(1) in subsection (a), by amending paragraph 
(3) to read as follows: 
‘‘(3) FRONTIER COMMUNITY.—The term ‘fron-
tier community’ shall have such meaning as devel-
oped by the Secretary, in consultation with the Sec-
retary of Agriculture, not later than one year after 
the date of the enactment of the Telehealth Improve-
ment and Expansion Act of 2010.’’; 
(2) in subsection (b), by striking ‘‘, under sec-
tion 301,’’; 
(3) in subsection (c)(2), by striking ‘‘under sec-
tion 301’’ and inserting ‘‘under this section’’; 
(4) in subsection (f)(1)(B)(iii)— 
(A) in subclause (IV), by striking ‘‘Local 
health departments’’ and inserting ‘‘State, local, 
or tribal health departments’’; 
(B) in subclause (VII), by inserting ‘‘, in-
cluding skilled nursing facilities’’ before the pe-
riod at the end; 
(C) in subclause (IX), by inserting ‘‘, in-
cluding community mental health centers or 
county mental health and public mental health 
facilities’’ before the period at the end; and 
(D) by adding at the end the following: 
‘‘(XIII) Renal dialysis facilities.’’; 
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(5) by amending subsection (i) to read as fol-
lows: 
‘‘(i) PREFERENCES.— 
‘‘(1) TELEHEALTH
NETWORKS.—In awarding 
grants under subsection (d)(1) for projects involving 
telehealth networks, the Secretary shall give pref-
erence to eligible entities meeting at least one of the 
following: 
‘‘(A) NETWORK.—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 profes-
sional shortage area. 
‘‘(B) BROAD
GEOGRAPHIC
COVERAGE.— 
The eligible entity demonstrates broad geo-
graphic coverage in the rural or medically un-
derserved areas of the State or States in which 
the entity is located. 
‘‘(C) LINKAGES.—The eligible entity dem-
onstrates its ability to use the grant to establish 
or develop plans for telehealth systems that will 
link rural hospitals and rural health care pro-
viders to other hospitals, health care providers, 
and patients. 
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‘‘(D) EFFICIENCY.—The eligible entity 
demonstrates its ability to use the grant to pro-
mote greater efficiency in the use of health care 
resources. 
‘‘(E) VIABILITY.—The eligible entity dem-
onstrates the long-term viability of projects 
through— 
‘‘(i) availability of non-Federal fund-
ing sources; and 
‘‘(ii) institutional and community sup-
port for the telehealth network. 
‘‘(F) SERVICES.—The eligible entity pro-
vides a plan for coordinating system use by eli-
gible entities and prioritizes use of grant funds 
for health care services over nonclinical uses. 
‘‘(2) TELEHEALTH
RESOURCE
CENTERS.—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: 
‘‘(A) PROVISION OF A BROAD RANGE OF 
SERVICES.—The eligible entity has a record of 
success in the provision of a broad range of 
telehealth services to medically underserved 
areas or populations. 
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‘‘(B) PROVISION OF TELEHEALTH TECH-
NICAL ASSISTANCE.—The eligible entity has a 
record of success in the provision of technical 
assistance to providers serving medically under-
served areas or populations in the establishment 
and implementation of telehealth services. 
‘‘(C) COLLABORATION
AND
SHARING
OF 
EXPERTISE.—The eligible entity has a dem-
onstrated record of collaborating and sharing 
expertise with providers of telehealth services at 
the national, regional, State, and local levels.’’; 
(6) in subsection (j)(2)(B), by striking ‘‘such 
projects for fiscal year 2001’’ and all that follows 
through the period and inserting ‘‘such projects for 
fiscal year 2010.’’; 
(7) in subsection (k)(1)— 
(A) in subparagraph (E)(i), by striking 
‘‘transmission of medical data’’ and inserting 
‘‘transmission and electronic archival of medical 
data’’; and 
(B) by amending subparagraph (F) to read 
as follows: 
‘‘(F) developing projects to use telehealth 
technology to— 
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‘‘(i) facilitate collaboration between 
health care providers; 
‘‘(ii) promote telenursing services; or 
‘‘(iii) promote patient understanding 
and adherence to national guidelines for 
chronic disease and self-management of 
such conditions;’’; 
(8) in subsection (n), by inserting ‘‘and mini-
mize duplication’’ before the period at the end; 
(9) in subsection (q), by striking ‘‘Not later 
than September 30, 2005’’ and inserting ‘‘Not later 
than 1 year after the date of the enactment of the 
Telehealth Improvement and Expansion Act of 
2010, and annually thereafter’’; 
(10) by striking subsection (r); 
(11) by redesignating subsection (s) as sub-
section (r); and 
(12) in subsection (r) (as so redesignated)— 
(A) in paragraph (1)— 
(i) by striking ‘‘and’’ before ‘‘such 
sums’’; and 
(ii) by inserting ‘‘, $10,000,000 for 
each of the fiscal years 2012 through 
2016’’ before the semicolon; and 
(B) in paragraph (2)— 
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(i) by striking ‘‘and’’ before ‘‘such 
sums’’; and 
(ii) by inserting ‘‘, $10,000,000 for 
each of the fiscal years 2012 through 
2016’’ before the period. 
(b) TELEMEDICINE; INCENTIVE GRANTS REGARDING 
COORDINATION AMONG STATES.—Subsection (b) of sec-
tion 330L (42 U.S.C. 254c–18) is amended by inserting 
‘‘, $10,000,000 for each of the fiscal years 2012 through 
2016’’ before the period at the end. 
Æ 
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