U.S. Senators Marsha Blackburn (R-Tenn) and Mark Warner (D-Va.) have introduced the Rural Patient Monitoring (RPM) Access Act aimed at providing Medicare recipients in rural and underserved communities with access to remote physiologic monitoring services. These services are designed to collect and transmit patient health data to healthcare providers, which can reduce costs and improve care.
According to Senator Blackburn, “Medicare beneficiaries in rural and underserved areas often face serious barriers to health care, and they deserve better.” She asserts that the new legislation would provide Tennessee Medicare patients with access to remote monitoring services that help manage chronic conditions and decrease unnecessary hospital visits.
Similarly, Senator Warner emphasized the benefits of remote monitoring, noting, “Too often, patients are struggling to receive the medical care they need because of how difficult it is to see a doctor in person.” He believes remote monitoring offers a solution, expanding care options while reducing costs and hospital admissions.
In the House, U.S. Representatives David Kustoff (R-Tenn.), Mark Pocan (D-Wisc.), Troy Balderson (R-Ohio), and Don Davis (D-N.C.) have presented a companion bill supporting the same goals.
Background information highlights that rural Medicare patients often suffer from chronic conditions like heart failure, hypertension, and diabetes. The lack of transportation in rural areas is a significant hurdle to accessing healthcare. Remote Physiologic Monitoring (RPM) services provide a solution by helping manage these chronic conditions and reducing unnecessary hospital trips.
These services are currently underutilized in rural areas due to inadequate Medicare reimbursement rates. The RPM Access Act seeks to overcome this by ensuring these services are established for beneficiaries in rural areas, providing services at the national average reimbursement rate, and further lowering patient costs.
Key provisions of the RPM Access Act include requiring RPM providers to respond to anomalies detected by monitoring services and promptly transmitting captured data to supervising providers’ electronic health records. Additionally, there may be requirements for RPM providers to report data to the Secretary of Health and Human Services to evaluate Medicare program savings through the services.
The legislation has received endorsements from healthcare organizations, including the National Rural Health Association, American Association of Nurse Practitioners, HIMSS, and LifePoint Health, among others.
Alan Morgan, CEO of the National Rural Health Association, stated, “Technology-enabled care is crucial to ensuring seniors in rural areas are able to safely manage their chronic conditions.” Similarly, Hal Wolf, President, and CEO of HIMSS, expressed support, noting that remote patient monitoring is critical for improving access and outcomes for Medicare beneficiaries.
Dr. Chris Frost of Lifepoint Health supported the bill, emphasizing that it ensures fair reimbursement for rural providers, empowering them to deliver high-quality care. Michael Richards from SSM Health highlighted that RPM supports chronic disease management and improves health outcomes. Chris Adamec, Executive Director of The Alliance for Connected Care, applauded the legislation, seeing it as an opportunity for rural seniors to better manage their health through technology.
Dr. Karen Rheuban of the University of Virginia Center for Telehealth sees the act as pivotal in encouraging rural healthcare systems to establish and sustain remote monitoring programs, promising better outcomes and lower care costs.
The bill text can be reviewed for more details.



