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HR 1867119th CongressIn Committee

To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology.

Introduced: Mar 5, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs

This bill would expand Medicare coverage for mental health services furnished via telehealth and other telecommunications technology by removing in-person requirements and certain site/location restrictions. It modifies how and when telehealth-based mental health and substance use disorder services can be delivered, aiming to make such care available outside traditional in-person visits and away from strict geographic/originating-site rules. It also removes sunset deadlines that currently limit telehealth coverage for mental health visits at Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), potentially making these telehealth provisions permanent. The changes would be implemented through amendments to sections of the Social Security Act governing Medicare Part B telehealth. In practical terms, the bill seeks to ensure that mental health and substance use disorder care delivered through telehealth can be diagnosed, evaluated, and treated without requiring the patient to have an in-person visit or to be at a restricted originating site, with certain timelines tied to the end of the public health emergency. The Secretary would determine how these flexibilities apply, expanding access for beneficiaries who face barriers to in-person care and for providers who deliver care remotely.

Key Points

  • 1Removes in-person requirements and broadens telehealth use for mental health and substance use disorder services under Medicare, including after the end of the public health emergency.
  • 2Expands acceptable originating sites for telehealth mental health visits and removes geographic limitations for certain telehealth services, allowing more flexible delivery of care.
  • 3Applies telehealth flexibility to mental health diagnosis, evaluation, and treatment, including services for co-occurring mental health and substance use disorders, as determined by the Secretary.
  • 4Eliminates the sunset dates that previously restricted telehealth mental health visits for Rural Health Clinics and Federally Qualified Health Centers (strikes the language “prior to April 1, 2025” in relevant sections), creating the potential for ongoing coverage.
  • 5Involves amendments to multiple sections of the Social Security Act (1834(m)(7), 1834(y)(2), and 1834(o)(4)(B)) to implement these changes.

Impact Areas

Primary group/area affected: Medicare beneficiaries needing mental health or substance use disorder care who rely on telehealth options, particularly those in rural or underserved areas; clinicians and organizations delivering telehealth mental health services.Secondary group/area affected: Rural Health Clinics and Federally Qualified Health Centers, which would see continued telehealth coverage for mental health services beyond prior deadlines; telemedicine platforms and healthcare IT vendors supporting telehealth.Additional impacts: Potential changes in Medicare program costs and utilization patterns for mental health services; changes in administrative processes and oversight by the Secretary; considerations around patient privacy, data security, and quality of care in remote settings; need for states and providers to adapt to expanded telehealth delivery models.
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