Extends Medicare’s current telehealth flexibilities through December 31, 2027, avoiding a cutoff in 2025. It lets beneficiaries and providers keep using telehealth for covered services under the extended rules.

Creates a claims “modifier” to mark hospice eligibility recertifications that are completed via telehealth. This helps Medicare track and oversee these virtual recertifications without changing who qualifies for hospice or the hospice benefit itself.