I 
119TH CONGRESS 
1ST SESSION H. R. 2639 
To amend title XVIII of the Social Security Act to make permanent certain 
telehealth flexibilities under the Medicare program for telehealth services 
furnished by Indian health programs. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 3, 2025 
Ms. LEGER FERNANDEZ (for herself, Ms. STANSBURY, Mr. RUIZ, Mr. 
OBERNOLTE, and Ms. NORTON) introduced the following bill; which was 
referred to the Committee on Energy and Commerce, and in addition to 
the Committee on Ways and Means, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to make 
permanent certain telehealth flexibilities under the Medi-
care program for telehealth services furnished by Indian 
health programs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Telehealth Access for 
Tribal Communities Act of 2025’’. 
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SEC. 
2. 
MAKING 
PERMANENT 
CERTAIN 
TELEHEALTH 
FLEXIBILITIES UNDER THE MEDICARE PRO-
GRAM FOR TELEHEALTH SERVICES FUR-
NISHED BY INDIAN HEALTH PROGRAMS. 
Section 1834(m) of the Social Security Act (42 
U.S.C. 1395m(m)) is amended— 
(1) in paragraph (4)(C)(iii)— 
(A) by striking ‘‘In the case’’ and inserting 
the following: 
‘‘(I) IN GENERAL.—In the case’’; 
and 
(B) by adding at the end the following new 
subclause: 
‘‘(II) SPECIAL RULE FOR SERV-
ICES FURNISHED BY INDIAN HEALTH 
PROGRAMS.—With respect to tele-
health services identified in subpara-
graph (F)(i) as of the date of the en-
actment of this clause furnished on or 
after April 1, 2025, by an Indian 
health program (as defined in section 
4 of the Indian Health Care Improve-
ment Act) or by an urban Indian or-
ganization (as so defined), or by a 
physician or practitioner employed by 
or under contract with such a pro-
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gram or organization, to an eligible 
telehealth individual, the term ‘origi-
nating site’ means any site in the 
United States at which the eligible 
telehealth individual is located at the 
time the service is furnished via a 
telecommunications system, including 
the home of an individual.’’; and 
(2) in paragraph (9)— 
(A) by striking ‘‘In the case’’ and inserting 
the following: 
‘‘(A) IN GENERAL.—In the case’’; and 
(B) by adding at the end the following new 
subparagraph: 
‘‘(B) SPECIAL RULE FOR SERVICES FUR-
NISHED BY INDIAN HEALTH PROGRAMS.—The 
Secretary shall provide coverage and payment 
under this part for telehealth services identified 
in subparagraph (F)(i) as of the date of the en-
actment of this paragraph that are furnished on 
or after April 1, 2025, via an audio-only com-
munications system by an Indian health pro-
gram (as defined in section 4 of the Indian 
Health Care Improvement Act) or by an urban 
Indian organization (as so defined), or by a 
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physician or practitioner employed by or under 
contract with such a program or organization, 
to an eligible telehealth individual. For purposes 
of the previous sentence, the term ‘telehealth 
service’ means a telehealth service identified as 
of the date of the enactment of this paragraph 
by a HCPCS code (and any succeeding codes) 
for which the Secretary has not applied the re-
quirements of paragraph (1) and the first sen-
tence of section 410.78(a)(3) of title 42, Code 
of Federal Regulations, during the emergency 
period described in subparagraph (A).’’. 
Æ 
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