The Critical Path Ahead for Virtual Direct Supervision: Telehealth Regulations and the Role of Congress

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Introduction
As we move further away from the COVID-19 public health emergency, the healthcare sector stands at a critical juncture, particularly in the field of telehealth. The temporary measures introduced to address urgent healthcare needs during the pandemic are set to expire, with significant implications for telehealth services across the United States.

Timeline of Regulatory Changes
Here’s what healthcare providers and patients can expect as we approach 2025:

• Mid-2024: CMS will release the proposed Physician Fee Schedule (PFS) for CY 2025, outlining initial regulatory plans and payment policies, including those affecting remote direct supervision.
• November 1, 2024: The final CY 2025 PFS will be released, establishing finalized policies that will take effect on January 1, 2025.
• December 31, 2024: The existing telehealth waivers, if not extended by Congress, will expire. This expiration could drastically alter where and how virtual direct supervision services are provided.

The Role of Congress
The current telehealth waivers are a temporary measure extended by Congress to facilitate easier access to telehealth services during the pandemic. These waivers have allowed for expanded service areas as well as the inclusion of virtual direct supervision. Congress has extended these waivers multiple times, most recently in the Consolidated Appropriations Act, 2023, which prolongs them until the end of 2024.

As these waivers are due to expire, there is substantial legislative activity aimed at either extending these provisions or integrating some into permanent law. The House Ways & Means Committee marked up and passed a two-year extension in May, and similar legislation is under consideration in the House Energy & Commerce Committee. The outcome of these legislative efforts is crucial as it will determine the accessibility and scope of telehealth services, including virtual direct supervision moving forward.

What’s Next?
The uncertainty surrounding these legislative actions poses challenges for planning and continuity of care. Healthcare providers, including entities like Contrast Coverage Texas, are closely monitoring these developments. These organizations are advocating for legislative outcomes that support the continued integration of telehealth into American healthcare, recognizing its value in enhancing care accessibility and efficiency.

Conclusion
As we navigate this pivotal period, the decisions made by Congress in the coming months will play a significant role in shaping the future of virtual direct supervision for contrasted exams. Stakeholders are urged to engage with the legislative process, voicing support for policies that sustain and expand the gains made in telehealth over the past few years. For continuous updates on these critical issues and to understand how they might impact services at Contrast Coverage Texas, stay connected with our blog.