Bills/H.R. 1785

Preventing Medicare Telefraud Act

Preventing Medicare Telefraud Act

In CommitteeHealthcareHouseHouse Bill · 119th Congress
Bill Progress · House
Introduced
Committee
Passed House
Passed Senate
Passed Both
Signed

Plain Language Summary

# Preventing Medicare Telefraud Act (HR 1785) – Summary **What the bill does:** This bill would add new rules to Medicare's telehealth services to prevent fraud and ensure quality care. Specifically, it would require patients to have at least one in-person doctor visit within the previous six months before Medicare will pay for expensive lab tests or medical equipment ordered through telehealth. The bill also requires doctors providing telehealth services to bill Medicare under their own unique identification number rather than using a substitute provider's number. **Who it affects:** Medicare beneficiaries (primarily seniors age 65+) and healthcare providers who offer telehealth services would be most affected.

The restrictions could limit convenient remote ordering of certain expensive medical items and tests for Medicare patients, while providers would need to ensure proper identification when billing for telehealth visits. **Current status:** The bill was introduced by Representative Lloyd Doggett (D-TX) and is currently in committee, meaning it has not yet been voted on by the full House of Representatives. No significant action has been taken at this time.

CRS Official Summary

Preventing Medicare Telefraud ActThis bill establishes conditions for payment of certain telehealth services, laboratory tests, and durable medical equipment under Medicare.Specifically, the bill conditions payment for certain high-cost laboratory tests and durable medical equipment that are ordered via telehealth on at least one in-person visit during the preceding six-month period. Additionally, practitioners must submit claims for separately billable telehealth services under the practitioner's unique national provider identification number.

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Latest Action

March 3, 2025

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.

Sponsor

Key Dates

Introduced
March 3, 2025
Last Updated
March 3, 2025
Read Full Text on Congress.gov →
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