House Committee Proposes to Extend Medicare Telehealth Flexibilities, Eyes PBM Reform to Offset Expenses

Lexology May 15, 2024
Mintz

On May 8, 2024, the U.S. House of Representatives Ways & Means Committee passed a bipartisan bill entitled the “Preserving Telehealth, Hospital and Ambulance Access Act” by a vote of 41-0, which will potentially have far-reaching consequences for Medicare beneficiaries, health care providers, and the telehealth and PBM industries. Among other things, the proposed bill extends for two years certain telehealth flexibilities for Medicare enrollees originally adopted during the COVID-19 pandemic and proposes that pharmacy benefit manager (PBM) reform helps offset the telehealth extension expenses.

Key Telehealth Provisions

• Extending Telehealth Flexibilities: The bill proposes extending several telehealth flexibilities under Medicare through December 31, 2026 that were initially implemented during the COVID-19 pandemic and set to expire on December...

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