Telehealth Coverage Act of 2025

This bill updates Medicare telehealth rules so more care can happen from home. It extends many pandemic‑era options through March 31, 2025, including who can use telehealth and allowing community health centers and rural clinics to keep providing it. It keeps phone‑only (audio) visits available when appropriate. It also removes in‑person visit requirements for certain services so they can be done by telehealth, such as monthly check‑ins for home dialysis, some stroke care, and mental health and substance use treatment.

The bill continues allowing telehealth to count for the face‑to‑face visit needed to keep hospice care and adds claim “modifiers” so Medicare can track certain telehealth setups, with those tracking rules due by January 1, 2026. It extends the Hospital at Home flexibilities until March 31, 2025. It directs Health and Human Services to issue guidance to make telehealth easier for people with limited English, including interpreter support, clearer instructions, and multi‑language materials. It adds flexibility for in‑home cardiac and pulmonary rehab services. It lets fully virtual suppliers join the Medicare Diabetes Prevention Program by January 1, 2026 and removes the cap on how many times someone can enroll. It also calls for provider education on screening for medication‑induced movement disorders via telehealth by January 1, 2026.

Key points

• Who is affected: Medicare patients; doctors and other clinicians; community health centers and rural clinics; Hospital at Home programs; diabetes prevention program providers; patients with limited English proficiency .
• What changes: Telehealth flexibilities extended to 3/31/2025; audio‑only visits remain available; some in‑person visit rules are removed; Medicare will require claim modifiers for certain telehealth setups; Hospital at Home is extended; new guidance to support limited‑English patients; more flexibility for in‑home cardiac/pulmonary rehab; virtual Diabetes Prevention suppliers allowed and no enrollment cap; provider education on certain movement‑disorder screenings via telehealth .
• When: Most extensions run through March 31, 2025; new telehealth claim‑tracking and virtual Diabetes Prevention rules start by January 1, 2026 .