News Article

The Legislative Battle Against Telehealth In-Person Meeting Requirements
February 5, 2024


By: Marlene Maheu

US Senators Ben Cardin (D-Md.), Bill Cassidy, MD (R-La.), Tina Smith (D-Minn.), and John Thune (R-S.D.) have re-introduced the bipartisan Telemental Health Care Access Act to remove barriers to telemental health services for Medicare beneficiaries. The group of legislators spearheading the movement has revived the fight against the mandate of compulsory telehealth in-person meeting requirements, slated to start on January 1, 2025. This initiative reflects telehealth’s potential to transcend traditional healthcare barriers, offering a more inclusive, accessible, and efficient model of care. As reported in a press release published on January 24 on Senator Cardin’s website, the effort underscores a commitment to reforming healthcare policies, ensuring they align with the advancements and capabilities of digital health technologies.

The push against mandatory telehealth in-person meetings has been underway for several years, as the in-person requirement was included at the tail end of the CARES Act after a long legislative battle. Several legislative efforts have followed to remove the telehealth in-person meeting requirement for mental health, but none have succeeded. The decision has been allowed to stand, to the dismay of many parties, including the American Telemedicine Association, which recently advocated for its removal once again. By advocating for this policy reform, legislators recognize the efficacy of telehealth services and eliminate unnecessary barriers to access, ensuring patients can receive comprehensive care without needing physical presence.

“We fought to expand telehealth access during the pandemic, and the results demonstrated how critical a tool it is for countless Americans, especially mental health services,”

Said Senator Cardin.

“Earlier this Congress, I held a hearing in the Senate Finance Health Care Subcommittee where experts detailed the value of telehealth services covered by Medicare. The experts agreed with the goals of this legislation, reiterating the importance of providing telehealth permanency to continue treating those who would otherwise struggle to get the care they need. Our legislation also provides another opportunity to address the issue of access to care and health disparities. I am proud to join Senators Cassidy, Smith, and Thune in introducing this bill to provide flexibility and increase access to mental health care for Medicare beneficiaries.”

The efforts of Senator Cardin and colleagues are pivotal in shaping the future of telebehavioral health. They are opening doors for innovative healthcare solutions by challenging the status quo and prioritizing patient needs and convenience. Telehealth professionals are encouraged to write to their elected representatives to advocate for the passage of this bill.

As this legislative movement gains momentum, the future of telebehavioral health stands at a promising juncture. The efforts to dismantle telehealth in-person meeting requirements pave the way for a more adaptable and patient-friendly healthcare system supported by Medicare reimbursement. These efforts support providers who refuse to ask their clients or patients to travel to accommodate the in-person requirement. This transition reflects a shift in healthcare delivery and signifies a broader societal acceptance of digital health innovations as integral components of medical care.

In summary, the unity among legislators to challenge telehealth in-person meeting requirements is a testament to the evolving healthcare landscape. This movement highlights the growing recognition of telehealth’s potential and marks a critical step towards a more accessible, efficient, patient-centered healthcare system. As these legislative efforts continue, they promise to further solidify telehealth’s role in modern healthcare, ensuring that patients can access the care they need when needed, without the constraints of physical barriers. Advocacy on the part of all telehealth providers is strongly encouraged. Contact your state’s elected officials today by visiting your state’s websites to find the email addresses of your elected officials. United, we have a strong possibility of succeeding this time.