{"id":1,"date":"2025-10-01T18:45:09","date_gmt":"2025-10-01T18:45:09","guid":{"rendered":"https:\/\/consulmed.com\/c\/?p=1"},"modified":"2025-10-01T22:20:38","modified_gmt":"2025-10-01T22:20:38","slug":"government-shutdown-2025","status":"publish","type":"post","link":"https:\/\/consulmed.com\/c\/government-shutdown-2025\/","title":{"rendered":"Government Shutdown Oct 1, 2025"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color2);\">Government Shutdown 10\/1\/25<\/h2>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">The federal government entered a shutdown as of October 1, 2025, following the expiration of funding amid a bitter legislative standoff. Healthcare providers, payers, and anyone working with Medicare or federal programs will see some direct impacts\u2014but much remains steady. Here\u2019s what you need to know about how the shutdown affects federal agencies, Medicare operations, and telehealth policy.<\/p>\n<h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color2);\">Why Did the Shutdown Happen?<\/h2>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Late last week, the House of Representatives passed a seven-week Continuing Resolution (CR) to keep government funding on life support through Thanksgiving, but the Senate did not pass this measure. The mathematics of the Senate\u2019s 60-vote rule, coupled with party-line friction, stalled the process. Democrats have drawn a line: they want any deal to include an extension of enhanced ACA premium subsidies set to expire soon, warning that insurers need rate certainty before open enrollment begins. Both parties sense political leverage and are posturing to win public opinion.<\/p>\n<h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color2);\">Federal Agency Operations During Shutdown<\/h2>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Each federal agency must follow shutdown contingency plans, specifying which functions are &#8220;essential&#8221; and which will be paused. The Department of Health and Human Services (HHS) recently issued such guidance, and other agencies are following suit. In general:<\/p>\n<ul class=\"marker:text-quiet list-disc\">\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Essential services\u2014like defense, law enforcement, air traffic control, TSA, and the Postal Service\u2014continue with staff working but unpaid.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Non-essential staff are furloughed, causing delays in services from tax processing to medical device reviews.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Agencies may use leftover funds to keep some activities running temporarily, but disruptions will increase over time.<\/p>\n<\/li>\n<\/ul>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Agencies overseeing Medicare, Social Security, and national security are largely exempt from layoffs.<\/p>\n<h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color2);\">Medicare, CMS, and Provider Impacts<\/h2>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Medicare remains an entitlement program and is not subject to these appropriations, so critical functions\u2014including provider claim submissions and payments\u2014will mostly continue. However, the Centers for Medicare &amp; Medicaid Services (CMS) is implementing a temporary claims hold for up to 10 business days on some payments to ensure consistency with new laws that may pass during or after the shutdown. This is standard practice and, because of Medicare\u2019s 14-day payment floor, the impact on providers should be minimal: claims can be submitted, but some payments are delayed.<\/p>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">What else changes?<\/p>\n<ul class=\"marker:text-quiet list-disc\">\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Approximately half of CMS staff are furloughed, so functions like provider enrollment and audit programs (e.g., Targeted Probe and Educate) may be delayed.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Legislative activity in Congress is mostly paused, as much staff is furloughed and attention is focused on resolving the shutdown rather than new laws or hearings.<\/p>\n<\/li>\n<\/ul>\n<h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color2);\">Telehealth Policies Revert as COVID-19 Flexibilities Expire<\/h2>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">October 1 is also the date that many COVID-19 telehealth waivers and flexibilities expired. Unless Congress acts, Medicare reverts to pre-pandemic telehealth rules for most (non-behavioral\/mental health) services. This means:<\/p>\n<ul class=\"marker:text-quiet list-disc\">\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Many telehealth services can no longer be performed for beneficiaries in their homes or outside of rural areas.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Hospice recertifications once again require in-person encounters.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Providers may need to use Advance Beneficiary Notices of Noncoverage for telehealth services that are no longer reimbursable.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Practitioners in certain Medicare Shared Savings ACOs can still offer some telehealth services to eligible beneficiaries in their homes, with no special approval required.<\/p>\n<\/li>\n<\/ul>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Providers should monitor Congressional action, as further policy changes are possible if\/when a funding bill does pass.<\/p>\n<h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color2);\">What to Expect in the Coming Weeks<\/h2>\n<ul class=\"marker:text-quiet list-disc\">\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Most government services facing a pause should resume when funding is restored, but the longer the shutdown drags on, the bigger the delays, especially for administrative and regulatory activities.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">Air travel may continue but could see slowdowns if unpaid essential workers, such as TSA agents or air traffic controllers, call out sick in protest.<\/p>\n<\/li>\n<li class=\"py-0 my-0 prose-p:pt-0 prose-p:mb-2 prose-p:my-0 &#091;&amp;&gt;p&#093;:pt-0 &#091;&amp;&gt;p&#093;:mb-2 &#091;&amp;&gt;p&#093;:my-0\">\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">CMS and other agencies will provide updates as the situation develops. The HBMA Government Affairs office will also circulate new guidance as agencies issue revised instructions.<\/p>\n<\/li>\n<\/ul>\n<h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color2);\">Quick Answers for Healthcare Providers<\/h2>\n<div class=\"group relative\">\n<div class=\"w-full overflow-x-auto md:max-w-&#091;90vw&#093; border-subtlest ring-subtlest divide-subtlest bg-transparent\">\n<table class=\"border-subtler my-&#091;1em&#093; w-full table-auto border-separate border-spacing-0 border-l border-t\">\n<thead class=\"bg-subtler\">\n<tr>\n<th class=\"border-subtler p-sm break-normal border-b border-r text-left align-top\">Area<\/th>\n<th class=\"border-subtler p-sm break-normal border-b border-r text-left align-top\">What Happens During Shutdown?<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"border-b border-subtler\">\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Medicare Claims<\/td>\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Processed, but some payments delayed by up to 10 days<\/td>\n<\/tr>\n<tr class=\"border-b border-subtler\">\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">CMS Staff<\/td>\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Half furloughed; slower provider enrollment and some reviews<\/td>\n<\/tr>\n<tr class=\"border-b border-subtler\">\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Telehealth<\/td>\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Most COVID-19 flexibilities expired; pre-pandemic rules in force<\/td>\n<\/tr>\n<tr class=\"border-b border-subtler\">\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Hospital\/Provider Impact<\/td>\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Can submit claims; some admin and audit delays expected<\/td>\n<\/tr>\n<tr class=\"border-b border-subtler\">\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Congressional Activity<\/td>\n<td class=\"px-sm min-w-&#091;48px&#093; break-normal border-r\">Majorly paused, with focus on ending the shutdown<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"bg-base border-subtler shadow-subtle pointer-coarse:opacity-100 right-xs absolute bottom-0 flex rounded-lg border opacity-0 transition-opacity group-hover:opacity-100 &#091;&amp;&gt; &lt;p&gt;*:not(:first-child)&#093;:border-subtle &#091;&amp;&gt;*:not(:first-child)&#093;:border-l\">\n<div class=\"flex\">\u00a0<\/div>\n<div class=\"flex\">\u00a0<\/div>\n<\/div>\n<\/div>\n<h2 class=\"mb-2 mt-4 font-display font-semimedium text-base first:mt-0\" style=\"color: var(--awb-color3);\">Final Thoughts<\/h2>\n<p class=\"my-2 &#091;&amp;+p&#093;:mt-4 &#091;&amp;_strong:has(+br)&#093;:inline-block &#091;&amp;_strong:has(+br)&#093;:pb-2\">While another messy shutdown creates uncertainty, core Medicare payments and entitlement services persist for now. The expiration of pandemic-era telehealth flexibilities returns compliance challenges to the forefront. Providers should prepare for processing delays, track regulatory updates, and stay tuned for Congressional developments that could swiftly change the rules once again.<\/p>\n<p><a href=\"https:\/\/www.cms.gov\/medicare\/coverage\/telehealth\">https:\/\/www.cms.gov\/medicare\/coverage\/telehealth<\/a> <a href=\"https:\/\/www.cms.gov\/files\/document\/shared-savings-program-telehealth-fact-sheet.pdf.\">https:\/\/www.cms.gov\/files\/document\/shared-savings-program-telehealth-fact-sheet.pdf.<\/a><\/p>\n<p>\u00a0<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><p><!-- \/wp:post-content --><\/p>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":2558,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[],"class_list":["post-1","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-government"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Government Shutdown Oct 1, 2025 - Consulmed<\/title>\r\n<meta name=\"description\" content=\"Discover how the October 1, 2025 government shutdown affects Medicare, medical billing, provider payments, and telehealth rules. 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