Recent actions in two different states provide a good example of how different state Medicaid policies can vary widely and how the state telehealth policy landscape continues to be an ever-evolving environment.  We often see that while one state is expanding their telehealth policy, another is imposing new requirements that may limit the availability of services via telehealth.  Although the subjects of the policies within these two example states may not be the same, it does still demonstrate that states are continuing to work on, and refine, their telehealth policies.