The telehealth cliff has arrived: What’s changing and what to watch

10/14/25 at 03:00 AM

The telehealth cliff has arrived: What’s changing and what to watch 
Healthcare Law Blog; by Sheppard Mullin Richter & Hampton LLP, co-author Joel Dankwa; 10/9/25
On October 1st, certain key telehealth flexibilities created during the COVID-19 public health emergency (“PHE”) expired as the government shutdown began. The Centers for Medicare & Medicaid Services (“CMS”) issued a number of telehealth waivers during the PHE, some of which were extended through September 30, 2025 by the Full-Year Continuing Appropriations Act, 2025 (“CAA”). The flexibilities expired as legislative efforts to once again extend the flexibilities, including through the House Committee’s stop-gap government funding Continuing Resolution, failed to pass. The flexibilities that expired on October 1, after being extended by the CAA, are:

  • Definition of “Originating Site”...
  • Definition of “Practitioner”: ...
  • RHC and FQHC Telehealth Services: ...
  • In-Person Visit Requirement for Telehealth Mental Health Services: ...
  • Audio-Only Telehealth...
  • Recertification of Eligibility for Hospice Care: ...
  • Hospital at Home: ... 
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