The Senate draft bill includes a permanent extension, with a retroactive start beginning December 31, 2024. 

The Alliance for Connected Care sent a letter to the Senate Finance Committee Republicans, urging for reconsideration the omission of commercial market telehealth flexibility in the reconciliation package.  Employers and health plans need certainty around the availability of these services in order to finalize benefits for the 2026 plan year.

Specifically, Senator Daines’ Telehealth Expansion Act of 2025 would restore the safe harbor that allowed employers and health plans to provide pre-deductible coverage of telehealth services for individuals with a high-deductible health plan coupled with a health savings account (HDHP-HSA).  This flexibility is crucial for the more than 32 million Americans with these plans.   As it stands, many of these individuals lost access to care they used in 2024 due to the expiration of statutory flexibility at the start of 2025.

Full letter can be found below or here.

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