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H.R.1867 / 119th Congress

To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology.

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 consideration of such provisions as fall within the jurisdiction of the committee concerned.

Official summary

Version 00 · Introduced in House · Mar 5, 2025

This bill permanently removes in-person evaluation requirements for mental health telehealth services under Medicare.

Read the summary on Congress.gov

Who introduced it

Rep. Hern, Kevin [R-OK-1] · R–OK

Committees

  • Ways and Means Committee
  • Energy and Commerce Committee
4 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. 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 consideration of such provisions as fall within the jurisdiction of the committee concerned.

  2. 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 consideration of such provisions as fall within the jurisdiction of the committee concerned.

  3. Introduced in House

  4. Introduced in House

Bill text & related measures

Text links open the official source. We also preserved the text version used in the PlainBill explanation below.

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Feb 13, 2026. Consult Congress.gov for the current record.

Explore the bill from different angles

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Neutral evidence review

Objective

Analyze H.R.1867 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.1867 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

Examine H.R.1867 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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Individual rights and government power

Liberty lens

Examine H.R.1867 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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Read the proposal in plain language

AI-generated · Source-checked by AI · Nov 5, 2026

Based on the full Introduced in House · 2025-03-05 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.

What it would do

This proposal seeks to remove Medicare’s in-person visit requirements for mental health care delivered remotely. It would rewrite an exception to geographic restrictions for certain mental health and substance use disorder services. It would also remove an April 1, 2025 cutoff from provisions governing mental health visits furnished by rural health clinics and federally qualified health centers.

Check the sources
1. Removing the in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology
Official bill text · Introduced in House · 2025-03-05
The geographic requirements described in paragraph (4)(C)(i) shall not apply
Official bill text · Introduced in House · 2025-03-05
(b) Mental health visits furnished by rural health clinics Section 1834(y)(2) of the Social Security Act (42 U.S.C. 1395m(y)(2)) is amended by striking prior to April 1, 2025. (c) Mental health visits furnished by federally qualified health centers Section 1834(o)(4)(B) of the Social Security Act (42 U.S.C. 1395m(o)(4)(B)) is amended by striking prior to April 1, 2025.
Official bill text · Introduced in House · 2025-03-05

How it would work

The proposed replacement would exempt qualifying remote services from the referenced geographic restrictions when furnished on or after July 1, 2020, to an eligible person diagnosed with a substance use disorder. The services must treat that disorder or a co-occurring mental health disorder, as determined by the Secretary.

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The geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to telehealth services furnished on or after July 1, 2020, to an eligible telehealth individual with a substance use disorder diagnosis for purposes of treatment of such disorder or co-occurring mental health disorder, as determined by the Secretary
Official bill text · Introduced in House · 2025-03-05

The proposed geographic exception would also cover qualifying remote diagnosis, evaluation, or treatment of a mental health disorder for eligible people, as determined by the Secretary. This branch of the exception would apply starting the day after the emergency period referenced in the bill ends.

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or, on or after the first day after the end of the emergency period described in section 1135(g)(1)(B), to an eligible telehealth individual for purposes of diagnosis, evaluation, or treatment of a mental health disorder, as determined by the Secretary
Official bill text · Introduced in House · 2025-03-05

The geographic exception would remain subject to rules about the patient's location during remote care. The replacement refers to an existing list of permitted locations, excludes the category in subclause (IX), and allows locations under a separate provision for as long as that provision applies. The supplied text does not identify those locations or that period’s end date.

Check the source
at an originating site described in paragraph (4)(C)(ii) (other than an originating site described in subclause (IX) of such paragraph) or, for the period for which clause (iii) of paragraph (4)(C) applies, at any site described in such clause.
Official bill text · Introduced in House · 2025-03-05

For mental health visits furnished by rural health clinics, the bill would delete “prior to April 1, 2025” from section 1834(y)(2). The surrounding statutory rule is not reproduced, so this text alone does not establish the full effect of removing that cutoff.

Check the source
(b) Mental health visits furnished by rural health clinics Section 1834(y)(2) of the Social Security Act (42 U.S.C. 1395m(y)(2)) is amended by striking prior to April 1, 2025.
Official bill text · Introduced in House · 2025-03-05

For mental health visits furnished by federally qualified health centers, the bill would delete “prior to April 1, 2025” from section 1834(o)(4)(B). The surrounding statutory rule is not reproduced, so this text alone does not establish the full effect of removing that cutoff.

Check the source
(c) Mental health visits furnished by federally qualified health centers Section 1834(o)(4)(B) of the Social Security Act (42 U.S.C. 1395m(o)(4)(B)) is amended by striking prior to April 1, 2025.
Official bill text · Introduced in House · 2025-03-05

What the record shows

The supplied action snapshot, updated February 13, 2026, records introduction in the House on March 5, 2025, and referral that day to the Energy and Commerce and Ways and Means committees.

Check the sources
Source snapshot updated 2026-02-13T21:00:34Z.
Official legislative record · 2026-02-13T21:00:34Z
2025-03-05: Introduced in House
Official legislative record · 2026-02-13T21:00:34Z
2025-03-05: 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 consideration of such provisions as fall within the jurisdiction of the committee concerned.
Official legislative record · 2026-02-13T21:00:34Z

Riders & Targeted Benefits

Reviewed version: Introduced in House · 2025-03-05. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.

This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.

Riders

Provisions outside the bill’s main subject, or policy changes attached to appropriations.

None identified in the reviewed text

No unrelated provision or policy change attached to appropriations was identified in the complete supplied introduced text. This conclusion does not cover other versions or accompanying materials.

Earmarks

Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.

None identified in the reviewed text

No congressionally directed spending for particular recipients or places was identified in the complete supplied introduced text. This conclusion does not establish the absence of earmarks in other versions or accompanying materials.

Other targeted benefits

Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.

None identified in the reviewed text

No materially narrow preferential treatment warranting a finding was identified in the complete supplied introduced text. The coverage provisions concern the main policy’s intended patients and providers. This conclusion is limited to this version.

What this analysis cannot establish

  • This analysis covers the supplied full introduced text. Its provisions are proposals, not evidence of enacted law. The supplied action snapshot does not establish later advancement or enactment; the absence of later entries does not prove that neither occurred.
  • The bundle does not reproduce the existing provisions being replaced or amended. It therefore does not support a complete comparison of current and proposed in-person visit requirements or the full consequences of deleting the clinic and health-center cutoff.
  • Referenced statutory definitions, geographic restrictions, permitted patient locations, and emergency-period rules are not supplied. Their precise scope and applicable calendar dates cannot be established from this bundle.
  • The bundle contains no member earmark disclosures, committee reports, or conference materials. The spending review is limited to the supplied introduced text.

Full text preserved for this analysis. Legislative record snapshot: Feb 13, 2026. How PlainBill uses AI