HLB’s Government Relations & Public Policy Special Edition Newsletter
The federal government is approaching a critical funding deadline, with current appropriations set to expire at midnight tonight. Absent congressional action, a government shutdown is expected, though the duration remains uncertain.
Read our special edition newsletter for timely insights into the key dynamics and implications for the health care sector here.
Update as of 10/1/2025
CMS released guidance directing MACs to implement a temporary claims hold. This standard practice is typically up to 10 business days and prevents the need for reprocessing large volumes of claims should Congress act after the statutory expiration date. Providers can continue to submit claims during this time, but payment will not be made until the hold is lifted. Additionally, CMS reiterates that absent congressional action, many of the statutory limitations that were in place prior to the COVID-19 PHE will take effect again, and that practitioners may choose to hold claims associated with telehealth services that are not payable by Medicare in the absence of congressional action. CMS notes that clinicians in applicable Medicare ACOs can provide and receive payment for covered telehealth services to certain Medicare beneficiaries without geographic restriction and in the beneficiary’s home.
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