I 
119TH CONGRESS 
1ST SESSION H. R. 5081 
To amend title XVIII of the Social Security Act to extend certain telehealth 
flexibilities under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 2, 2025 
Mr. CARTER of Georgia (for himself and Mrs. DINGELL) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to extend 
certain telehealth flexibilities under the Medicare program. 
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 Moderniza-
tion Act’’. 
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SEC. 2. EXTENSION OF CERTAIN TELEHEALTH FLEXIBILI-
TIES. 
(a) REMOVING GEOGRAPHIC REQUIREMENTS
AND 
EXPANDING
ORIGINATING
SITES
FOR
TELEHEALTH 
SERVICES.—Section 1834(m) of the Social Security Act 
(42 U.S.C. 1395m(m)) is amended— 
(1) in paragraph (2)(B)(iii), by striking ‘‘end-
ing September 30, 2025’’ and inserting ‘‘ending 
September 30, 2027’’; and 
(2) in paragraph (4)(C)(iii), by striking ‘‘ending 
on September 30, 2025’’ and inserting ‘‘ending on 
September 30, 2027’’. 
(b) EXPANDING PRACTITIONERS ELIGIBLE TO FUR-
NISH TELEHEALTH SERVICES.—Section 1834(m)(4)(E) 
of the Social Security Act (42 U.S.C. 1395m(m)(4)(E)) 
is amended by striking ‘‘ending on September 30, 2025’’ 
and inserting ‘‘ending on September 30, 2027’’. 
(c) EXTENDING TELEHEALTH SERVICES FOR FED-
ERALLY
QUALIFIED
HEALTH
CENTERS
AND
RURAL 
HEALTH CLINICS.—Section 1834(m)(8) of the Social Se-
curity Act (42 U.S.C. 1395m(m)(8)) is amended— 
(1) in subparagraph (A), by striking ‘‘ending on 
September 30, 2025’’ and inserting ‘‘ending on Sep-
tember 30, 2027’’; 
(2) in subparagraph (B)— 
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(A) in the subparagraph heading, by in-
serting ‘‘BEFORE
FISCAL
YEAR
2026’’ after 
‘‘RULE’’; 
(B) in clause (i), by striking ‘‘during the 
periods for which subparagraph (A) applies’’ 
and inserting ‘‘before October 1, 2025’’; and 
(C) in clause (ii), by inserting ‘‘furnished 
to an eligible telehealth individual before Octo-
ber 1, 2025’’ after ‘‘telehealth services’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(C) PAYMENT RULE FOR FISCAL YEARS 
2026 AND 2027.— 
‘‘(i) IN GENERAL.—A telehealth serv-
ice furnished to an eligible telehealth indi-
vidual by a Federally qualified health cen-
ter or rural health clinic on or after Octo-
ber 1, 2025, and before October 1, 2027, 
shall be paid as a Federally qualified 
health center service or rural health clinic 
service (as applicable) under the prospec-
tive payment system established under sec-
tion 1834(o) or the methodology for all-in-
clusive rates established under section 
1833(a)(3), respectively. 
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