billHR1867Event Wednesday, March 5, 2025Analyzed

To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology.

Bullish
Impact4/10

Summary

HR1867, if enacted, would permanently remove in-person requirements for Medicare mental health telehealth services, ensuring continued reimbursement for virtual mental health care. This legislative action provides regulatory stability and market expansion for telehealth providers. $TDOC and $AMWL have seen positive 7-day and 30-day changes, indicating market optimism in the broader telehealth sector.

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Key Takeaways

  • 1.HR1867 permanently removes in-person requirements for Medicare mental health telehealth services, ensuring continued coverage.
  • 2.This bill provides regulatory stability and expands the addressable market for telehealth providers in mental health.
  • 3.Telehealth companies like $TDOC and $AMWL are direct beneficiaries, securing their revenue streams from Medicare patients.

Market Implications

The permanent removal of in-person requirements for Medicare mental health telehealth services, as proposed by HR1867, creates a stable and expanded market for telehealth providers. This regulatory certainty is bullish for companies like Teladoc Health ($TDOC) and American Well Corporation ($AMWL), whose business models rely heavily on virtual care delivery. Both $TDOC, currently at $5.99, and $AMWL, at $6.19, have shown positive momentum over the past 7 and 30 days, with gains of +1.18% and +2.66% respectively over 7 days, and +16.54% and +17.05% over 30 days. This indicates market recognition of the favorable policy environment for telehealth, which HR1867 would solidify by removing a key regulatory hurdle for Medicare reimbursement.

Full Analysis

HR1867, introduced in the House on March 5, 2025, aims to permanently remove in-person requirements for Medicare mental health services furnished through telehealth. The bill is currently in the early stages of the legislative process, having been referred to the Committee on Energy and Commerce and the Committee on Ways and Means. This action is significant as it seeks to codify the expanded telehealth flexibilities that emerged during the COVID-19 pandemic, specifically for mental health services under Medicare. This bill does not authorize or appropriate new funding. Instead, it modifies existing Medicare reimbursement policy by removing a specific restriction. The mechanism is regulatory relief, ensuring that Medicare will continue to cover virtual mental health services without the need for an initial in-person visit. This policy change directly benefits telehealth providers by stabilizing and expanding their addressable market within the Medicare population. The money trail involves continued reimbursement from CMS to eligible mental health providers for services delivered via telehealth, which in turn supports the platforms and services offered by companies like Teladoc Health and American Well. Structural winners include pure-play telehealth companies with significant exposure to mental health services. Teladoc Health ($TDOC), through its BetterHelp platform, is a direct beneficiary as it provides extensive virtual mental health care. American Well Corporation ($AMWL) also stands to benefit as its platform facilitates telehealth services for various providers, including mental health. The permanent removal of these requirements reduces regulatory uncertainty and ensures a stable market for these services. The recent Executive Order on Accelerating Medical Treatments for Serious Mental Illness, while focused on psychedelic therapies, broadly signals a supportive environment for mental health innovation and access, which aligns with the intent of HR1867 to expand mental health service delivery. Based on the provided market data, both $TDOC and $AMWL have shown positive price trends recently. $TDOC is currently at $5.99, with a +1.18% change over 7 days and +16.54% over 30 days. $AMWL is at $6.19, with a +2.66% change over 7 days and +17.05% over 30 days. These trends suggest that the market is already anticipating or reacting to a favorable environment for telehealth, which HR1867 would further solidify. The bill's legislative path involves committee review, and if successful, would proceed to a House vote, then Senate consideration, and finally presidential assent. Given its bipartisan sponsorship (Mr. Hern (R-OK), Mr. Suozzi (D-NY), Mr. Fitzpatrick (R-PA), Ms. Lee of Nevada (D-NV), and Ms. Malliotakis (R-NY)), it has a reasonable chance of progressing.

Market Impact Score

4/10
Minimal ImpactModerateMajor Market Event

Related Presidential Actions

Executive orders & memoranda affecting the same sectors or companies

Exec OrderApr 18, 2026

Accelerating Medical Treatments for Serious Mental Illness

This executive order directs the FDA to prioritize review and facilitate 'Right to Try' access for psychedelic drugs, including ibogaine compounds, that have received Breakthrough Therapy designation for serious mental illnesses. It also allocates $50 million from HHS to support state programs advancing these treatments and mandates collaboration between HHS, FDA, VA, and the private sector to increase clinical trial participation and data sharing for these drugs. The Attorney General is further directed to expedite rescheduling reviews for approved Schedule I psychedelic substances.