HR5081119th CongressWALLET

Telehealth Modernization Act

Sponsored By: Representative Carter (GA)

Introduced

Summary

Extends and expands Medicare telehealth flexibilities. This bill would keep and broaden temporary telehealth authorities while adding program integrity checks, required guidance, and follow-up studies to improve access and quality of remote care.

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 5 benefits, 0 costs, 2 mixed.

Medicare telehealth rules extended to 2027

If enacted, key Medicare telehealth flexibilities would run through September 30, 2027. You could keep using audio‑only visits where allowed. More types of clinicians could treat you by telehealth, and your location would not limit coverage. The in‑person visit rule for tele‑mental health would be delayed until October 1, 2027. Community health centers and rural clinics would be paid for telehealth like other clinic care in FY2026–FY2027, helping them keep services available.

At-home heart rehab by video only

If enacted, Medicare would allow heart and lung rehab at home by live video from September 30, 2025 to December 31, 2026. Audio‑only calls would not count. Your doctor or other clinicians could supervise by video.

Hospital care at home through 2030

If enacted, the Medicare hospital‑at‑home program would run through 2030. Hospitals could keep giving acute hospital‑level care in your home when appropriate.

Online Diabetes Prevention Program 2026-2030

If enacted, from January 1, 2026 to December 31, 2030, organizations could offer an online‑only Medicare Diabetes Prevention Program. You could enroll more than once in that period and join from any state. Suppliers would still need to meet Medicare enrollment rules.

Telehealth help for limited-English patients

If enacted, HHS would issue guidance within one year to help people with limited English use telehealth. It would cover using interpreters, multi‑person video for interpretation, easier portal access, and translated materials. The guidance would be shared with providers, insurers, and tech and language companies.

Hospice telehealth recert visits extended

If enacted, telehealth could be used for the hospice face‑to‑face recertification visit through September 30, 2027. Starting September 30, 2025, this would not apply in areas with a hospice enrollment freeze, for hospices under special oversight, or when the clinician is not enrolled and not an opt‑out clinician. Starting January 1, 2026, hospice claims would need a code to show the visit was done by telehealth.

Stronger Medicare checks on medical equipment

If enacted, Medicare would add new fraud checks for durable medical equipment and prosthetics starting January 1, 2028. Items with unusual billing, like many orders from a doctor who has not provided you any Medicare‑paid care in the past 24 months, could face review before payment. This could slow some claims but aims to cut improper billing.

Sponsors & CoSponsors

Sponsor

Carter (GA)

GA • R

Cosponsors

  • Dingell

    MI • D

    Sponsored 9/2/2025

  • Ross

    NC • D

    Sponsored 9/15/2025

  • Lynch

    MA • D

    Sponsored 9/17/2025

  • Liccardo

    CA • D

    Sponsored 10/14/2025

  • Johnson (TX)

    TX • D

    Sponsored 10/17/2025

  • Riley (NY)

    NY • D

    Sponsored 12/3/2025

  • Conaway

    NJ • D

    Sponsored 12/10/2025

Roll Call Votes

No roll call votes available for this bill.

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