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Regulatory


CONGRESS TO GRANT 5-MONTH EXTENSION FOR PANDEMIC TELEHEALTH FLEXIBILITIES WITH
OMNIBUS BILL

By Rebecca Torrence Mar 9, 2022 01:09pm
CongressCenters for Medicare & Medicaid ServicesCOVID-19Telehealth

A $1.5 trillion, 2,700-plus-page spending package is expected to pass in the
House on Wednesday to be put before the Senate by the Friday deadline. (Photo
courtesy of Myzone)

Congress is set to grant a five-month extension to telehealth flexibilities
created during the pandemic as part of a sweeping spending package filed by the
House early Wednesday morning.



The extension would leave the flexibilities in place for 151 days after the end
of the federal public health emergency, which currently expires in April but is
expected to be extended into July.

The House plans to vote on the $1.5 trillion package Wednesday to put it to the
Senate by Friday.



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The telehealth accommodations extended by the omnibus bill allow adults aged 65
and up Medicare coverage for telehealth visits, including some audio-only
visits, regardless of where the patient lives relative to the healthcare
provider.

Previously, Medicare only reimbursed services for patients living in rural areas
and only covered services provided by physicians and select practitioners.

Under the pandemic’s telehealth flexibilities, all Medicare-enrolled providers
can bill for telehealth services, and Medicare covers telehealth visits that
take place from the patient’s home as well as from medical facilities.



The bill will also postpone the requirement that older adults who seek virtual
mental health care have an in-person visit within six months of the telehealth
visit.

The provisions apply only to Medicare reimbursement for telehealth, but private
insurers are likely to follow suit.


RELATED

House punts sequester relief, telehealth reform in short-term spending bill

Negotiations on the omnibus bill stalled last week when the White House
requested the package include $22.5 billion in COVID-19 relief as well as $10
billion in emergency aid to Ukraine.

The current draft in the House designates $13.6 billion to Ukraine but only
$15.6 billion for pandemic relief.



Stopgap funding will expire Friday night at midnight, but the House is expected
to pass an extension through March 15 to give the bill sufficient time in the
Senate and prevent a government shutdown.

Various bipartisan bills have been introduced since the start of the pandemic to
make telehealth flexibilities permanent.

While these bills have received overwhelming public support, concerns about the
risk of fraud with telehealth usage, unnecessary spending and worsened patient
outcomes have hovered over lawmakers.

The omnibus bill proposes that the Medicare Payment Advisory Commission conduct
a study about Medicare telehealth utilization, program expenditures on
telehealth services, telehealth payment policies and the impacts of telehealth’s
expansion during the pandemic on the access to and quality of care.

The Centers for Medicare & Medicaid Services would also display quarterly data
on Medicare claims for telehealth services on its website beginning in July.


RELATED

Senators to craft major mental health package with focus on reforming pay
parity, expanding telehealth

In addition to telehealth extensions, the bill includes provisions that would
allow the Food and Drug Administration to regulate synthetic nicotine.

The drug, engineered in a lab rather than taken from tobacco plants, has risen
in popularity as electronic cigarette companies like Puff Bar attempt to skirt
FDA regulations on vaping products.

Health TechTelehealthPayersFinanceRegulatory

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