Blackburn, Warner Introduce Bill to Lower Costs and Improve Access to Care for Rural Medicare Patients

April 30, 2025

WASHINGTON, D.C. – Today, U.S. Senators Marsha Blackburn (R-Tenn) and Mark Warner (D-Va.) introduced the Rural Patient Monitoring (RPM) Access Act to ensure Medicare patients in rural and underserved communities have access to remote physiologic monitoring services, which lower costs and improve access to care by using technology to collect and transmit patient health data to healthcare providers:

“Medicare beneficiaries in rural and underserved areas often face serious barriers to health care, and they deserve better,” said Senator Blackburn. “The Rural Patient Monitoring Access Act would ensure Tennessee Medicare patients have access to high-quality remote physiologic monitoring services to manage chronic conditions and help patients eliminate unnecessary hospital visits.”

“Too often, patients are struggling to receive the medical care they need because of how difficult it is to see a doctor in person,” said Senator Warner. “Remote monitoring services offer a life-saving solution, expanding care options and allowing individuals to regularly receive the medical consultations they need, all while lowering costs and hospital admissions. I’m proud to introduce the Rural Patient Monitoring Access Act to improve health care services for our seniors.”

U.S. Representatives David Kustoff (R-Tenn.), Mark Pocan (D-Wisc.), Troy Balderson (R-Ohio), and Don Davis (D-N.C.) introduced companion legislation in the House. 

BACKGROUND

  • Rural Medicare patients face high rates of chronic conditions like heart failure, hypertension, and diabetes. 
  • In particular, Medicare patients living in rural areas have limited access to healthcare because of roadblocks like lack of transportation.
  • Remote Physiologic Monitoring (RPM) helps patients manage chronic conditions and eliminates unnecessary hospital visits.
  • A recent study of over 4,000 hypertension patients found that RPM decreased patients’ total monthly cost of care by more than 50%.
  • Current lack of adequate Medicare reimbursement leads to not implementing RPM programs in rural areas, reducing access to cost-saving and patient-centered care.

THE RURAL PATIENT MONITORING (RPM) ACCESS ACT

  • The RPM Access Act would ensure high-quality remote physiological monitoring services are established and maintained for Medicare beneficiaries in rural and underserved geographies; allow rural areas to provide RPM services at the national average rate; and decrease patients’ total monthly cost.
  • Under the RPM Access Act:
    • RPM providers must be capable of responding to data anomalies detected by the monitoring service;
    • RPM providers must be capable of promptly transmitting captured vitals and treatment management notes to electronic health record of the supervising provider; and
    • The Centers for Medicare & Medicaid Services may require providers of RPM to report data to the Secretary of Health and Human Services in order to facilitate the evaluation of cost savings generated to the Medicare program through the proliferation of remote physiologic monitoring services.

ENDORSEMENTS

This legislation is supported by National Rural Health Association, American Association of Nurse Practitioners, HIMSS, American Telemedicine Association, Alliance for Connected Care, Ascension, LifePoint Health, Marshfield Clinic, SSM Health, the University of Virginia Center for Telehealth, and the Bipartisan Policy Center.

“Technology-enabled care is crucial to ensuring seniors in rural areas are able to safely manage their chronic conditions. Remote physiologic monitoring allows for chronic disease complications to be captured early – saving lives, reducing health care costs, and helping to mitigate common rural barriers such as longer distances to in-person treatment,” said Alan Morgan, CEO of National Rural Health Association.

“On behalf of HIMSS, we applaud Senators Blackburn and Warner, and Representatives Kustoff, Balderson, Pocan, and Davis for introducing the Rural Patient Monitoring (RPM) Access Act. Remote patient monitoring is a critical digital health tool that helps providers and patients work together to improve patient access and outcomes. We urge Congress to take action to advance the safe and effective use of RPM for millions of Medicare beneficiaries,” said Hal Wolf, President and CEO of HIMSS.

“Patients in rural and underserved communities deserve the same opportunity to manage their health as those in more resourced areas. At Lifepoint, we’ve seen firsthand how high-quality remote patient monitoring can help bridge long-standing access gaps and drive meaningful clinical improvement, especially for chronic conditions like hypertension and diabetes. This bill is an important step forward in ensuring fair reimbursement for rural providers, empowering them to deliver high-quality, proactive care to the patients who need it most,” said Dr. Chris Frost, Chief Medical Officer and Chief Quality Officer at Lifepoint Health.

“We are proud to support the Rural Patient Monitoring Access Act, which will help to ensure rural practitioners can provide remote physiologic monitoring services. RPM supports coordinated chronic disease management and acute and chronic disease risk reduction, while improving health outcomes helping patients remain healthy at home,” said Michael Richards, System Vice President at SSM Health.

“The Alliance for Connected Care applauds Senators Blackburn and Warner for their leadership to ensure rural patients have access to high-quality, innovative patient-centered care. Remote patient monitoring has a huge potential to empower rural seniors with technology to better take accountability for their own health,” said Chris Adamec, Executive Director of The Alliance for Connected Care.

“This proposed legislation will incentivize healthcare systems in rural areas to establish remote monitoring programs and ensure sustainability of existing programs. We are grateful for Sen. Warner and Sen. Blackburn’s leadership on this issue. Remote monitoring has been shown to improve outcomes and ultimately lower the cost of care,” said Karen Rheuban, MD, Director of the University of Virginia Center for Telehealth.

 Click here for bill text.