WASHINGTON – U.S. Senators Roger Wicker, R-Miss., and Brian Schatz, D-Hawai‘i, led a bipartisan and bicameral group of 100 lawmakers in calling for the extension of expanded Medicare coverage of telehealth services to be included in a year-end appropriations package. Provisions from the Wicker-Schatz legislation, the CONNECT for Health Act, were included in previous COVID-19 relief legislation to allow Medicare beneficiaries in all areas of the country, and in their homes, to utilize telehealth services, and to expand the types of health care providers eligible to provide telehealth. Medicare beneficiaries have come to rely on expanded access, which have also been proven beneficial to patients. But these provisions will expire at the end of the year, unless congressional leaders act to extend those measures or make them permanent.

The full text of the letter can be found below and is available here.

Dear Majority Leader Schumer, Minority Leader McConnell, Speaker Johnson, and Minority Leader Jeffries:

Expanded Medicare coverage for telehealth services is set to expire on December 31, 2024. As you work to advance a year-end appropriations package, we urge you to extend coverage as much as possible so that all Medicare beneficiaries retain access to these services.

Telehealth plays a critical role in health care delivery – a fact that Congress has recognized by expanding coverage during and after the COVID-19 public health emergency. Most recently, in the Consolidated Appropriations Act, 2023, Congress enacted a two-year extension of Medicare telehealth services coverage. Committees of jurisdiction in the House of Representatives have recently recognized the need to protect patients’ access to telehealth services by voting to advance an additional two-year extension on a bipartisan, unanimous basis.

We ask you to prioritize provisions that remove geographic restrictions on telehealth services and permit the home and other clinically appropriate settings as originating sites. Congress should also expand the authority for practitioners eligible to furnish telehealth services. Rural and underserved communities rely on telehealth services, and Congress should recognize federally qualified health centers and rural health clinics as telehealth distant site providers. Additionally, Congress should allow the use of telehealth in the recertification of hospice care. Finally, telehealth has transformed mental and behavioral health care, now accounting for 40 percent of telehealth services provided under the Medicare Physician Fee Schedule. Therefore, Congress should permanently repeal the six-month in-person visit requirement for telemental health services. It should also reject similar policies that create barriers to care.

Telehealth provides essential access to care and improves outcomes, including reduced emergency department utilization and improved medication adherence.  Medicare beneficiaries have come to rely on expanded access to telehealth services and are satisfied with the care they receive.  While there is overwhelming support for Congress to enact permanent telehealth legislation, we must provide patients and clinicians with long-term certainty to support continued investment in technology and clinical models to meet the evolving health care needs of Medicare beneficiaries. We appreciate your collaboration and leadership on this issue and look forward to working with you to ensure access to telehealth services is retained by the end of 2024.