HR4206-119

In Committee

CONNECT for Health Act of 2025

119th Congress Introduced Jun 26, 2025

Summary

What This Bill Does

The CONNECT for Health Act is a broad Medicare telehealth permanence and oversight bill. It removes Medicare geographic requirements for telehealth after October 1, 2025, expands originating sites, allows HHS to waive practitioner-type limits when clinically appropriate with public comment and reassessment, and pays Federally Qualified Health Centers and Rural Health Clinics as distant-site telehealth providers after October 1, 2025. It removes originating-site restrictions for Indian Health Service, Tribal, and Native Hawaiian facilities after January 1, 2026, repeals the six-month in-person visit requirement for telemental health, permits telehealth waivers during later public health emergencies, and allows hospice recertification by telehealth with a GAO report. It also clarifies that providers can furnish technologies to beneficiaries for telehealth and remote monitoring without triggering beneficiary-inducement penalties if conditions are met, authorizes $3 million annually for HHS OIG telehealth oversight in fiscal years 2026-2030, requires identification and notification of telehealth outlier billers, and mandates beneficiary accessibility guidance, provider training, quality-measure review, technical guidance, and quarterly CMS public telehealth data.

Who Benefits and How

Medicare beneficiaries in nonrural areas benefit because geographic telehealth restrictions would no longer block coverage. Rural Medicare beneficiaries benefit because FQHCs and rural health clinics can continue furnishing covered telehealth as distant sites. Native American health facilities benefit because Indian Health Service, Tribal, and Native Hawaiian facilities receive originating-site flexibility. Medicare beneficiaries with disabilities or limited English proficiency benefit from required accessibility resources, interpreter guidance, captioning, transcripts, and engagement strategies.

Who Bears the Burden and How

The Secretary of Health and Human Services must manage practitioner waivers, public comments, reassessments, accessibility guidance, provider training, quality measures, and CMS data posting. HHS Inspector General must conduct telehealth audits, investigations, oversight, and enforcement using the new $3 million annual authorization. Telehealth outlier billers face identification, peer comparisons, billing guidance, and possible scrutiny for inappropriate duration, complexity, duplicate, or concurrent-order patterns. Medicare program integrity staff must balance permanent access expansion with fraud, abuse, quality, and expenditure monitoring.

Key Provisions

  • Repeals Medicare telehealth geographic requirements and expands originating sites after 2025.
  • Authorizes clinically appropriate practitioner waivers, safety-net clinic distant-site payment, Native American facility flexibility, and repeal of telemental-health in-person visit rules.
  • Funds HHS OIG telehealth oversight at $3 million annually for fiscal years 2026 through 2030 and protects beneficiary technology provision for telehealth and remote monitoring.
  • Requires outlier billing notices, beneficiary accessibility guidance, provider training, telehealth quality-measure review, technical guidance, and quarterly CMS telehealth data posting.

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

Permanently broadens Medicare telehealth by removing geographic and originating-site restrictions, expanding eligible practitioners and safety-net sites, repealing telemental-health in-person visit rules, while adding OIG funding, outlier billing oversight, accessibility guidance, quality measures, and CMS public data.

Key Policy Areas

Medicare, Telehealth, Health Care Oversight

Primary Purpose

Permanently broadens Medicare telehealth by removing geographic and originating-site restrictions, expanding eligible practitioners and safety-net sites, repealing telemental-health in-person visit rules, while adding OIG funding, outlier billing oversight, accessibility guidance, quality measures, and CMS public data.

Policy Domains

Medicare Telehealth Health Care Oversight

Resolution provisions

Identified Gains
  • Medicare beneficiaries in nonrural areas
  • Rural Medicare beneficiaries
  • Native American health facilities
  • Medicare beneficiaries with disabilities
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Rural Medicare beneficiaries: , , , , , , , , , , , , ,
Native American health facilities: , , , , , , , , , , , , ,
Medicare beneficiaries in nonrural areas: , , , , , , , , , , , , ,
Medicare beneficiaries with disabilities: , , , , , , , , , , , , ,
Identified Costs
  • Secretary of Health and Human Services
  • HHS Inspector General
  • Telehealth outlier billers
  • Medicare program integrity staff
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
HHS Inspector General: , , , , , , , , , , , , ,
Telehealth outlier billers: , , , , , , , , , , , , ,
Medicare program integrity staff: , , , , , , , , , , , , ,
Secretary of Health and Human Services: , , , , , , , , , , , , ,

Legislative Progress

In Committee
Introduced Committee Passed
Jun 26, 2025

Mr. Thompson of California (for himself, Mr. Schweikert, Ms. Matsui, …

Jun 26, 2025

Referred to the Committee on Energy and Commerce, and in …

Jun 26, 2025

Introduced in House

Stakeholder Effects

cui bono?

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

Healthcare
45 mentions across 15 clauses
+15 positive -15 negative ?15 uncertain

Federally qualified health centers, Native American health facilities, Telehealth outlier billers

Positive-direction: Federally qualified health centers

Negative-direction: Telehealth outlier billers

Healthcare Beneficiaries
30 mentions across 15 clauses
?30 uncertain

Medicare beneficiaries in nonrural areas, Rural Medicare beneficiaries

Government
15 mentions across 15 clauses
-15 negative

Secretary of Health and Human Services

15/17
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Medicare Telehealth Health Care Oversight

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