Referred to the House Committee on Ways and Means.
This bill (Telehealth Expansion Act of 2025) amends Internal Revenue Code section 223 to make permanent an exemption that allows certain telehealth services to be provided by high-deductible health plans (HDHPs) without applying the plan deductible. The change applies to plan years beginning after December 31, 2024.
Progressives emphasize access and equity gains from permanency.
Relative to its intended legislative type, this bill is a focused substantive amendment to the Internal Revenue Code that seeks to make a temporary telehealth deductible exception permanent.
This bill (Telehealth Expansion Act of 2025) amends Internal Revenue Code section 223 to make permanent an exemption that allows certain telehealth services to be provided by high-deductible health plans (HDHPs) without applying the plan deductible.
The change applies to plan years beginning after December 31, 2024.
The statutory edits in the text are brief and focus solely on making that telehealth safe-harbor permanent.
Content is narrow and non-controversial, improving prospects; lack of offsets and need for Senate approval lower standalone chances.
Relative to its intended legislative type, this bill is a focused substantive amendment to the Internal Revenue Code that seeks to make a temporary telehealth deductible exception permanent. It identifies the specific code sections to be changed and sets an effective date, but it does not include explanatory findings, fiscal acknowledgements, definitions, anti‑abuse measures, or monitoring provisions.
Progressives emphasize access and equity gains from permanency.
These are examples from the analysis, not a ranked list of the most-affected groups.
Progressives emphasize access and equity gains from permanency.
Likely broadly supportive because permanently removing deductible barriers increases access, especially for low-income, rural, and underserved patients.
Views it as a pro-access, pro-equity change, though would want monitoring and complementary investments (broadband, parity, mental health).
Generally favorable but cautious; supports expanded telehealth access while seeking guardrails to limit unintended cost increases.
Wants evidence, monitoring, and possible narrow scope or sunset review to assess budgetary effects.
Mixed to skeptical: supports telehealth expansion in principle but opposes permanently altering HDHP design via federal rule.
Worries about HSA/HDHP integrity, cost increases, and federal intrusion into private plan design.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Content is narrow and non-controversial, improving prospects; lack of offsets and need for Senate approval lower standalone chances.
The bill has not accumulated any surfaced votes yet.
Progressives emphasize access and equity gains from permanency.
Content is narrow and non-controversial, improving prospects; lack of offsets and need for Senate approval lower standalone chances.
Relative to its intended legislative type, this bill is a focused substantive amendment to the Internal Revenue Code that seeks to make a temporary telehealth deductible exception permanent. It identifies the specific c…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.