H.R. 4206 (119th)Bill Overview

CONNECT for Health Act of 2025

Health|Health
Cosponsors
Support
Lean Democratic
Introduced
Jun 26, 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 CONNECT for Health Act of 2025 amends Medicare (Title XVIII) to expand coverage and use of telehealth by removing the pre-COVID geographic restrictions, broadening where and by whom telehealth may be furnished, and extending certain telehealth payment rules for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Native American health facilities. It repeals the six-month in-person visit requirement for certain telemental health services, allows telehealth for hospice recertification, creates a waiver authority for expanding practitioner types eligible to furnish telehealth, and codifies emergency-period telehealth waivers.

Why people may split

Access versus cost/federal spending: liberals emphasize access and equity; conservatives emphasize uncontrolled Medicare spending and demand offsets.

Watch point

Relative to its intended legislative type, this bill is a well-targeted substantive policy change that directly amends the Social Security Act to expand Medicare telehealth coverage, payment rules, and related oversight and reporting requirements.

The CONNECT for Health Act of 2025 amends Medicare (Title XVIII) to expand coverage and use of telehealth by removing the pre-COVID geographic restrictions, broadening where and by whom telehealth may be furnished, and extending certain telehealth payment rules for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Native American health facilities.

It repeals the six-month in-person visit requirement for certain telemental health services, allows telehealth for hospice recertification, creates a waiver authority for expanding practitioner types eligible to furnish telehealth, and codifies emergency-period telehealth waivers.

The bill also includes program-integrity provisions (clarifies fraud/abuse rules for devices provided to beneficiaries, authorizes Inspector General funding, and requires identification/education for outlier telehealth billing), and establishes beneficiary/provider supports, quality-measurement work, reporting, and public data posting requirements.

Passage45/100

On content alone, the bill is a focused and administratively detailed effort to make telehealth expansions more permanent while adding oversight and reporting—features that increase its bipartisan appeal. However, nontrivial potential fiscal effects, the need for CBO scoring and offsets or pay‑fors, and Senate procedural realities lower the odds. The inclusion of integrity safeguards, GAO review, and phased/conditional elements improves its prospects but does not eliminate budgetary and Senate consensus barriers.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a well-targeted substantive policy change that directly amends the Social Security Act to expand Medicare telehealth coverage, payment rules, and related oversight and reporting requirements. It includes concrete statutory amendments, timelines for many actions, and multiple accountability mechanisms.

Contention65/100

Access versus cost/federal spending: liberals emphasize access and equity; conservatives emphasize uncontrolled Medicare spending and demand offsets.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Permitting processCities

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

Likely helped
  • Potential benefitIncreases access to care for Medicare beneficiaries—particularly rural, mobility‑limited, and underserved populations—b…
  • Permitting processSupports delivery capacity and specialty access by permitting more practitioner types (via Secretary waivers) and by en…
  • Potential benefitCreates demand for telehealth platforms, remote monitoring technologies, and related training/technical assistance, whi…
Likely burdened
  • Potential burdenMay increase Medicare spending if expanded coverage leads to higher use of telehealth without offsetting reductions in…
  • CitiesCould raise program integrity and fraud risk through greater remote prescribing, monitoring, or billing complexity desp…
  • Potential burdenImposes administrative and operational burdens on CMS, Medicare Administrative Contractors, and providers (especially s…
03 · Why people split

Why the argument around this bill splits.

Access versus cost/federal spending: liberals emphasize access and equity; conservatives emphasize uncontrolled Medicare spending and demand offsets.
Progressive85%

A mainstream liberal would likely view this bill largely positively as a step to preserve and expand telehealth access in Medicare—especially for rural, mobility-limited, low-income, and Native American populations.

They would see equity-oriented provisions (accessibility guidance, FQHC/RHC treatment, Native American facility exemptions, attention to limited English proficiency and disability access) as important.

They would also welcome program-integrity and quality-measure provisions, while wanting stronger assurances on enforcement, affordability, and equitable broadband/digital access.

Leans supportive
Centrist70%

A centrist/ pragmatic perspective would generally favor the bill's objective of making the telehealth expansions permanent while appreciating the inclusion of program-integrity, quality-measurement, and reporting requirements.

They will support both access improvements and built-in oversight, but will be watchful about fiscal implications, administrative complexity, and potential unintended incentives.

The centrist will emphasize measured implementation, evaluation, and periodic review (which the bill includes) and will want clear cost estimates and performance metrics.

Leans supportive
Conservative30%

A mainstream conservative would view the bill with caution: they may appreciate improved access for rural and mobility-limited beneficiaries but will be concerned about expanded federal authority, potential cost growth, fraud risk, and federal intrusion into practitioner scope-of-practice.

The waiver authority to broaden practitioner eligibility, new appropriations and undefined 'such sums as necessary,' and removal of certain in-person requirements are likely to be the primary objections.

If the bill had stronger fiscal limits and sharper integrity guardrails, some conservatives might accept limited parts of it.

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

On content alone, the bill is a focused and administratively detailed effort to make telehealth expansions more permanent while adding oversight and reporting—features that increase its bipartisan appeal. However, nontrivial potential fiscal effects, the need for CBO scoring and offsets or pay‑fors, and Senate procedural realities lower the odds. The inclusion of integrity safeguards, GAO review, and phased/conditional elements improves its prospects but does not eliminate budgetary and Senate consensus barriers.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • No cost estimate or CBO score provided in the bill text; the magnitude of the impact on Medicare outlays is therefore unknown and would strongly influence legislative support.
  • Implementation details (e.g., how the Secretary will set waiver criteria, thresholds for outlier billing, and what CMS rulemaking will require) are left to administrative rulemaking and could shape stakeholder support or opposition.
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

Access versus cost/federal spending: liberals emphasize access and equity; conservatives emphasize uncontrolled Medicare spending and deman…

On content alone, the bill is a focused and administratively detailed effort to make telehealth expansions more permanent while adding over…

Unlocked analysis

Relative to its intended legislative type, this bill is a well-targeted substantive policy change that directly amends the Social Security Act to expand Medicare telehealth coverage, payment rules, and related oversight…

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
Open full analysis