As of September 30, 2025, Medicare‘s expanded telehealth policies—introduced during the COVID-19 pandemic—are scheduled to expire unless Congress enacts further legislation. This impending change has significant implications for healthcare providers and patients alike.
Key Telehealth Flexibilities Ending
Currently, Medicare beneficiaries can access a wide range of telehealth services without geographic restrictions, and many can receive care from their homes. These flexibilities include:
- Audio-only telehealth for non-behavioral health services.
- No originating site requirements, allowing patients to receive care from their homes.
- Expanded provider eligibility, enabling more healthcare professionals to offer telehealth services.
However, if no legislative action is taken, these provisions will revert to pre-pandemic rules starting October 1, 2025.
Potential Impact on Providers
Without an extension, providers may face several challenges:
- Reimbursement Changes: Services provided to patients outside approved originating sites may no longer be reimbursed.
- Increased Administrative Burden: Providers may need to implement stricter compliance measures to meet pre-pandemic requirements.
- Access Barriers for Patients: Patients in rural or underserved areas may experience reduced access to care.
️Legislative Efforts Underway
Several bills have been introduced to extend or make permanent these telehealth flexibilities:
- Telehealth Modernization Act (H.R. 5081 / S. 2709): Aims to extend telehealth flexibilities through September 30, 2027.
- CONNECT for Health Act of 2025 (S. 1261 / H.R. 4206): Seeks to make telehealth flexibilities permanent.
Despite bipartisan support, these bills have not yet passed, and the September 30 deadline is fast approaching.
️Steps Providers Can Take
To prepare for potential changes:
- Review Patient Populations: Identify patients who currently benefit from telehealth services and assess the impact of potential restrictions.
- Engage with Legislators: Contact local representatives to express support for extending telehealth flexibilities.
- Stay Informed: Monitor updates from the Centers for Medicare & Medicaid Services (CMS) and professional associations regarding policy changes.
Conclusion
The expiration of Medicare’s expanded telehealth policies on September 30, 2025, could significantly affect how providers deliver care. While legislative efforts continue, it’s crucial for healthcare professionals to stay informed and proactive in advocating for policies that support accessible and effective telehealth services.