health resource centers’’; 6 (2) in subsection (e), by striking ‘‘4 years’’ and 7 inserting ‘‘5 years’’; 8 (3) in subsection (f)— 9 (A) by striking paragraph (2); 10 (B) in paragraph (1)(B)— 11 (i) by redesignating clauses (i) 12 through (iii) as paragraphs (1) through 13 (3), respectively, and adjusting the mar- 14 gins accordingly; 15 (ii) in paragraph (3), as so redesig- 16 nated by clause (i), by redesignating sub- 17 clauses (I) through (XII) as subparagraphs 18 (A) through (L), respectively, and adjust- 19 ing the margins accordingly; and 20 (iii) by striking ‘‘(1) TELEHEALTH 21 NETWORK GRANTS—’’ and all that follows 22 through ‘‘(B) TELEHEALTH NETWORKS— 23 ’’; and 24 VerDate Sep 11 2014 22:58 Mar 19, 2020 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S3438.IS S3438 kjohnson on DSK79L0C42PROD with BILLS 4 •S 3438 IS (C) in paragraph (3)(I), as so redesig- 1 nated, by inserting ‘‘and substance use dis- 2 order’’ after ‘‘mental health’’ each place such 3 term appears; 4 (4) in subsection (g)(2), by striking ‘‘or im- 5 prove’’ and inserting ‘‘and improve’’; 6 (5) by striking subsection (h); 7 (6) by redesignating subsections (i) through (p) 8 as subsection (h) through (o), respectively; 9 (7) in subsection (h), as so redesignated— 10 (A) in paragraph (1)— 11 (i) in subparagraph (B), by striking 12 ‘‘mental health, public health, long-term 13 care, home care, preventive’’ and inserting 14 ‘‘mental health care, public health services, 15 long-term care, home care, preventive 16 care’’; 17 (ii) in subparagraph (E), by inserting 18 ‘‘and regional’’ after ‘‘local’’; and 19 (iii) by striking subparagraph (F); 20 and 21 (B) in paragraph (2)(A), by striking 22 ‘‘medically underserved areas or’’ and inserting 23 ‘‘rural areas, medically underserved areas, or’’; 24 VerDate Sep 11 2014 22:58 Mar 19, 2020 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S3438.IS S3438 kjohnson on DSK79L0C42PROD with BILLS 5 •S 3438 IS (8) in paragraph (2) of subsection (i), as so re- 1 designated, by striking ‘‘ensure that—’’ and all that 2 follows through the end of subparagraph (B) and in- 3 serting ‘‘ensure that not less than 50 percent of the 4 funds awarded shall be awarded for projects in rural 5 areas.’’; 6 (9) in subsection (j), as so redesignated— 7 (A) in paragraph (1)(B), by striking ‘‘com- 8 puter hardware and software, audio and video 9 equipment, computer network equipment, inter- 10 active equipment, data terminal equipment, and 11 other’’; and 12 (B) in paragraph (2)(F), by striking 13 ‘‘health care providers and’’; 14 (10) in subsection (k), as so redesignated— 15 (A) in paragraph (2), by striking ‘‘40 per- 16 cent’’ and inserting ‘‘20 percent’’; and 17 (B) in paragraph (3), by striking ‘‘(such as 18 laying cable or telephone lines, or purchasing or 19 installing microwave towers, satellite dishes, 20 amplifiers, or digital switching equipment)’’; 21 (11) by striking subsections (q) and (r) and in- 22 serting the following: 23 ‘‘(p) REPORT.—Not later than 4 years after the date 24 of enactment of the Rural Delivery of Online Care Services 25 VerDate Sep 11 2014 22:58 Mar 19, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S3438.IS S3438 kjohnson on DSK79L0C42PROD with BILLS 6 •S 3438 IS Reauthorization Act of 2020, and every 5 years thereafter, 1 the Secretary shall prepare and submit to the Committee 2 on Health, Education, Labor, and Pensions of the Senate 3 and the Committee on Energy and Commerce of the 4 House of Representatives a report on the activities and 5 outcomes of the grant programs under subsection (b).’’; 6 (12) by redesignating subsection (s) as sub- 7 section (q); and 8 (13) in subsection (q), as so redesignated, by 9 striking ‘‘this section—’’ and all that follows 10 through the end of paragraph (2) and inserting 11 ‘‘this section $29,000,000 for each of fiscal years 12 2021 through 2025.’’. 13 Æ VerDate Sep 11 2014 22:58 Mar 19, 2020 Jkt 099200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6301 E:\BILLS\S3438.IS S3438 kjohnson on DSK79L0C42PROD with BILLS