CONNECT for Health Act of 2025 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2025
Impact
The bill emphasizes the importance of telehealth in increasing patient access to essential medical services, especially in rural or underserved areas where healthcare provider shortages exist. By allowing practitioners from different healthcare facilities to deliver remote services, it is expected to bridge the healthcare gap for patients who face logistical challenges in accessing traditional healthcare settings. Additionally, the bill includes considerations for Native American health facilities, ensuring they can leverage telehealth to better serve their communities.
Summary
House Bill 4206, titled the 'Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2025,' aims to amend Title XVIII of the Social Security Act to enhance access to telehealth services. This legislation seeks to eliminate existing geographic requirements and expand the types of facilities that are eligible to provide telehealth services under Medicare. One of the core provisions is the removal of the six-month in-person visit requirement for telemental health services, thereby facilitating greater access to mental healthcare through telecommunication methods.
Contention
Despite the broad support aiming to enhance healthcare delivery through telehealth, the bill also faces scrutiny regarding its provisions related to oversight and fraud prevention. There are concerns among some stakeholders about ensuring quality and safety in telehealth services as the usage expands, which could potentially place strains on existing oversight mechanisms. The balance between expanding necessary healthcare access and maintaining rigorous standards for care delivery has been highlighted as a crucial point of debate among lawmakers and healthcare advocates.
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Medicare Fraud Detection and Deterrence Act of 2025This bill requires the Centers for Medicare & Medicaid Services (CMS) to deactivate the standard unique health identifiers of health care providers that are excluded from federal health care programs because of fraud, waste, or abuse.The bill also requires (1) any data submitted by Medicare Advantage plans with respect to durable medical equipment, prosthetics or orthotics, laboratory tests, imaging tests, or home health services to include the standard unique health identifier of the associated provider or supplier; and (2) health care practitioners who are employed by or contract with telehealth companies to use a specialized claims modifier (developed by CMS) for Medicare telehealth services.
Preventing Medicare Telefraud ActThis bill establishes conditions for payment of certain telehealth services, laboratory tests, and durable medical equipment under Medicare.Specifically, the bill conditions payment for certain high-cost laboratory tests and durable medical equipment that are ordered via telehealth on at least one in-person visit during the preceding six-month period. Additionally, practitioners must submit claims for separately billable telehealth services under the practitioner's unique national provider identification number.