Key TakeawaysUnless Congress acts, Medicare telehealth flexibilities put in place since the COVID-19 pandemic will expire Sept. 30, 2025. Without Congressional action, the Medicare telehealth waivers and flexibilities that health care providers rely on will end Sept. 30, 2025. During the COVID-19 pandemic, waivers were implemented to facilitate fast adoption and Medicare coverage for telehealth services in medical and behavioral health. Some waivers related to regulatory requirements, which Centers for Medicare and Medicaid (CMS) control, while others waived statutory requirements, that only Congress could change. If and until Congress acts, any telehealth services furnished after Oct. 1, 2025 must comply with the Medicare coverage guidelines then in effect — meaning providers who delay in preparing for the end of the statutory waivers risk losing telehealth revenue.