# 119-hr-2263: Telehealth Coverage Act of 2025

119-hr-2263, Telehealth Coverage Act of 2025, is a 119th Congress bill sponsored by Rep. Khanna, Ro [D-CA-17] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-2263
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2263
- Congress: 119
- Title: Telehealth Coverage Act of 2025
- Status: introduced
- Introduced: 2025-03-21
- Sponsor: Rep. Khanna, Ro [D-CA-17] (D-CA)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Makes permanent expanded Medicare telehealth flexibilities put in place during the public health emergency.** It locks in broader access, preserves audio-only visits, and aligns ongoing policy with the emergency authority so telehealth applies back to the start of the emergency period. - Patients and families: Keeps telehealth as a lasting option, including audio-only visits and telehealth use for hospice recertification with required safeguards and billing modifiers. - Clinics and frontline providers: Expands which practitioners can furnish telehealth and ensures Federally Qualified Health Centers and Rural Health Clinics have coverage dating to the emergency period. It removes in-person visit requirements for specific services like home dialysis monthly visits, stroke care, and substance use disorder and mental health services. - Programs and administration: Extends Acute Hospital Care at Home waiver flexibilities and expands in-home cardiopulmonary rehab and virtual Diabetes Prevention Program suppliers. The Secretary must create telehealth claim modifiers by Jan 1, 2026 and issue guidance on telehealth for people with limited English proficiency within one year.

## Provisions PRIA read

- Keep Medicare Hospital-at-Home option: benefit, medium. If enacted, the Medicare Hospital-at-Home waiver flexibilities would continue beyond March 31, 2025. They would apply on or after the day after the end of a formal emergency period. This could help eligible patients keep getting hospital-level care at home.
- More Medicare telehealth, fewer in-person visits: benefit, medium. If enacted, Medicare telehealth rules would no longer end on March 31, 2025. They would follow a formal emergency-period trigger instead. More types of clinicians and FQHCs/RHCs could keep doing telehealth, including mental health visits after April 1, 2025. Written in-person visit rules for home d…
- Clinician tips on movement-disorder screening: benefit, low. If enacted, by January 1, 2026 HHS would send education to Medicare clinicians on screening for medication-induced movement disorders. It would include telehealth best practices and how to reflect screening in billing codes.
- Home cardiac rehab by live video: benefit, low. If enacted, starting March 31, 2025, you could receive cardiac or pulmonary rehab at home by live audio-video. Phone-only calls would not count. HHS could issue instructions to put this in place.
- Online Diabetes Prevention under Medicare: benefit, low. If enacted, starting January 1, 2026, organizations could join the Medicare Diabetes Prevention Program as online-only suppliers. Services could be live or not. Claims could be paid even if you are in a different state from the supplier. There would be no limit on how many times you can enroll.
- Telehealth help for limited English patients: benefit, low. If enacted, within one year HHS would issue best-practice guidance to serve patients with limited English during telehealth. It would cover using interpreters, giving multi-language instructions, making patient portals easier to use, and using multi-person video for interpretation. Materials like r…
- Telehealth for hospice recertification, with safeguards: mixed, medium. If enacted, telehealth could satisfy the face-to-face visit used to recertify hospice care when an emergency period starts. On or after March 31, 2025, this would not apply in areas with a hospice enrollment moratorium, for patients of providers under enhanced oversight, or when the clinician is no…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-3077: Agriculture Resilience Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7973: Momnibus Act
- 119-hr-2038: American Housing and Economic Mobility Act of 2025
- 119-hr-6976: Duty Status Reform Act

## Sources
- [119-hr-2263 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2263)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-3077: Agriculture Resilience Act of 2025](https://policyrisk.com/legislation/119-hr-3077)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-2038: American Housing and Economic Mobility Act of 2025](https://policyrisk.com/legislation/119-hr-2038)
- [119-hr-6976: Duty Status Reform Act](https://policyrisk.com/legislation/119-hr-6976)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2263 (as of 2026-04-21).