PolicyBrief
H.R. 1407
119th CongressFeb 18th 2025
Permanent Telehealth from Home Act
IN COMMITTEE

The "Permanent Telehealth from Home Act" permanently expands Medicare telehealth access by removing geographic restrictions and originating site requirements after the COVID-19 emergency period.

Vern Buchanan
R

Vern Buchanan

Representative

FL-16

LEGISLATION

Medicare Telehealth Goes Permanent: No More Location Limits for Virtual Visits

The "Permanent Telehealth from Home Act" is pretty much what it sounds like: it locks in the ability for Medicare folks to use telehealth services from wherever they are, permanently. Before this, there were all these rules about where you had to be to use telehealth – usually a clinic, even if you lived way out in the boonies. This bill scraps those rules for good.

Home Is Where the Telehealth Is

This bill is all about making the telehealth flexibilities introduced during the COVID-19 pandemic a permanent fixture of Medicare. Originally, these changes, allowing telehealth from home and across state lines, were set to expire. This act removes the expiration date (originally December 31, 2024, with some provisions extending to March 31, 2025) found in section 1834(m)(4)(C)(i) of the Social Security act. The bill ensures continued access to virtual healthcare even after the official emergency period ends, per section 1135(g)(1)(B) of the Social Security Act.

Real-World Check: Who Benefits?

Imagine a retired mechanic living in rural Montana. Before, they might have had to drive hours to see a specialist. Now? They can potentially do that visit from their living room. Or think about someone juggling work and family in a busy city – instead of taking half a day off for an appointment, they can hop on a video call during lunch. Section 2 of the bill is the key here, removing those geographic barriers.

Of course, there's the flip side. Telehealth isn't a magic fix for everything. Reliable internet access is still a big deal, and not everyone's comfortable with video calls. Plus, there's the whole question of making sure doctors are billing fairly for these virtual visits – the bill doesn't really dive into those details, which is something to keep an eye on.

The Bottom Line

This bill is a significant step toward making healthcare more accessible, especially for those in rural areas or with mobility issues. It recognizes that the way we access healthcare has changed, and it updates the rules to reflect that. While there are details to watch, like ensuring equitable access and preventing fraud, the core idea is solid: making it easier for people to see their doctors, no matter where they live.