Telehealth Coverage Act of 2025
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HR 2263 — Telehealth Coverage Act of 2025
Last action — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill is in committee in the House. Introduced February 25, 2025. It must pass committee before a floor vote.
Next likely step: a committee vote, then a floor vote in the House.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
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In Committee
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 D).
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Telehealth Coverage Act of 2025This bill permanently extends coverage of telehealth services and other coverage flexibilities under Medicare.Specifically, the bill permanently extends certain flexibilities that were initially authorized during the public health emergency relating to COVID-19. Among other things, the bill allows (1) rural health clinics and federally qualified health centers to serve as the distant site (i.e., the location of the health care practitioner); (2) the home of a beneficiary to serve as the originating site (i.e., the location of the beneficiary) for all services (rather than for only certain services); and (3) audiologists, physical therapists, occupational therapists, and speech-language pathologists to furnish telehealth services.The bill also permanently extends programs that provide added flexibility to treat Medicare beneficiaries at home, including the Acute Hospital Care at Home Program. The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.Additionally, the Centers for Medicare & Medicaid Services must (1) issue guidance for telehealth providers on how to support those with limited English proficiency, and (2) conduct outreach to providers to support screenings for medication-induced movement disorders that are associated with treating mental health disorders in at-risk patients, including telehealth screenings.
Bill Text
- Introduced Introduced in House Current html March 21, 2025
Sections of law this bill changes
3 sections in 1 lawFrom the bill's own amending language, matched to the official United States Code (current through Public Law 119-121).
Social security · 42 U.S.C. ch. 7 3 sections
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§ 1395f Conditions of and limitations on payment for services Amends
42 U.S.C. § 1395f — at 1395f(a)(7)(D)(i)(II)
The law today
(a) Requirement of requests and certifications Except as provided in subsections (d) and (g) and in section 1395mm of this title, payment for services furnished an individual may be made only to providers of services which are eligible therefor under section 1395cc of this title and only if— (1) written request, signed by such individual, except in cases in which the Secretary finds it impracticable for the individual to do so, is filed for such payment in such form, in such manner, and by such person or persons as the Secretary may by regulation prescribe, no later than the close of the period ending 1 calendar year after the date of service; (2) a physician, or, in the case of services described in subparagraph (B), a physician, or a nurse practitioner, a clinical nurse specialist, or a physician assistant (as those terms are defined in section 1395x(aa)(5) of this title) who does not have a direct or indirect employment relationship with the facility but is working in collaboration with a physician,,1 or, in the case of services described in subparagraph (C), a physician, a nurse practitioner or clinical nurse specialist (as such terms are defined in section 1395x(aa)(5) of this title) who is working in accordance with State law, or a physician assistant (as defined in section 1395x(aa)(5) of this title) who is working in accordance with State law, who is enrolled under section 1395cc(j) of this title, certifies (and recertifies, where such services are furnished over a period of time, in such cases, with such frequency, and accompanied by such supporting material, appropriate to the case involved, as may be provided by regulations, except that the first of such recertifications shall be required in each case of inpatient hospital services not later than the 20th day of such period) that— (A) in the case of inpatient psychiatric hospital services, such services are or were required to be given on an inpatient basis, by or under the supervision of a physician, for the psychiatric treatment of an individual; and (i) such treatment can or could reasonably be expected to improve the condition for which such treatment is or was necessary or (ii) inpatient diagnostic study is or was medically required and such services are or were necessary for such purposes; (B) in the case of post-hospital extended care services, such services are or were required to be given because the individual needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation services, which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis, for any of the conditions with respect to which he was receiving inpatient hospital services (or services which would constitute inpatient hospital services if the institution met the requirements of paragraphs (6) and (9) of section 1395x(e) of this title) prior to transfer to the skilled nursing facility or for a condition requiring such extended care services which arose after such transfer and while he was still in the facility for treatment of the condition or conditions for which he was receiving such inpatient hospital services; (C) in the case of home health services, such services are or were required because the individual is or was confined to his home (except when receiving items and services referred to in section 1395x(m)(7) of this title) and needs or needed skilled nursing care (other than solely venipuncture for the purpose of obtaining a blood sample) on an intermittent basis or physical or speech therapy or, in the case of an individual who has been furnished home health services based on such a need and who no longer has such a need for such care or therapy, continues or continued to need occupational therapy; a plan for furnishing such services to such individual has been established and is periodically reviewed by a physician, a nurse practitioner, a c...105 other bills also change this section · Follow it → Official text at uscode.house.gov ↗
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§ 1395m Special payment rules for particular items and services Amends
42 U.S.C. § 1395m — at 1395m(m), 1395m(m)(4)(E), 1395m(m)(8)(A), 1395m(m)(9), 1395m(o)(4)(B), and 1395m(y)(2)
The law today
(a) Payment for durable medical equipment (1) General rule for payment (A) In general With respect to a covered item (as defined in paragraph (13)) for which payment is determined under this subsection, payment shall be made in the frequency specified in paragraphs (2) through (7) and in an amount equal to 80 percent of the payment basis described in subparagraph (B). (B) Payment basis Subject to subparagraph (F)(i), the payment basis described in this subparagraph is the lesser of— (i) the actual charge for the item, or (ii) the payment amount recognized under paragraphs (2) through (7) of this subsection for the item; except that clause (i) shall not apply if the covered item is furnished by a public home health agency (or by another home health agency which demonstrates to the satisfaction of the Secretary that a significant portion of its patients are low income) free of charge or at nominal charges to the public. (C) Exclusive payment rule Subject to subparagraph (F)(ii), this subsection shall constitute the exclusive provision of this subchapter for payment for covered items under this part or under part A to a home health agency. (D) Reduction in fee schedules for certain items With respect to a seat-lift chair or transcutaneous electrical nerve stimulator furnished on or after April 1, 1990, the Secretary shall reduce the payment amount applied under subparagraph (B)(ii) for such an item by 15 percent, and, in the case of a transcutaneous electrical nerve stimulator furnished on or after January 1, 1991, the Secretary shall further reduce such payment amount (as previously reduced) by 45 percent. (E) Clinical conditions for coverage (i) In general The Secretary shall establish standards for clinical conditions for payment for covered items under this subsection. (ii) Requirements The standards established under clause (i) shall include the specification of types or classes of covered items that require, as a condition of payment under this subsection, a face-to-face examination of the individual by a physician (as defined in section 1395x(r) of this title), a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1395x(aa)(5) of this title) and a prescription for the item. (iii) Priority of establishment of standards In establishing the standards under this subparagraph, the Secretary shall first establish standards for those covered items for which the Secretary determines there has been a proliferation of use, consistent findings of charges for covered items that are not delivered, or consistent findings of falsification of documentation to provide for payment of such covered items under this part. (iv) Standards for power wheelchairs Effective on December 8, 2003, in the case of a covered item consisting of a motorized or power wheelchair for an individual, payment may not be made for such covered item unless a physician (as defined in section 1395x(r)(1) of this title), a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1395x(aa)(5) of this title) has conducted a face-to-face examination of the individual and written a prescription for the item. (v) Limitation on payment for covered items Payment may not be made for a covered item under this subsection unless the item meets any standards established under this subparagraph for clinical condition of coverage. (F) Application of competitive acquisition; limitation of inherent reasonableness authority In the case of covered items furnished on or after January 1, 2011, subject to subparagraphs (G) and (H), that are included in a competitive acquisition program in a competitive acquisition area under section 1395w–3(a) of this title— (i) the payment basis under this subsection for such items and services furnished in such area shall be the payment basis determined under such competitive acquisition program; (ii) the Secretary may (and, in the case of ...391 other bills also change this section · Follow it → Official text at uscode.house.gov ↗
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§ 1395x Definitions Amends
42 U.S.C. § 1395x — at 1395x(eee)(2)
The law today
For purposes of this subchapter— (a) Spell of illness The term “spell of illness” with respect to any individual means a period of consecutive days— (1) beginning with the first day (not included in a previous spell of illness) (A) on which such individual is furnished inpatient hospital services, inpatient critical access hospital services or extended care services, and (B) which occurs in a month for which he is entitled to benefits under part A, and (2) ending with the close of the first period of 60 consecutive days thereafter on each of which he is neither an inpatient of a hospital or critical access hospital nor an inpatient of a facility described in section 1395i–3(a)(1) of this title or subsection (y)(1). (b) Inpatient hospital services The term “inpatient hospital services” means the following items and services furnished to an inpatient of a hospital and (except as provided in paragraph (3)) by the hospital— (1) bed and board; (2) such nursing services and other related services, such use of hospital facilities, and such medical social services as are ordinarily furnished by the hospital for the care and treatment of inpatients, and such drugs, biologicals, supplies, appliances, and equipment, for use in the hospital, as are ordinarily furnished by such hospital for the care and treatment of inpatients; and (3) such other diagnostic or therapeutic items or services, furnished by the hospital or by others under arrangements with them made by the hospital, as are ordinarily furnished to inpatients either by such hospital or by others under such arrangements; excluding, however— (4) medical or surgical services provided by a physician, resident, or intern, services described by subsection (s)(2)(K), certified nurse-midwife services, qualified psychologist services, and services of a certified registered nurse anesthetist; and (5) the services of a private-duty nurse or other private-duty attendant. Paragraph (4) shall not apply to services provided in a hospital by— (6) an intern or a resident-in-training under a teaching program approved by the Council on Medical Education of the American Medical Association or, in the case of an osteopathic hospital, approved by the Committee on Hospitals of the Bureau of Professional Education of the American Osteopathic Association, or, in the case of services in a hospital or osteopathic hospital by an intern or resident-in-training in the field of dentistry, approved by the Council on Dental Education of the American Dental Association, or in the case of services in a hospital or osteopathic hospital by an intern or resident-in-training in the field of podiatry, approved by the Council on Podiatric Medical Education of the American Podiatric Medical Association; or (7) a physician where the hospital has a teaching program approved as specified in paragraph (6), if (A) the hospital elects to receive any payment due under this subchapter for reasonable costs of such services, and (B) all physicians in such hospital agree not to bill charges for professional services rendered in such hospital to individuals covered under the insurance program established by this subchapter. (c) Inpatient psychiatric hospital services The term “inpatient psychiatric hospital services” means inpatient hospital services furnished to an inpatient of a psychiatric hospital. (d) Supplier The term “supplier” means, unless the context otherwise requires, a physician or other practitioner, a facility, or other entity (other than a provider of services) that furnishes items or services under this subchapter. (e) Hospital The term “hospital” (except for purposes of sections 1395f(d), 1395f(f), and 1395n(b) of this title, subsection (a)(2) of this section, paragraph (7) of this subsection, and subsection (i) of this section) means an institution which— (1) is primarily engaged in providing, by or under the supervision of physicians, to inpatients (A) diagnostic services and therapeutic services for medical ...553 other bills also change this section · Follow it → Official text at uscode.house.gov ↗
Also cites: 42 U.S.C. § 1315a, 42 U.S.C. § 1395cc
Compared against current U.S. Code AI-generated reading aid — verify against the official bill.
The bill makes permanent various telehealth flexibilities under Medicare.
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42 U.S.C. 1395m(m)(2)(B)(iii)
In the case that→ With respect to telehealth services that are furnished on or after the first day of the emergency period described in section 1135(g)(1)(B),This change allows for the broader use of telehealth services effective from the start of the specified emergency period.
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42 U.S.C. 1395m(m)(4)(C)(iii)
In the case that→ With respect to telehealth services that are furnished on or after the first day of the emergency period described in section 1135(g)(1)(B),This change enables permanent access to telehealth services from the identified date.
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42 U.S.C. 1395m(m)(4)(E)
in the case that→ beginning on the first day of the emergency period described in section 1135(g)(1)(B),This amendment expands eligibility for practitioners to furnish telehealth services starting from the specified emergency date.
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42 U.S.C. 1395m(m)(8)(A)
During the emergency→ Beginning on the first day of the emergency period described in section 1135(g)(1)(B)This enables the permanent extension of telehealth services provided by federally qualified health centers and rural health clinics from the emergency period commencement.
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42 U.S.C. 1395m(m)(9)
In the case that→ The Secretary shallThis change clarifies the Secretary's authority regarding telehealth services using audio-only technology beyond the emergency period.
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42 U.S.C. 1395m(m)(9)
identified in paragraph (4)(F)(i) as of the date of the enactment of this paragraphThis removal allows broader telehealth services to be approved without restriction based on previous identification.
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42 U.S.C. 1395m(m)(9)
during the period→ on or after the first day of the emergency period described in section 1135(g)(1)(B).This ensures that telehealth services using audio-only technology remain available after the emergency period.
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42 U.S.C. 1395m(m)
paragraphs (5) through (7)This deletion removes in-person requirements for certain telehealth services, facilitating easier access to home dialysis, stroke, substance use, and mental health services.
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42 U.S.C. 1395m(o)(4)(B)
prior to April 1, 2025This amendment allows mental health visits by federally qualified health centers to occur without a pre-April 2025 restriction.
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42 U.S.C. 1395m(y)(2)
prior to April 1, 2025This change removes the timing limitation on mental health visits provided by rural health clinics.
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42 U.S.C. 1395f(a)(7)(D)(i)(II)
during the emergency period→ beginning on the first day of the emergency period described in section 1135(g)(1)(B)This provision allows face-to-face encounters for hospice care eligibility via telehealth starting from the specified emergency period.
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42 U.S.C. 1395f(a)(7)(D)(i)(II)
and ending on March 31, 2025This removes the termination date for telehealth encounters in hospice care eligibility.
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42 U.S.C. 1395m(m)
Subject to paragraphs (8) and (9)→ Subject to paragraphs (5) and (6)This ensures the updated paragraph numbers align with the removal of prior paragraphs.
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42 U.S.C. 1395m(m)(2)
and paragraph (6)(C)This streamlines regulatory references following the amendments.
Action History
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Introduced in House
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Introduced in House
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Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
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Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
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Sponsor introductory remarks on measure. (CR H775)
Sponsors
- Ro Khanna · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 546 not signed on
Sponsors (1)
- Khanna, Ro Democratic
Co-sponsors (0)
None.
Not signed on (546)
546 members have not signed on to this bill.
Show all 546 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- What does HR 2263 do?
- Telehealth Coverage Act of 2025This bill permanently extends coverage of telehealth services and other coverage flexibilities under Medicare.Specifically, the bill permanently extends certain flexibilities that were initially authorized during the public health emergency relating to COVID-19. Among other things, the bill allows (1) rural health clinics and federally qualified health centers to serve as the distant site (i.e., the location of the health care practitioner); (2) the home of a beneficiary to serve as the originating site (i.e., the location of the beneficiary) for all services (rather than for only certain services); and (3) audiologists, physical therapists, occupational therapists, and speech-language pathologists to furnish telehealth services.The bill also permanently extends programs that provide added flexibility to treat Medicare beneficiaries at home, including the Acute Hospital Care at Home Program. The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.Additionally, the Centers for Medicare & Medicaid Services must (1) issue guidance for telehealth providers on how to support those with limited English proficiency, and (2) conduct outreach to providers to support screenings for medication-induced movement disorders that are associated with treating mental health disorders in at-risk patients, including telehealth screenings.
- Who sponsors HR 2263?
- HR 2263 is sponsored by Khanna, Ro (Democratic).
- What is the current status of HR 2263?
- This bill is in committee in the House. Introduced February 25, 2025. It must pass committee before a floor vote.
- Where can I track HR 2263?
- Track HR 2263 free on One Click Politics — get push/email alerts when it moves.
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