Cross State Licensing

Persons considered not engaged in practice: Physicians and surgeons or osteopathic physicians and surgeons of the United States army, navy, air force, marines, public health service, or other uniformed service when acting in the line of duty in this state, and holding a current, active permanent license in good standing in another state, district, or territory of the United States, or physicians and surgeons or osteopathic physicians and surgeons licensed in another state, when incidentally called into this state in consultation with a physician and surgeon or osteopathic physician and surgeon licensed in this state.

SOURCE:  Iowa Code, Ch. 148.2, (Accessed Apr. 2025).

Medicine

A physician who uses telemedicine in the diagnosis and treatment of a patient located in Iowa shall hold an active Iowa medical license consistent with state and federal laws. Nothing in this rule shall be construed to supersede the exceptions to licensure contained in 653—subrule 9.2(2).

SOURCE: Iowa Admin Code, Sec. 653-13.11, (Accessed Apr. 2025).

Psychologists

The psychologist must be licensed or be exempt from licensure in the jurisdiction where the patient or examinee is located.

SOURCE: Iowa Admin Code, Sec. 645-243.6, (Accessed Apr. 2025).

Physician Assistants

License Required: A physician assistant who uses telemedicine in the diagnosis and treatment of a patient located in Iowa will hold an active Iowa physician assistant license consistent with state and federal laws. Nothing in this rule will be construed to supersede the exceptions to licensure contained in rule 645—326.17(148C).

SOURCE: Iowa Admin Code, Sec. 645-327.6, (Accessed Apr. 2025).

Hearing Aid Specialists

Conducting a telehealth appointment with a client who is physically located in Iowa during the appointment, regardless of the location of the hearing aid specialist, requires Iowa licensure.

SOURCE: Iowa Admin Code, Sec. 645-123.5, (Accessed Apr. 2025).

Nursing

A registered nurse or licensed practical nurse who provides services through telehealth to a patient physically located in Iowa must hold an active license issued by the board or have an active privilege to practice in Iowa pursuant to the nurse licensure compact.

SOURCE: IA Admin Code Sec. 655-6.4(152), (Accessed Apr. 2025).

Board of Nursing – ARNP

An advanced registered nurse practitioner who provides services through telehealth to a patient physically located in Iowa must be licensed by the board. A licensee who provides services through telehealth to a patient physically located in another state shall be subject to the laws and jurisdiction of the state where the patient is physically located.

SOURCE: IA Admin Code Sec. 655-7.9(152), (Accessed Apr. 2025).

Board of Nursing – Midwives

A CPM who provides services through telehealth to a client physically located in Iowa must be licensed by the board. A CPM who provides services through telehealth to a client physically located in another state shall be subject to the laws and jurisdiction of the state where the client is physically located.

SOURCE: IA Admin Code Sec. 655-16.7, (Accessed Apr. 2025).

Dietitian

Any licensee who provides a telehealth visit to an individual or a group located in Iowa shall be licensed in Iowa

SOURCE: IA Admin Code Sec. 645-81.10, (Accessed Apr. 2025).

Occupational Therapy

Any occupational therapist or occupational therapy assistant who provides an occupational therapy telehealth visit to a patient located in Iowa shall be licensed in Iowa.

SOURCE: IA Admin Code 645-208.3. (Accessed Apr. 2025).

Physical Therapy

Any physical therapist or physical therapist assistant who provides a physical therapy telehealth visit to a patient located in Iowa shall be licensed in Iowa or have a compact privilege issued by the physical therapy compact commission.

SOURCE: IA Admin Code Sec. 645-201.3, (Accessed Apr. 2025).

Speech Language Pathology/Audiology

Speech pathology or audiology services in Iowa through telephonic, electronic, or other means constitute the practice of speech pathology or audiology and require Iowa licensure, regardless of the location of the speech/language pathologist or audiologist.

SOURCE: Iowa Admin Code, Sec. 645-301.1, (Accessed Apr. 2025).