MATSUI, BALDERSON, SMITH, CASSIDY REINTRODUCE BILL TO ELIMINATE BARRIER TO TELEMENTAL HEALTH SERVICES

WASHINGTON, D.C. – Today, Congresswoman Doris Matsui (D-CA), Congressman Troy Balderson (R-OH), and Senators Tina Smith (D-MN) and Bill Cassidy (R-LA) reintroduced the Telemental Health Care Access Act, legislation that would remove barriers to high-quality, virtual mental and behavioral health care for Medicare beneficiaries.

Specifically, the bill removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. Eliminating this arbitrary requirement will ensure that patients can fully leverage telehealth to get the care they need from home.

Provisions and extensions based upon the Telemental Health Care Access Act have been passed through multiple appropriations packages and continuing resolutions, most recently in March of this year – temporarily delaying the in-person requirement through September 30, 2025. This legislation would remove the in-person requirement permanently.

“Mental health care is unequivocally as essential as physical health care – and telehealth has been a critical tool to bridge that gap and make it easier for Americans to access and seek care sooner,” said Congresswoman Matsui. “No matter where you live, whether it be rural or urban, you should not have arbitrary barriers like in-person visit requirements preventing you from accessing the care you need. That’s why we’re reintroducing this bipartisan, bicameral legislation that would ensure our Medicare beneficiaries can permanently get convenient, quality care, where and when they need it.” 

“Telehealth has transformed health care access for people in rural and underserved communities, offering timely, high-quality care that was once out of reach,” said Congressman Balderson. “In particular, virtual mental and behavioral health services have reduced wait times and lowered barriers for those seeking professional support. The Telemental Health Care Access Act eliminates unnecessary restrictions on Medicare beneficiaries, helping fully unlock the potential of digital health care.”

“Telehealth has proved to be an important lifeline and tool to close some of the most significant gaps in patients’ access to health care services,” said Senator Smith. “Especially for Minnesotans in small towns and rural communities suffering from mental health challenges, long commutes to the nearest provider can mean virtual care is the only feasible option. This bill is an important step in making it easier for mental health patients on Medicare to ask for help and get the care they need, without having to jump through administrative hoops.”

Stakeholders across the health care industry have long raised concerns about inequitable access to mental health services. This legislation has garnered significant support amongst health care leaders.

“The provision of mental health and substance use treatment through telehealth is a lifeline for those in rural and other underserved areas. It is essential, especially given current levels of demand, that we eliminate all unnecessary barriers and ensure continuity of care for these patients,” said APA CEO and Medical Director Marketa M. Wills, M.D., M.B.A. “APA strongly supports Representatives Matsui and Balderson and Senators Cassidy and Smith’s introduction of Telemental Health Care Access Act, as this legislation would greatly expand access to care.”

“We strongly support the Telemental Health Care Access Act, important legislation that would eliminate requirements that are not clinically appropriate and only serve to limit access to necessary care for millions of Americans with behavioral health conditions,” said Kyle Zebley, Executive Director, ATA Action and Senior Vice President of Public Policy at the American Telemedicine Association (ATA). “We remain grateful to our telehealth champions in Congress, including Representatives Doris Matsui and Troy Balderson and Senators Tina Smith and Bill Cassidy who are reintroducing this important bipartisan legislation. By passing this bill, Congress will clear the path for Medicare beneficiaries to have greater access to telemental health services when and where they need it.”

“Telehealth remains a crucial lifeline for patients seeking behavioral health support, particularly in communities with limited access to local providers,” saidArthur C. Evans Jr., PhD, CEO of the American Psychological Association Services. “Patients deserve uninterrupted, comprehensive care, yet restrictive policies on tele-behavioral health services threaten the progress made in expanding access to treatment options. The reintroduction of the Telemental Health Care Access Act by Representatives Matsui and Balderson is a pivotal step in protecting access to essential care. Their commitment to ensuring patients can receive lifesaving behavioral health treatment—regardless of geographic barriers—is a victory for all who rely on these vital services.”

“Mental health care reduces the risk of suicide. The Telemental Health Care Access Act will enable greater access to care by allowing Medicare coverage for telemental health without a requirement for patients to see their providers in person,” saidLaurel Stine, J.D., M.A., Executive Vice President and Chief Policy and Advocacy Officer at the American Foundation for Suicide Prevention. “Telemental health care is essential in connecting people in rural and other underserved areas with providers and removing unnecessary barriers to care, as well as for supporting access for individuals with limited ability to travel to office settings. We commend Representative Matsui, Representative Balderson, Senator Smith, and Senator Cassidy for leading this legislation to prevent suicide and protect access to mental health and substance use treatment.”

Endorsing Organizations:

• Alliance for Connected Care
• Alliance of Community Health Plans (ACHP)
• American Counseling Association (ACA)
• American Foundation for Suicide Prevention (AFSP)
• American Medical Association (AMA)
• American Psychiatric Association (APA)
• American Psychological Association
• American Telemedicine Association (ATA)
• ATA Action
• Association for Behavioral Health & Wellness (ABHW)
• Association of American Medical Colleges (AAMC)
• California Medical Association
• Center for Telehealth and e-Health Law (CTeL)
• Centerstone
• Eating Disorders Coalition for Research, Policy & Action
• Health Innovation Alliance (HIA)
• Hims & Hers
• HIMSS
• Included Health
• Mental Health America
• National Alliance on Mental Illness (NAMI)
• National Association for Behavioral Healthcare (NABH)
• National Association of Social Workers (NASW)
• Network of Jewish Human Service Agencies
• REDC Consortium
• Talkspace
• Teladoc Health
• United States of Care

Congresswoman Matsui has long led efforts to harness the power of technology to improve our health care system, including expanding access to telehealth services. She has continually led efforts to extend critical telehealth coverage for Medicare beneficiaries. She authored the Telemental Health Expansion Act, which permanently added mental health to the definition of Medicare-covered telehealth services, waived the geographic and originating site requirements for mental health provided through telehealth, and allowed Medicare beneficiaries to access these services at home. 

Full text of the bill is available HERE.

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