HR4206119th CongressWALLET

CONNECT for Health Act of 2025

Sponsored By: Representative Thompson (CA)

Introduced

Summary

Expands Medicare telehealth access by removing geographic limits and ending an in-person requirement for telemental health. It would also change payment rules for clinics and require more oversight, training, and data reporting.

Show full summary
  • Medicare beneficiaries would be able to receive telehealth across geographies beginning October 1, 2025. Telemental health would no longer require a six-month in-person visit and tribal and Native Hawaiian facilities would be exempt from originating-site rules starting January 1, 2026.
  • Federally Qualified Health Centers and Rural Health Clinics would be paid for telehealth under outpatient or prospective payment methods and telehealth costs as distant-site care would count as allowable PPS costs. The HHS Secretary could waive limits on which practitioner types may furnish telehealth starting October 1, 2025 with annual public comment and a three-year reassessment requirement.
  • The bill would strengthen program integrity funding for telehealth, require CMS to post quarterly telehealth data, and add telehealth to quality-measure reviews within 180 days. It also mandates a beneficiary engagement study and a Government Accountability Office report on hospice recertification within three years.

Bill Overview

Analyzed Economic Effects

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

Stronger oversight and public telehealth data

If enacted, HHS would identify and notify providers with unusually high Medicare telehealth billing, and Telehealth Resource Centers would train those providers. CMS would post quarterly public data on who uses telehealth and recent effects on Medicare spending and use, starting within 180 days. The bill would authorize $3 million each year for fiscal years 2026–2030 for Inspector General audits and investigations on telehealth. It would also clarify that providers may give patients certain telehealth or remote‑monitoring tech without violating fraud rules, if not used for advertising and they meet HHS conditions.

More Medicare telehealth at clinics and tribal sites

If enacted, Medicare telehealth visits at Federally Qualified Health Centers and Rural Health Clinics would count as clinic outpatient visits. Starting October 1, 2025, those visits would be paid under the clinic payment systems, and clinic costs for distant‑site telehealth would count. The bill would end the six‑month in‑person rule for telemental health. It would expand originating‑site rules on enactment and lift geographic limits after September 30, 2025. For care on or after January 1, 2026, Indian Health Service, tribal, and Native Hawaiian sites would not need certain originating‑site rules, and no facility fee could be charged when only that exemption applies.

Emergency telehealth waivers during public health emergencies

If enacted, public health emergencies declared after this bill would count as emergency periods for special waiver rules. That would let HHS use telehealth‑specific waivers during those emergencies to keep care available.

More clinicians allowed for Medicare telehealth

If enacted, starting October 1, 2025, the Secretary could waive limits on which clinicians may provide Medicare telehealth when it is clinically appropriate. The Secretary could set safeguards, take public comment at least yearly, and review waivers at least every three years. Waivers found no longer appropriate would end.

Telehealth training, quality measures, and reports

If enacted, within six months HHS would issue resources and training to help people with limited English and disabilities use telehealth, and would train providers on payment, privacy, and engaging underserved groups. HHS would review telehealth quality measures within 180 days, publish guidance and best practices, and report to Congress within two years. The Government Accountability Office would report to Congress within three years on hospice recertification by telehealth and related oversight. Funds would be authorized as needed for the education and study work.

Sponsors & CoSponsors

Sponsor

Thompson (CA)

CA • D

Cosponsors

  • Schweikert

    AZ • R

    Sponsored 6/26/2025

  • Matsui

    CA • D

    Sponsored 6/26/2025

  • Balderson

    OH • R

    Sponsored 6/26/2025

  • Bacon

    NE • R

    Sponsored 6/30/2025

  • Krishnamoorthi

    IL • D

    Sponsored 6/30/2025

  • Case

    HI • D

    Sponsored 6/30/2025

  • Gottheimer

    NJ • D

    Sponsored 7/10/2025

  • Kim

    CA • R

    Sponsored 7/25/2025

  • Clarke (NY)

    NY • D

    Sponsored 8/12/2025

  • Subramanyam

    VA • D

    Sponsored 8/12/2025

  • McBride

    DE • D

    Sponsored 8/12/2025

  • McClellan

    VA • D

    Sponsored 8/12/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 8/22/2025

  • Barragan

    CA • D

    Sponsored 8/22/2025

  • Budzinski

    IL • D

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  • Tokuda

    HI • D

    Sponsored 8/22/2025

  • Torres (NY)

    NY • D

    Sponsored 8/22/2025

  • Cohen

    TN • D

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  • Landsman

    OH • D

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  • Cisneros

    CA • D

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  • Carbajal

    CA • D

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  • Riley (NY)

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    ME • D

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  • Lynch

    MA • D

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  • Guest

    MS • R

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  • Soto

    FL • D

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  • Gimenez

    FL • R

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  • Levin

    CA • D

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  • Moulton

    MA • D

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  • Panetta

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  • Norcross

    NJ • D

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  • Larsen (WA)

    WA • D

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  • Bynum

    OR • D

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  • Beatty

    OH • D

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  • Tlaib

    MI • D

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  • Elfreth

    MD • D

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  • DeSaulnier

    CA • D

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  • Bresnahan

    PA • R

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  • Dingell

    MI • D

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  • Menendez

    NJ • D

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  • Johnson (GA)

    GA • D

    Sponsored 10/3/2025

  • Cherfilus-McCormick

    FL • D

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    GA • D

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  • Meng

    NY • D

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  • McClain Delaney

    MD • D

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  • DelBene

    WA • D

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  • Bonamici

    OR • D

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  • Stevens

    MI • D

    Sponsored 10/8/2025

  • Rescom. Hernández, Pablo Jose [D-PR-At Large]

    PR • D

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  • Liccardo

    CA • D

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  • Foster

    IL • D

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  • Sewell

    AL • D

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  • Conaway

    NJ • D

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  • Deluzio

    PA • D

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  • Hayes

    CT • D

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  • Davis (IL)

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  • Kennedy (NY)

    NY • D

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  • Lieu

    CA • D

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  • McCollum

    MN • D

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  • Bishop

    GA • D

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  • Amodei (NV)

    NV • R

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  • Vargas

    CA • D

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  • Raskin

    MD • D

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  • Frankel, Lois

    FL • D

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  • Scholten

    MI • D

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  • Goodlander

    NH • D

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  • Sykes

    OH • D

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  • Huffman

    CA • D

    Sponsored 10/17/2025

  • Amo

    RI • D

    Sponsored 10/17/2025

  • Frost

    FL • D

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  • Mfume

    MD • D

    Sponsored 10/17/2025

  • Himes

    CT • D

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  • Ciscomani

    AZ • R

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  • Schmidt

    KS • R

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  • Ivey

    MD • D

    Sponsored 10/17/2025

  • Bera

    CA • D

    Sponsored 10/17/2025

  • Salinas

    OR • D

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  • Brownley

    CA • D

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  • Jackson (IL)

    IL • D

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  • Ansari

    AZ • D

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  • Keating

    MA • D

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  • Garamendi

    CA • D

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  • Schneider

    IL • D

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  • Houlahan

    PA • D

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  • Stansbury

    NM • D

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  • Carson

    IN • D

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  • Chu

    CA • D

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  • Wasserman Schultz

    FL • D

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  • Fields

    LA • D

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  • Thompson (MS)

    MS • D

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  • Tonko

    NY • D

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  • Harder (CA)

    CA • D

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  • Trahan

    MA • D

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    MD • D

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  • Gonzalez, V.

    TX • D

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    NJ • D

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    TX • D

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  • Goldman (NY)

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    NC • D

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  • Dexter

    OR • D

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  • Randall

    WA • D

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  • Bell

    MO • D

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  • Latimer

    NY • D

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    NY • R

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  • Brown

    OH • D

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  • Johnson (TX)

    TX • D

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    NC • D

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    NV • D

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    NY • D

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  • Swalwell

    CA • D

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  • Strickland

    WA • D

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    NY • D

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    KS • D

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  • Simon

    CA • D

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  • Thanedar

    MI • D

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  • Craig

    MN • D

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  • Nunn (IA)

    IA • R

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  • Valadao

    CA • R

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    CA • D

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    CO • D

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    ME • D

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    CA • D

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  • Turner (OH)

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    SD • R

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    PA • D

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    MO • D

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    NY • D

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    NY • D

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  • Smith (WA)

    WA • D

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    IL • D

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    AL • D

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  • LaLota

    NY • R

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    WA • D

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  • Del. Moylan, James C. [R-GU-At Large]

    GU • R

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    IN • R

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    NY • R

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  • Costa

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  • Leger Fernandez

    NM • D

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  • Baumgartner

    WA • R

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  • Del. Plaskett, Stacey E. [D-VI-At Large]

    VI • D

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  • Miller (WV)

    WV • R

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    IL • D

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    LA • D

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    CO • R

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    CA • D

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    UT • R

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    FL • D

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  • Mann

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  • Harrigan

    NC • R

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    KY • R

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  • Stefanik

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  • Salazar

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    CO • D

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