November 4, 2025 

Dear Senate Majority Leader Thune, Minority Leader Schumer, Speaker Johnson, and House Minority Leader Jeffries:

On behalf of the signatories below, we strongly urge Congress to immediately act on a long-term telehealth fix in its next legislative package to ensure stability and provide clarity for patients, providers, and the health care system as a whole.

Congress has extended telehealth flexibilities multiple times immediately prior to the looming deadlines. Unfortunately, failure to do so this year has led to an abrupt end to telehealth services for millions of Medicare beneficiaries.

This cycle of temporary fixes has resulted in patients and providers facing continued disruptions in care. Providers are faced with decisions between providing the necessary care for their patients and cutting access to clinicians and services they are providing virtually. A research brief from Brown University found that expiration of the expanded telehealth coverage has cut off access to telehealth services for more than four million Medicare beneficiaries. Additionally, it has caused financial disruptions for the 30 percent of health care providers that deliver telehealth visits to Medicare beneficiaries.

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