In November 2016, the US Senate voted (97–0) to pass the Expanding Capacity for Project Extension for Community Healthcare Outcomes (ECHO) Act introduced by Senators Brian Schatz (D-Hawaii) and Orrin Hatch (R-Utah), which authorizes the US Department of Health and Human Services to study and expand New Mexico’s Project ECHO as a national model for using telehealth for rural care. Project ECHO trains and mentors primary care providers (PCPs) in the care of patients with complex conditions. Project ECHO is a distance education model that connects specialists with numerous PCPs via simultaneous web-based interactive video-teleconferencing technology for the purpose of facilitating case-based learning. Project ECHO is designed to develop capacity for safe and effective treatment of chronic, common, and complex conditions, while monitoring outcomes to ensure quality of care.