Story perspectives

Telehealth Flexibilities Expire Amid Federal Shutdown Uncertainty

10/10/2025

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Summary

Story summary

On October 1, 2025, key telehealth flexibilities expired due to a federal government shutdown.
The Centers for Medicare & Medicaid Services (CMS) had previously extended these flexibilities during the COVID-19 public health emergency, impacting definitions of "originating site" and "practitioner."
Despite bipartisan support for an extension, the timing and potential retroactive application are uncertain.
Practitioners should monitor Congressional developments and adjust practices, as the American Telemedicine Association highlights the need for advocacy to restore services, especially for rural communities.

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Story summary

On October 1, 2025, key telehealth flexibilities expired due to a federal government shutdown.
The Centers for Medicare & Medicaid Services (CMS) had previously extended these flexibilities during the COVID-19 public health emergency, impacting definitions of "originating site" and "practitioner."
Despite bipartisan support for an extension, the timing and potential retroactive application are uncertain.
Practitioners should monitor Congressional developments and adjust practices, as the American Telemedicine Association highlights the need for advocacy to restore services, especially for rural communities.