What does Preamble of Telehealth Coverage Act of 2025 do?

This bill, formally titled 'To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program, and for other purposes,' aims to amend title XVIII of the Social Security Act. The bill intends to make certain telehealth flexibilities permanent within the Medicare program.

What does SHORT TITLE. of Telehealth Coverage Act of 2025 do?

This bill is formally titled the Telehealth Coverage Act of 2025.

What does MAKING PERMANENT CERTAIN TELEHEALTH FLEXIBILITIES UNDER of Telehealth Coverage Act of 2025 do?

This section amends various provisions of the Social Security Act related to telehealth services under Medicare. It extends certain telehealth flexibilities, including expanded access for practitioners and services furnished by Federally Qualified Health Centers and Rural Health Clinics, by referencing the first day of the emergency period described in section 1135(g)(1)(B). The section eliminates in-person requirements for certain services furnished through telehealth, such as home dialysis, stroke telehealth services, and mental health services. It modifies requirements related to the treatment of telehealth services furnished using audio-only telecommunications technology. Amendments are made to sections 1834(o)(4)(B) and 1834(y)(2) to remove expiration dates related to mental health visits furnished by federally qualified health centers and rural health clinics. The section modifies requirements for telehealth encounters prior to hospice care recertification, with exceptions for certain locations and providers. It requires the Secretary to establish requirements for the use of modifiers on telehealth claims furnished through virtual platforms or incident to a physician’s service, effective no later than January 1, 2026. The Secretary of Health and Human Services is authorized to implement these amendments through program instruction.

What does REQUIRING MODIFIER FOR USE OF TELEHEALTH TO CONDUCT FACE-TO- of Telehealth Coverage Act of 2025 do?

This section amends Section 1814(a)(7)(D)(i)(II) of the Social Security Act. The amendment requires the inclusion of modifiers or codes on hospice claims for telehealth encounters. This requirement applies to encounters occurring on or after January 1, 2026. The Secretary specifies the modifiers or codes to be used.

What does EXTENDING ACUTE HOSPITAL CARE AT HOME WAIVER FLEXIBILITIES. of Telehealth Coverage Act of 2025 do?

This section amends Section 1866G(a)(1) of the Social Security Act. The amendment modifies the end date for Acute Hospital Care at Home Waiver Flexibilities. The waiver flexibilities will now extend 'on or after the first day after the end of the emergency period described in section 1135(g)(1)(B)'.

What does GUIDANCE ON FURNISHING SERVICES VIA TELEHEALTH TO INDIVIDUALS of Telehealth Coverage Act of 2025 do?

This section requires the Secretary of Health and Human Services to issue guidance within one year of enactment. The guidance is intended for entities providing telehealth services and focuses on improving access for individuals with limited English proficiency. The guidance will cover best practices for interpreter use, accessible telecommunications systems, digital patient portals, video platforms for interpretation, and multilingual patient materials. The guidance development will involve consultation with various entities including health information technology providers, healthcare providers, health insurers, language service companies, interpreter associations, quality certification organizations, and patient advocates.

What does IN-HOME CARDIOPULMONARY REHABILITATION FLEXIBILITIES. of Telehealth Coverage Act of 2025 do?

This section amends Section 1861(eee)(2) of the Social Security Act. The amendment allows cardiopulmonary rehabilitation services to be furnished on an outpatient basis, including through audio and video real-time communications technology in the home of an individual, starting March 31, 2025. The amendment also allows for the virtual presence of physicians, physician assistants, nurse practitioners, or clinical nurse specialists during such services, starting March 31, 2025. The Secretary of Health and Human Services is authorized to implement these amendments through program instructions or other means.

What does INCLUSION OF VIRTUAL DIABETES PREVENTION PROGRAM SUPPLIERS IN of Telehealth Coverage Act of 2025 do?

This section requires the Secretary to revise regulations under parts 410 and 424 of Title 42, Code of Federal Regulations, by January 1, 2026. Entities may participate in the Medicare Diabetes Prevention Program (MDPP) by offering only online services via synchronous or asynchronous technology or telecommunications, provided they meet enrollment conditions. For entities offering online MDPP services, the administrative location is defined as the entity's address on file under the Diabetes Prevention Recognition Program. Entities providing online MDPP services are not prohibited from submitting claims for payment solely due to the beneficiary's location. There is no limit on the number of times an individual may enroll in the MDPP. The term 'MDPP' refers to the Medicare Diabetes Prevention Program under section 1115A of the Social Security Act, as described in a final rule published in the Federal Register.

What does MEDICATION-INDUCED MOVEMENT DISORDER OUTREACH AND EDUCATION. of Telehealth Coverage Act of 2025 do?

This section mandates the Secretary to provide education and outreach to Medicare providers regarding periodic screening for medication-induced movement disorders. The education and outreach must address clinical guidelines, best practices for telehealth screening, and how to account for screening services in evaluation and management code selection. The Secretary is directed to seek input from stakeholders to inform the education and outreach efforts. The education and outreach may also address other relevant telehealth screening services at the Secretary's discretion. The deadline for initiating this education and outreach is January 1, 2026.

Back to bills

Telehealth Coverage Act of 2025

Last updated: 3/21/2025 · Introduced: 3/21/2025

Author: Ro Khanna (D-CA)

TL;DR (AI)

The bill makes permanent several telehealth flexibilities previously implemented during public health emergencies, including expanded access for practitioners and services provided by rural health clinics.
It eliminates in-person requirements for certain Medicare telehealth services, such as home dialysis, stroke telehealth, and mental health services.
Hospice providers will be required to use specific modifiers or codes on claims for telehealth encounters starting January 1, 2026.
The bill extends Acute Hospital Care at Home Waiver Flexibilities beyond the current emergency period.
The Secretary of Health and Human Services must issue guidance to improve telehealth access for individuals with limited English proficiency, including best practices for interpreter use and accessible technology.

119th Congressin committeeHR. 1523(In Committee)Official page

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Includes provisions on preamble, short title., and 7 more.

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