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Congress Moves to Permanently Expand Medicare Telehealth Access and Providers

November 25, 2025 – February 11, 2026

The Bottom Line

Congress is working on bills like H.R. 4206 and S. 1261 to make Medicare telehealth rules permanent before they expire in 2025. These laws would allow seniors to continue using video or phone calls for medical visits and remove the requirement for in-person mental health check-ups. These proposals are currently moving through committees to prevent millions of patients from losing remote care.

Policies6 policys

H.R. 4206 and S. 1261 are companion bills that propose the same changes in both the House and Senate. Other bills, like H.R. 5496 and S. 3834, focus on specific areas like rural clinics or adding physical therapists to Medicare. Together, these bills offer different paths for lawmakers to secure telehealth access before the 2025 deadlines.

Who This Affects

9 groups

Helps

Medicare

This bill would permanently expand the types of healthcare providers who can bill Medicare for telehealth visits. It adds physical therapists, occupational therapists, speech-language pathologists, audiologists, and their assistants to the approved list. This means Medicare beneficiaries — especially seniors and people with disabilities — could receive therapy and audiology services from home via video or phone instead of traveling to a clinic. It also gives the HHS Secretary authority to add more provider types in the future without new legislation.

Physical Disability

People with physical disabilities often need regular physical therapy and occupational therapy but may face significant barriers getting to in-person appointments. By allowing their therapists and therapy assistants to bill Medicare for telehealth visits, this bill would make it much easier for people with mobility challenges to access the rehabilitation services they need from the comfort of their homes.

Sensory Disability

The bill adds audiologists and speech-language pathologists to Medicare's approved telehealth provider list. This directly benefits people with hearing and speech-related disabilities who rely on these specialists. Remote access to audiology and speech therapy could reduce travel burdens and make follow-up care more convenient, particularly for those in rural areas or with limited transportation options.

Chronic Illness

Many people with chronic illnesses require ongoing physical therapy, occupational therapy, or speech therapy as part of their treatment plans. Expanding telehealth access for these services under Medicare means fewer trips to clinics and more consistent access to care, which can improve long-term health outcomes for those managing conditions like stroke recovery, Parkinson's disease, or arthritis.

Mental Health

People with mental health conditions on Medicare can keep seeing their providers by video or phone without needing in-person visits first.

Retiree

Seniors on Medicare gain permanent access to mental health care via telehealth, removing travel barriers for those with limited mobility.

Mobility Impairment

Removes the need to travel to a clinic for mental health visits, a major benefit for those who have difficulty getting around.

Cognitive Disability

Individuals with cognitive disabilities benefit from being able to receive mental health services at home via telehealth.

Analysis generated by AI. Always verify with official sources.