While Medicare telehealth reimbursement policies remain top-of-mind given the expiration of statutory expansions as of October 1, 2025 (see CCHP’s most recent newsletters for more information), questions regarding licensure policies applicable to the use of telehealth across state lines continue to be forefront for many stakeholders. Although policies around licensure are typically regulated by the state (which CCHP tracks in its Policy Finder), a recent report by Johns Hopkins University, titled Summary of Cross-State Telehealth Advocacy Framework, and featured in an accompanying Hopkins news article, instead urges a national approach to licensure in order to address the large variance in allowances at the state level.