S. 1056 (119th)Bill Overview

Home-Based Telemental Health Care Act of 2025

Health|Health
Cosponsors
Support
Lean Republican
Introduced
Mar 13, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

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

The bill creates a grant program in the Public Health Service Act to expand home-based telemental health and substance use services for rural Health Professional Shortage Areas and people in farming, fishing, and forestry occupations. Grants go to public or nonprofit telemental health provider networks to deliver services, build infrastructure, supply devices, expand broadband access, and develop quality metrics.

Why people may split

Disagreement on sufficiency of $10M/year funding

Watch point

Relative to its intended legislative type, this bill effectively establishes a focused grant program within the Public Health Service Act, with clear purpose, defined eligible populations and entities, permitted uses of funds, reporting requirements, and an explicit funding authorization; however, it leaves numerous implementation details and safeguards to agency rulemaking or later guidance.

The bill creates a grant program in the Public Health Service Act to expand home-based telemental health and substance use services for rural Health Professional Shortage Areas and people in farming, fishing, and forestry occupations.

Grants go to public or nonprofit telemental health provider networks to deliver services, build infrastructure, supply devices, expand broadband access, and develop quality metrics.

The Secretary, consulting the USDA Rural Health Liaison, must report on impact after three years and every two years thereafter.

Passage35/100

Content is narrow and broadly appealing with small fiscal footprint, but passage depends on appropriation action and competing legislative priorities.

CredibilityPartially aligned

Relative to its intended legislative type, this bill effectively establishes a focused grant program within the Public Health Service Act, with clear purpose, defined eligible populations and entities, permitted uses of funds, reporting requirements, and an explicit funding authorization; however, it leaves numerous implementation details and safeguards to agency rulemaking or later guidance.

Contention52/100

Disagreement on sufficiency of $10M/year funding

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 substance use care for rural and agriculture industry populations.
  • Potential benefitGrants may fund broadband and devices, reducing connectivity barriers for home-based telecare.
  • Potential benefitMay expand telehealth employment and supporting IT, administrative, and clinical roles in target areas.
Likely burdened
  • Potential burdenHome-based sessions could raise privacy and confidentiality risks if technology or environments are insecure.
  • Potential burdenPersistent broadband gaps may limit program reach, worsening disparities for the most remote residents.
  • Potential burdenAuthorized $10 million per year is modest and unlikely to fully close rural service shortages.
03 · Why people split

Why the argument around this bill splits.

Disagreement on sufficiency of $10M/year funding
Progressive90%

Likely strongly supportive because the bill directly expands behavioral health access for underserved rural populations and includes infrastructure supports.

Praises device and broadband funding and mandated quality metrics, while noting funding appears modest.

Leans supportive
Centrist75%

Generally favorable but pragmatic; views program as a targeted pilot to expand access while seeking clear evaluation, cost controls, and avoidance of overlap with existing programs.

Wants measurable outcomes and state coordination.

Leans supportive
Conservative35%

Mixed to somewhat skeptical: supports improving rural access but wary of expanding federal grant programs and funding broadband/devices.

Prefers private, state-led solutions and tight accountability for federal spending.

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

Content is narrow and broadly appealing with small fiscal footprint, but passage depends on appropriation action and competing legislative priorities.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Whether Congress will appropriate the authorized $10M annually
  • Committee prioritization and scheduling for floor consideration
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

Disagreement on sufficiency of $10M/year funding

Content is narrow and broadly appealing with small fiscal footprint, but passage depends on appropriation action and competing legislative…

Unlocked analysis

Relative to its intended legislative type, this bill effectively establishes a focused grant program within the Public Health Service Act, with clear purpose, defined eligible populations and entities, permitted uses of…

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