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119-hr-6817119th CongressWALLET

Home-Based Telemental Health Care Act of 2025

Sponsored By: Representative Salinas, Andrea [D-OR-6]

Introduced

Summary

Expanding home-based telemental health for rural communities and agricultural workers. This bill would create a new Title III grant program to fund remote mental health and substance use care delivered in patients' homes and to build the technology and broadband needed to reach them.

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  • Rural residents and people who work in farming, fishing, or forestry would gain access to mental health and substance use services delivered into their homes by trained professionals. These grants target health professional shortage areas and specified agricultural occupations.
  • Public or nonprofit telemental health networks would be eligible for funding to deliver services, train staff, and expand capacity. Grants can pay for broadband expansion, patient devices, and other technology needed for quality remote care.
  • The program must develop metrics comparing home-based telemental care to in-person care and report impacts and quality to Congress within 3 years and then every 2 years.

*Would authorize up to $10.0 million per year for fiscal years 2025–2029, totaling up to $50.0 million in authorizations and increasing federal spending.*

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More home telemental care for rural residents

This bill would create a grant program to expand telemental health services delivered when patients are in their own home or other place of comfort. People in HRSA-defined rural health professional shortage areas and workers in farming, fishing, or forestry would be covered. The Secretary, in consultation with the Department of Agriculture Rural Health Liaison, would award grants to public or nonprofit telemental health networks that use psychiatrists and other trained mental health professionals. The bill would authorize up to $10,000,000 for each fiscal year 2025 through 2029 to carry out the program, and grants would pay for service delivery, quality metrics, broadband and patient devices, and provider technology. The Secretary would report on program impact no later than three years after the program starts and then every two years.

Sponsors & CoSponsors

Sponsor

Salinas, Andrea [D-OR-6]

OR • D

Cosponsors

  • Rep. Harshbarger, Diana [R-TN-1]

    TN • R

    Sponsored 12/17/2025

  • Rep. Gonzalez, Vicente [D-TX-34]

    TX • D

    Sponsored 5/11/2026

Roll Call Votes

No roll call votes available for this bill.

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