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H.R. 2639
U.S. House•In House Committee
Summary
H.R. 2639, the Telehealth Access for Tribal Communities Act of 2025, was introduced in the House on Apr 3, 2025 by Rep. Teresa Fernandez (D) with 8 co-sponsors. It was referred to Energy And Commerce, and last saw action on Apr 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.
Record
Text
H.R. 2639 has 8 co-sponsors.
hb2639/introduced-in-house.txt119 HR 2639 IH: Telehealth Access for Tribal Communities Act of 2025U.S. House of Representatives2025-04-03text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 2639 IN THE HOUSE OF REPRESENTATIVES April 3, 2025 Ms. Leger Fernandez (for herself, Ms. Stansbury , Mr. Ruiz , Mr. Obernolte , and Ms. Norton ) introduced the following bill; which was 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 A BILLTo amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program for telehealth services furnished by Indian health programs.1.Short titleThis Act may be cited as the Telehealth Access for Tribal Communities Act of 2025 .2.Making permanent certain telehealth flexibilities under the Medicare program for telehealth services furnished by Indian health programsSection 1834(m) of the Social Security Act ( 42 U.S.C. 1395m(m) ) is amended—(1)in paragraph (4)(C)(iii)—(A)by striking In the case and inserting the following:(I)In generalIn the case; and(B)by adding at the end the following new subclause:(II)Special rule for services furnished by Indian health programsWith respect to telehealth services identified in subparagraph (F)(i) as of the date of the enactment of this clause furnished on or after April 1, 2025, by an Indian health program (as defined in section 4 of the Indian Health Care Improvement Act) or by an urban Indian organization (as so defined), or by a physician or practitioner employed by or under contract with such a program or organization, to an eligible telehealth individual, the term originating site means any site in the United States at which the eligible telehealth individual is located at the time the service is furnished via a telecommunications system, including the home of an individual.; and(2)in paragraph (9)—(A)by striking In the case and inserting the following:(A)In generalIn the case; and(B)by adding at the end the following new subparagraph:(B)Special rule for services furnished by Indian health programsThe Secretary shall provide coverage and payment under this part for telehealth services identified in subparagraph (F)(i) as of the date of the enactment of this paragraph that are furnished on or after April 1, 2025, via an audio-only communications system by an Indian health program (as defined in section 4 of the Indian Health Care Improvement Act) or by an urban Indian organization (as so defined), or by a physician or practitioner employed by or under contract with such a program or organization, to an eligible telehealth individual. For purposes of the previous sentence, the term telehealth service means a telehealth service identified as of the date of the enactment of this paragraph by a HCPCS code (and any succeeding codes) for which the Secretary has not applied the requirements of paragraph (1) and the first sentence of section 410.78(a)(3) of title 42, Code of Federal Regulations, during the emergency period described in subparagraph (A)..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-04-03
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Apr 3, 2025
hb2639/introduced-in-house.mdShown Here:
Introduced in House (04/03/2025)
Telehealth Access for Tribal Communities Act of 2025
This bill permanently provides for Medicare coverage of audio-only, at-home telehealth services that are furnished through the Indian Health Service.
Sponsors
Rep. Teresa Fernandez (D) sponsors H.R. 2639, and 8 members have co-sponsored it, 4 of them from the day it was introduced.

Rep. · D–NM-3 · Sponsor
Introduced Apr 3, 2025

Rep. · D–DC-0 · Co-sponsor
Joined Apr 3, 2025 · Original

Rep. · R–CA-23 · Co-sponsor
Joined Apr 3, 2025 · Original

Rep. · D–CA-25 · Co-sponsor
Joined Apr 3, 2025 · Original

Rep. · D–NM-1 · Co-sponsor
Joined Apr 3, 2025 · Original

Rep. · D–AZ-3 · Co-sponsor
Joined Apr 7, 2025

Rep. · D–CA-35 · Co-sponsor
Joined Apr 7, 2025

Rep. · D–CO-2 · Co-sponsor
Joined Apr 17, 2025

Rep. · D–KS-3 · Co-sponsor
Joined Aug 12, 2025
Committees
H.R. 2639 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 2639 has taken 2 actions since Apr 3, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Apr 3, 2025 | House | Introduced in House | ||
Apr 3, 2025 | House | 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.Energy and Commerce Committee |
Votes
H.R. 2639 has not gone to a roll call.
Titles
H.R. 2639 goes by 3 titles, 1 of them short titles.
- Telehealth Access for Tribal Communities Act of 2025 — Display Title
- Telehealth Access for Tribal Communities Act of 2025 — Short Title(s) as Introduced
- To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program for telehealth services furnished by Indian health programs. — Official Title as Introduced
Lobbying
3 clients hired 3 firms and 11 registered lobbyists who named H.R. 2639 in 11 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Budget/Appropriations, Health Issues, Law Enforcement/Crime/Criminal Justice, Medicare/Medicaid, Housing, Taxation/Internal Revenue Code.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | — | District of Columbia | 1 | 6 | — |
| IHRSA (HEALTH & FITNESS ASSOCIATION) - THE GLOBAL HEALTH AND FITNESS ASSOCIATION | Trade Association for the Health and Fitness Industry | Massachusetts | 1 | 3 | $80K |
| AMERICAN ASSOCIATION OF NEUROMUSCULAR & ELECTRODIAGNOSTIC MEDICINE | To improve the quality of patient care and advance the science of NM disease and EDX med | Minnesota | 1 | 2 | $20K |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | 1 | 6 | — |
| FIERCE GOVERNMENT RELATIONS | 1 | 3 | $80K |
| HEALTH AND MEDICINE COUNSEL | 1 | 2 | $20K |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| REYNA TAYLOR | 1 | 1 | 6 |
| JACOBUS VREEBURG | 1 | 1 | 3 |
| KATE HULL | 1 | 1 | 3 |
| KIRSTEN CHADWICK | 1 | 1 | 3 |
| MICHAEL CHAPPELL | 1 | 1 | 3 |
| PATRICK CLIFTON | 1 | 1 | 3 |
| WILLIAM BLALOCK | 1 | 1 | 3 |
| DANE CHRISTIANSEN | 1 | 1 | 2 |
| KIRA FLAHERTY | 1 | 1 | 2 |
| PHILIP GOGLAS | 1 | 1 | 2 |
| WILLIAM PIPER | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | 2026 first_quarter | $226.2K | 1st Quarter - Report |
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | 2025 third_quarter | $209.1K | 3rd Quarter - Report |
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | 2025 second_quarter | $178.8K | 2nd Quarter - Report |
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | 2026 second_quarter | $150.6K | 2nd Quarter - Report |
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | 2025 first_quarter | $112.8K | 1st Quarter - Report |
| NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | NATIONAL COUNCIL FOR BEHAVIORAL HEALTH | 2025 fourth_quarter | $82.7K | 4th Quarter - Report |
| IHRSA (HEALTH & FITNESS ASSOCIATION) - THE GLOBAL HEALTH AND FITNESS ASSOCIATION | FIERCE GOVERNMENT RELATIONS | 2025 fourth_quarter | $30K | 4th Quarter - Report |
| IHRSA (HEALTH & FITNESS ASSOCIATION) - THE GLOBAL HEALTH AND FITNESS ASSOCIATION | FIERCE GOVERNMENT RELATIONS | 2025 third_quarter | $30K | 3rd Quarter - Report |
| IHRSA (HEALTH & FITNESS ASSOCIATION) - THE GLOBAL HEALTH AND FITNESS ASSOCIATION | FIERCE GOVERNMENT RELATIONS | 2026 first_quarter | $20K | 1st Quarter - Termina… |
| AMERICAN ASSOCIATION OF NEUROMUSCULAR & ELECTRODIAGNOSTIC MEDICINE | HEALTH AND MEDICINE COUNSEL | 2026 second_quarter | $10K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NEUROMUSCULAR & ELECTRODIAGNOSTIC MEDICINE | HEALTH AND MEDICINE COUNSEL | 2026 first_quarter | $10K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 2639 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 2639’s is Health.
hr2639/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 2639, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 60 (Thursday, April 3, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. LEGER FERNANDEZ:H.R. 2639.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 1 (the Spending Clause) alongwith Article I, Section 8, Clause 18 (the Necessary andProper Clause).[Page H1418]
Source: congress.gov · legiscan.com