Cross State Licensing

In accordance with Chapters 155.001 and 111 of the Texas Occupations Code, a physician may not provide telemedicine medical services to patients in Texas unless they hold a full Texas medical license, except for those who held an out-of-state telemedicine license as of September 1, 2022.

SOURCE: TX Admin. Code, Title 22, Part 9, Sec. 175.1. (Accessed Jan. 2026).

 In accordance with Sec. 155.001 and 151.056 of the Act, all physicians must hold a full Texas medical license to practice in Texas, including physicians practicing telemedicine.

SOURCE: TX Admin Code Title 22, Part 9, Sec. 161.40, (Accessed Jan. 2026).

Unless otherwise permitted to practice under applicable law or commission rule, a person providing a telehealth service to a client located in Texas at the time the service is provided must possess the valid license type required by the department for the delivery of the applicable telehealth service, regardless of the location of the provider when delivering the telehealth service.

SOURCE: TX Admin Code Title 16, Part 4, Ch. 100, Subch. C, Rule 100.62, (Accessed Jan. 2026).

Mental Health Services

Notwithstanding any other law, a health professional may provide a mental health service that is within the scope of the professional’s license, certification, or authorization through the use of a telemedicine medical service or a telehealth service to a patient who is located outside of this state, subject to any applicable regulation of the jurisdiction in which the patient is located.

SOURCE: TX Occupations Code 113.002 (Accessed Jan. 2026).

In accordance with §113.002 of the Occupations Code, a licensee of the Executive Council may provide a mental health service, that is within the scope of the license, through the use of a telehealth service to a client who is located outside of this state, subject to any applicable regulation of the jurisdiction in which that client is located. Such conduct does not constitute the practice of marriage and family therapy, professional counseling, psychology, or social work in this state.

SOURCE: TX Admin Code Title 22, Part 41, Ch. 882, Subch. B, Rule 882.23, (Accessed Jan. 2026).

Dentistry

A health professional providing a health care service or procedure as a teledentistry dental service is subject to the licensing requirements that would apply to the provision of the same health care service or procedure in an in-person setting.

SOURCE: TX Occupations Code 111.0075, (Accessed Jan. 2026).

For purposes of this subtitle, a person located in another state practices dentistry in this state and is required to hold a license to practice dentistry in this state if the person through the use of any medium, including an electronic medium, performs an act that constitutes the practice of dentistry on a patient in this state.

SOURCE: TX Occupations Code 251.003 (Accessed Jan. 2026).

Hearing Instrument Fitters and Dispensers

An individual shall not provide telehealth services to a client in the State of Texas, unless the individual holds a license or permit issued by the department and qualifies as a provider as that term is defined in this subchapter, or is otherwise legally authorized to do so.

SOURCE: TX Admin. Code Title 16, Part 4, Ch. 112, Subch. N, Sec. 112.132, (Accessed Jan. 2026).

Speech-Language Pathology and Audiology

An individual shall not provide telehealth services to a client in the State of Texas, unless the individual is licensed by the department and qualifies as a provider as that term is defined in this subchapter, or is otherwise legally authorized to do so.

SOURCE: TX Admin. Code, Title 16, Part 4, Ch. 111, Subchapter V, Sec. 111-212, (Accessed Jan. 2026).

Behavioral Analysts

An individual shall not provide telehealth services to a client in the State of Texas, unless the individual is licensed by the department and qualifies as a provider, as that term is defined in this subchapter, or is otherwise legally authorized to do so.

SOURCE: TX Admin Code Title 16, Part 4, Ch. 121, Sec. E, Sec. 121. 79 (Accessed Jan. 2026).