In the early days of the COVID-19 pandemic, President Donald Trump and Congress put into place a program that allowed people on Medicare to get their health care over the Internet.

The policy proved wildly popular. Nearly half of Medicare beneficiaries received telehealth services in 2020 in an effort to keep their distance from hospitals and doctor’s offices during the pandemic.

But the program is set to expire Sept. 30 without Congressional action, which would leave millions of seniors suddenly unable to access the telehealth care that allowed them to avoid long drives and crowded waiting rooms. The program has been threatened before—Congress had to extend it in 2021, 2022, 2023, and in March 2025—but telehealth advocates say that they have little hope that the program will be save

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