H.R. 1867 (119th)Bill Overview

To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology.

Health|Health
Cosponsors
Support
Bipartisan
Introduced
Mar 5, 2025
Discussions
Bill Text
Current stageCommittee

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 c…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill amends Title XVIII of the Social Security Act to remove certain in-person and geographic/originating-site restrictions for Medicare-covered mental health and substance use disorder telehealth services. It revises section 1834(m)(7) to maintain telehealth access for substance use disorder treatment from July 1, 2020, and permits telehealth for mental health diagnosis, evaluation, and treatment after the end of the declared emergency period without the prior geographic limits.

Why people may split

Liberals emphasize access and equity benefits.

Watch point

Narrow, bipartisan‑friendly access expansion; likely to attract broad support in the House committees.

The bill amends Title XVIII of the Social Security Act to remove certain in-person and geographic/originating-site restrictions for Medicare-covered mental health and substance use disorder telehealth services.

It revises section 1834(m)(7) to maintain telehealth access for substance use disorder treatment from July 1, 2020, and permits telehealth for mental health diagnosis, evaluation, and treatment after the end of the declared emergency period without the prior geographic limits.

It also strikes expiration language that had limited rural health clinics and federally qualified health centers' mental health telehealth visits before April 1, 2025.

Passage35/100

Technically simple and popular policy area, but requires committee action and Senate clearance; modest fiscal concerns could slow progress.

CredibilityPartial

How solid the drafting looks.

Contention55/100

Liberals emphasize access and equity benefits.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedLikely burdened

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitIncreases access to mental health and SUD treatment for rural and mobility-limited Medicare beneficiaries.
  • Potential benefitReduces travel time and caregiver burdens by enabling remote visits.
  • Potential benefitFacilitates continuity of care and earlier intervention through easier follow-up appointments.
Likely burdened
  • Potential burdenCould increase Medicare spending from higher utilization of telehealth mental health services.
  • Potential burdenMay raise fraud, waste, and improper payment risks without in-person verification.
  • Potential burdenCould reduce diagnostic accuracy or miss nonverbal cues in some psychiatric assessments.
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize access and equity benefits.
Progressive90%

Likely broadly supportive; views the bill as expanding access and equity for mental health care, especially for underserved and rural patients.

Would welcome permanent telehealth flexibilities and removal of in-person barriers while wanting protections for quality and patient privacy.

Leans supportive
Centrist70%

Cautiously supportive; sees practical benefits for access and continuity but wants safeguards for fraud prevention, quality assurance, and fiscal impacts.

Prefers monitoring, data collection, and limited guardrails rather than large new mandates.

Leans supportive
Conservative35%

Skeptical overall; recognizes access benefits but concerned about expanded federal spending, fraud exposure, and erosion of in-person standards.

May favor narrower, targeted telehealth expansion with stronger safeguards or eligibility limits.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood35/100

Technically simple and popular policy area, but requires committee action and Senate clearance; modest fiscal concerns could slow progress.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No CBO or cost estimate included in text
  • Potential Medicare oversight or fraud concerns not addressed
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberals emphasize access and equity benefits.

Technically simple and popular policy area, but requires committee action and Senate clearance; modest fiscal concerns could slow progress.

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for To amend title XVIII of the Social Security Act to remove in-p…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

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