HR10288-118

Introduced

To amend the Employee Retirement Income Security Act of 1974 to prohibit health care providers and facilities from imposing certain facility fees for telehealth.

118th Congress Introduced Dec 4, 2024

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The Fair Telehealth Billing Act of 2024 bans health care providers and facilities from charging a separate facility fee on top of professional service fees for telehealth visits, when the provider is already authorized to bill independently for those services. It amends the Employee Retirement Income Security Act (ERISA) and establishes civil penalties of up to \,000 per violation, enforced by the Secretary of Labor.

Who Benefits and How

Patients using telehealth services benefit from lower out-of-pocket costs, as they will no longer be charged facility fees for virtual appointments where no physical facility is used. Employer-sponsored health plan participants covered under ERISA are the primary beneficiaries, as the bill specifically amends that statute.

Who Bears the Burden and How

Hospitals and health systems that currently charge facility fees for telehealth visits lose a revenue stream. Health care providers and facilities face civil penalties of up to \,000 per violation if they continue charging prohibited facility fees after the law takes effect on January 1, 2026.

Key Provisions

  • Prohibits separate facility fees for telehealth when the provider can bill independently for professional services
  • Civil monetary penalty of up to \,000 per violation, enforced by the Secretary of Labor
  • Applies to ERISA-covered employer-sponsored health plans
  • Takes effect for telehealth services furnished on or after January 1, 2026
  • Secretary of Labor must implement through rulemaking

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Prohibits health care providers and facilities from charging separate facility fees for telehealth services when the provider can independently bill for the professional services rendered.

Key Policy Areas

Healthcare, Telehealth, Consumer Protection

Primary Purpose

Prohibits health care providers and facilities from charging separate facility fees for telehealth services when the provider can independently bill for the professional services rendered.

Policy Domains

Healthcare Telehealth Consumer Protection

Whole Bill

Identified Gains
  • Telehealth Patients
  • ERISA-Covered Health Plan Participants
Model: N/A | Version: bill_summary_v2 | Source: ih
Telehealth Patients:
ERISA-Covered Health Plan Participants:
Identified Costs
  • Hospitals and Health Systems
  • Health Care Providers Charging Facility Fees
Model: N/A | Version: bill_summary_v2 | Source: ih
Hospitals and Health Systems:
Health Care Providers Charging Facility Fees:

Legislative Progress

Introduced
Introduced Committee Passed
Dec 4, 2024

Mrs. Hayes introduced the following bill; which was referred to …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
2 mentions across 2 clauses
-2 negative

Healthcare facilities billing facility fees for telehealth, Hospitals and health systems billing telehealth facility fees

General Public
2 mentions across 2 clauses
+2 positive

ERISA plan participants, Patients receiving telehealth services

Financial Services
1 mention across 1 clause
+1 positive

Health insurers and ERISA plans

2/4
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Telehealth Consumer Protection

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology