Health and Media

The House Commerce Committee's Subcommittee on Health voted to pass a two-year Medicare telehealth extension along with other legislation that expands reimbursement for health tech. The sponsor of the telehealth extension bill, Rep Buddy Carter (R-GA), said he sees no obstacles to the telehealth extension passing the full committee, nor any significant issues for the Commerce and Ways and Means Committees to come to an agreement on a two-year telehealth extension.

Though telehealth has the potential to significantly expand healthcare access, social determinants of health (SDOH) challenges like housing insecurity can hinder this access, depriving already vulnerable populations of much-needed healthcare services.

Internet technologies’ and platforms’ potential psychological consequences remain debated. While these technologies have spurred new forms of commerce, education, and leisure, many are worried that they might negatively affect individuals by, for example, displacing time spent on other healthy activities. Relevant findings to date have been inconclusive and of limited geographic and demographic scope.

Digital inclusion is considered a super social determinant of health and rests on four pillars: available and affordable broadband service, quality devices, digital skills and training, and technical support for using accessible applications. Evidence suggests two pathways through which digital inclusion and health equity are connected. The direct pathway is through increasing access to health care services.

Senators Brian Schatz (D-HI), Ted Cruz (R-TX), Chris Murphy (D-CT), and Katie Britt (R-AK) introduced new legislation to keep kids off social media and help protect them from its harmful impacts. The Kids Off Social Media Act updates legislation Schatz introduced last spring and would set a minimum age of 13 to use social media platforms and prevent social media companies from feeding algorithmically-targeted content to users under the age of 17.

Reps. Mike Kelly (R-PA), Mike Thompson (D-CA), and Adrian Smith (R-NE)  introduced H.R. 8151, bipartisan legislation that would permanently expand the list of practitioners eligible who provide telehealth services to include qualified physical therapists, occupational therapists, speech language pathologists, and audiologists. Currently, these practitioners do not have permanent authorization to deliver electronic or virtual care to their patients. Families have come to rely on telehealth since the COVID-19 pandemic.

Reps Greg Murphy (R-NC-3), Michael Burgess (R-TX-26), Derrick Van Orden (R-WI-03), and Troy Nehls (R-TX-22) reintroduced legislation to permanently extend telehealth services for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Current Medicare telehealth flexibilities for FQHCs and RHCs, previously extended by Congress under the Consolidated Appropriations Act of 2023, expire on December 31, 2024. 

The telecommunications industry’s transition from an analogue to a digital telephone system was partially paused after two Virgin Media O2 customers died following the failure of their telecare devices after the upgrade process. The incidents in 2023 triggered the government’s announcement in December that it had secured industry commitments to protect vulnerable customers.

As states continue to enact new restrictions on reproductive care since the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, access to critical reproductive health care services have been severely threatened. Medications prescribed after a telehealth visit present a safe and effective option; expanding telehealth for prescriptions would increase access to and equity in the provision of reproductive health care. This study identifies practical and near-term opportunities to expand equitable access to women's telehealth care across the United States.

Telemedicine use remains substantially higher than it was before the COVID-19 pandemic, although it has fallen from pandemic highs. To inform the ongoing debate about whether to continue payment for telemedicine visits, this report estimated the association of greater telemedicine use across health systems with utilization, spending, and quality. In 2020, Medicare patients receiving care at health systems in the highest quartile of telemedicine use had 2.5 telemedicine visits per person, compared with 0.7 telemedicine visits per person in the lowest quartile of telemedicine use.