This bill, titled the Telehealth Modernization Act, aims to significantly extend several key telehealth flexibilities under the Medicare program. It prolongs the removal of geographic requirements and the expansion of originating sites for telehealth services until September 30, 2027 . This extension also applies to the expansion of eligible practitioners who can furnish telehealth services, as well as the provision of telehealth services by Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). The legislation delays the implementation of in-person requirements for mental health services furnished through telehealth until October 1, 2027 . Furthermore, it extends the allowance for audio-only telehealth services until September 30, 2027, and permits the use of telehealth for face-to-face encounters prior to hospice care recertification until September 30, 2027, with specific exceptions for areas under moratoriums or providers under enhanced oversight. Beginning January 1, 2026, hospice claims for telehealth encounters will require a specific modifier. The bill also extends the Acute Hospital Care at Home waiver flexibilities until 2030 , allowing hospitals to provide acute-level care in patients' homes. It mandates a subsequent study and report by September 30, 2028 , to analyze the criteria for patient selection, compare quality of care, health outcomes, costs, and service intensity between home-based and inpatient settings. This study will also examine socioeconomic information of individuals treated and compare outcomes for patients entering the program from emergency departments versus existing inpatient stays. To enhance program integrity, the bill requires certain Durable Medical Equipment (DME) items with aberrant billing patterns to be included on a Master List for potential prepayment review starting January 1, 2028 . It also mandates a report by the Inspector General by January 1, 2026, assessing fraud risks in clinical diagnostic laboratory tests and suggesting mitigation strategies. Additionally, the Secretary of Health and Human Services must issue guidance within one year on best practices for furnishing telehealth services to individuals with Limited English Proficiency (LEP) , covering interpreters, accessible systems, patient portals, and multilingual materials. Finally, the legislation introduces in-home cardiopulmonary rehabilitation flexibilities using audio and video technology from September 30, 2025, to January 1, 2027 . It also requires the inclusion of virtual Diabetes Prevention Program (MDPP) suppliers in the Medicare Diabetes Prevention Program expanded model from January 1, 2026, to December 31, 2030 . This expansion allows entities to offer online MDPP services, removes prohibitions based on beneficiary location across state lines, and eliminates limits on the number of times an individual may enroll in the MDPP.