H.R. 1899 (119th)Bill Overview

Audio-Only Telehealth Access Act of 2025

Health|Health
Cosponsors
Support
Bipartisan
Introduced
Mar 6, 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 Medicare (Social Security Act, title XVIII) to require coverage and payment for telehealth services delivered via audio-only communications. It applies to the telehealth services identified in paragraph (4)(F)(i) and covers audio-only encounters furnished on or after the first day of the emergency period described in section 1135(g)(1)(B).

Why people may split

Liberals emphasize equity and access; conservatives emphasize fraud and federal expansion.

Watch point

Relative to its intended legislative type, this bill is a concise statutory amendment that unambiguously mandates Medicare coverage and payment for certain audio-only telehealth services and specifies an effective/retroactive date, but it omits fiscal acknowledgement, implementation details, safeguards, and accountability provisions.

The bill amends Medicare (Social Security Act, title XVIII) to require coverage and payment for telehealth services delivered via audio-only communications.

It applies to the telehealth services identified in paragraph (4)(F)(i) and covers audio-only encounters furnished on or after the first day of the emergency period described in section 1135(g)(1)(B).

The coverage requirement takes effect as of the date of the bill’s enactment.

Passage45/100

Technically simple and broadly supported policy area, but potential budgetary objections and Senate procedure raise uncertainty.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a concise statutory amendment that unambiguously mandates Medicare coverage and payment for certain audio-only telehealth services and specifies an effective/retroactive date, but it omits fiscal acknowledgement, implementation details, safeguards, and accountability provisions.

Contention52/100

Liberals emphasize equity and access; conservatives emphasize fraud and federal expansion.

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 care for beneficiaries without video-capable devices or broadband connectivity.
  • Potential benefitImproves continuity of behavioral health and chronic disease management through easier remote contact.
  • Potential benefitReduces travel, time, and out-of-pocket costs for patients who otherwise would attend in-person visits.
Likely burdened
  • Potential burdenMay increase Medicare spending if audio-only visits raise utilization without offsetting savings.
  • Potential burdenCould reduce diagnostic accuracy or clinical quality where visual assessment would otherwise be used.
  • Potential burdenMay raise fraud, waste, and improper payment risks associated with easier audio-only billing.
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize equity and access; conservatives emphasize fraud and federal expansion.
Progressive95%

Likely broadly supportive because the bill expands access for beneficiaries without video or broadband.

They will welcome increased equity for low-income, rural, and elderly patients, while urging safeguards against misuse and advocating for longer-term access beyond emergencies.

Leans supportive
Centrist70%

Generally favorable as a pragmatic, targeted expansion during emergencies, but cautious about costs and program integrity.

Would seek clear scope, auditing, and time-limited authority to balance access with fiscal and quality concerns.

Leans supportive
Conservative35%

Skeptical about expanding Medicare payment for non–face-to-face care; concerned about federal cost growth and fraud.

Might accept narrowly tailored, strictly time-limited emergency authority with strong documentation and audit provisions.

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 likelihood45/100

Technically simple and broadly supported policy area, but potential budgetary objections and Senate procedure raise uncertainty.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Lack of CBO score and estimated fiscal cost
  • Exact scope of services in paragraph (4)(F)(i) not detailed here
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 equity and access; conservatives emphasize fraud and federal expansion.

Technically simple and broadly supported policy area, but potential budgetary objections and Senate procedure raise uncertainty.

Unlocked analysis

Relative to its intended legislative type, this bill is a concise statutory amendment that unambiguously mandates Medicare coverage and payment for certain audio-only telehealth services and specifies an effective/retro…

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

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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