TELEMH Act of 2024

Bill: 118-hr-7858
Sponsor: full_name: Rep. James, John [R-MI-10]
Introduced: 2024-04-02
Policy area: Health
Subjects: Health care coverage and access

Health technology, devices, supplies

Medicare

Mental health
Latest action: action_date: 2024-09-18
text: Received in the Senate and Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2024-04-02
action_desc: Introduced in House
text: <p><strong>Telehealth Enhancement for Mental Health Act of 2024 or the TELEMH Act of 2024</strong></p><p>This bill requires the Centers for Medicare &amp; Medicaid Services (CMS) to create a billing modifier for certain mental health services that are provided via telehealth under Medicare.</p><p>Specifically, the CMS must create a billing modifier for telehealth mental health services that are provided by auxiliary personnel (i.e., individuals acting under the supervision of a physician or other practitioner) and that are billed as incident to a physician or practitioner's services.</p>

action_date: 2024-09-12
action_desc: Reported to House
text: <p><strong>Telehealth Enhancement for Mental Health Act of 2024 or the TELEMH Act of 2024</strong></p><p>This bill requires the Centers for Medicare &amp; Medicaid Services (CMS) to create a billing modifier for certain telehealth services under Medicare.</p><p>Specifically, the CMS must create a billing modifier for telehealth services that are billed as incident to a physician or practitioner's services.</p>

tv_txt: IIB 118th CONGRESS 2d Session H. R. 7858 IN THE SENATE OF THE UNITED STATES September 18, 2024 Received; read twice and referred to the AN ACT To amend title XVIII of the Social Security Act to establish a Medicare incident to modifier for mental health services furnished through telehealth and other telehealth services.

1. Short title This Act may be cited as the Telehealth Enhancement for Mental Health Act of 2024 or the TELEMH Act of 2024 . 2. Establishment of Medicare incident to modifier for mental health services furnished through telehealth and other telehealth services Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended by adding at the end the following new paragraph: (10) Required use of modifiers in certain instances Not later than January 1, 2026, the Secretary shall establish requirements to include a code or modifier, as determined appropriate by the Secretary, in the case of claims for telehealth services under this subsection that are billed incident to a physician’s or practitioner’s professional service. .

Passed the House of Representatives September 17, 2024. Kevin F. McCumber, Clerk.

tv_txt: IB 118th CONGRESS 2d Session H. R. 7858 IN THE HOUSE OF REPRESENTATIVES AN ACT To amend title XVIII of the Social Security Act to establish a Medicare incident to modifier for mental health services furnished through telehealth and other telehealth services.

1. Short title This Act may be cited as the Telehealth Enhancement for Mental Health Act of 2024 or the TELEMH Act of 2024 . 2. Establishment of Medicare incident to modifier for mental health services furnished through telehealth and other telehealth services Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended by adding at the end the following new paragraph: (10) Required use of modifiers in certain instances Not later than January 1, 2026, the Secretary shall establish requirements to include a code or modifier, as determined appropriate by the Secretary, in the case of claims for telehealth services under this subsection that are billed incident to a physician’s or practitioner’s professional service. .

Passed the House of Representatives September 17, 2024. Kevin F. McCumber, Clerk.

tv_txt: IB Union Calendar No. 569 118th CONGRESS 2d Session H. R. 7858 [Report No. 118–673, Part I] IN THE HOUSE OF REPRESENTATIVES April 2, 2024 Mr. James (for himself, Mr. Schweikert , and Mr. Davis of North Carolina ) 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 determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned September 12, 2024 Additional sponsor: Mrs. Peltola September 12, 2024 Reported from the Committee on Energy and Commerce with amendments Strike out all after the enacting clause and insert the part printed in italic September 12, 2024 Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed For text of introduced bill, see copy of bill as introduced on April 2, 2024 A BILL To amend title XVIII of the Social Security Act to establish a Medicare incident to modifier for mental health services furnished through telehealth.

1. Short title This Act may be cited as the Telehealth Enhancement for Mental Health Act of 2024 or the TELEMH Act of 2024 . 2. Establishment of Medicare incident to modifier for mental health services furnished through telehealth and other telehealth services Section 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended by adding at the end the following new paragraph: (10) Required use of modifiers in certain instances Not later than January 1, 2026, the Secretary shall establish requirements to include a code or modifier, as determined appropriate by the Secretary, in the case of claims for telehealth services under this subsection that are billed incident to a physician’s or practitioner’s professional service. .

Amend the title so as to read: A bill to amend title XVIII of the Social Security Act to establish a Medicare incident to modifier for mental health services furnished through telehealth and other telehealth services. .

September 12, 2024 Reported from the Committee on Energy and Commerce with amendments September 12, 2024 Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed

tv_txt: I 118th CONGRESS 2d Session H. R. 7858 IN THE HOUSE OF REPRESENTATIVES April 2, 2024 Mr. James (for himself, Mr. Schweikert , and Mr. Davis of North Carolina ) 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 determined 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 establish a Medicare incident to modifier for mental health services furnished through telehealth.

1. Short title This Act may be cited as the Telehealth Enhancement for Mental Health Act of 2024 or the TELEMH Act of 2024 . 2. Establishment of Medicare incident to modifier for mental health services furnished through telehealth Section 1834(m)(7) of the Social Security Act ( 42 U.S.C. 1395m(m)(7) ) is amended by adding at the end the following new subparagraph: (C) Establishment of incident to modifier for mental health services furnished through telehealth Not later than 2 years after the date of the enactment of this subparagraph, the Secretary shall establish requirements to include a code or modifier, as determined appropriate by the Secretary, on claims for mental health services furnished through telehealth under this paragraph that are furnished by auxiliary personnel (as defined in section 410.26(a)(1) of title 42, Code of Federal Regulations, or any successor regulation) and billed incident to a physician or practitioner's professional services. .