HR9431119th CongressWALLET

Fair Telehealth Billing Act of 2026

Sponsored By: Representative Hayes, Jahana [D-CT-5]

Introduced

Summary

Prohibits separate facility fees for telehealth visits when the telehealth clinician can bill the professional service on their own. It would add that rule into ERISA, create civil penalties up to $10,000 per violation, and direct the Labor Secretary to implement the change by rulemaking with an effective date of January 1, 2028.

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  • Patients and families: Would not face a separate telehealth facility fee for visits where the clinician bills independently. This removes one source of extra charges for those telehealth encounters.
  • Health care providers and facilities: May no longer bill a separate facility fee in those situations. Violations can carry civil penalties of up to $10,000 per violation.
  • ERISA-covered health plans and employers: Gain a new billing requirement to follow under ERISA and must comply with Labor Department implementing rules for services furnished on or after January 1, 2028.

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Bill Overview

Analyzed Economic Effects

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

Lower telehealth bills for patients

You could pay less for telehealth visits on or after January 1, 2028. It applies only when the telehealth provider is authorized to bill independently for the professional service. The Secretary of Labor would be able to assess civil monetary penalties up to $10,000 per violation. The Secretary would write rules to implement the change.

Sponsors & CoSponsors

Sponsor

Hayes, Jahana [D-CT-5]

CT • D

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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