Professional Requirements

Cross-State Licensing

When telehealth is used, it is considered to be rendered at the physical location of the patient, and therefore a provider typically needs to be licensed in the patient’s state.  A few states have licenses or telehealth specific exceptions that allow an out-of-state provider to render services via telemedicine in a state where they are not located, or allow a clinician to provide services via telehealth in a state if certain conditions are met (such as agreeing that they will not open an office in that state). Still other states have laws that don’t specifically address telehealth and/or telemedicine licensing, but make allowances for practicing in contiguous states, or in certain situations where a temporary license might be issued provided the specific state’s licensing conditions are met.

Click the map to scroll down to the state

Federal

Last updated 02/28/2021

Veterans Benefits

Notwithstanding any provision of law regarding the licensure …

Veterans Benefits

Notwithstanding any provision of law regarding the licensure of health care professionals, a covered health care professional may practice the health care profession of the health care professional at any location in any State, regardless of where the covered health care professional or the patient is located, if the covered health care professional is using telemedicine to provide treatment to an individual.

For purposes of this section, a covered health care professional is any health care professional who—

  • is an employee of the Department;
  • is authorized by the Secretary to provide health care under this chapter;
  • is required to adhere to all standards for quality relating to the provision of medicine in accordance with applicable policies of the Department; and
  • has an active, current, full, and unrestricted license, registration, or certification in a State to practice the health care profession of the health care professional.

The provisions of this section shall supersede any provisions of the law of any State to the extent that such provision of State law are inconsistent with this section.

No State shall deny or revoke the license, registration, or certification of a covered health care professional who otherwise meets the qualifications of the State for holding the license, registration, or certification on the basis that the covered health care professional has engaged or intends to engage in activity covered by subsection (a).

SOURCE:  38 USCS Sec. 1770C, (Accessed Feb. 2021).

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Alabama

Last updated 06/08/2021

A special purpose license allowing practitioners licensed in other states …

A special purpose license allowing practitioners licensed in other states to practice across state lines may be issued if an applicant’s state of principle license allows for reciprocity.

SOURCE: Code of AL Sec. 34-24-502 – 507. (Accessed June 2021).

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Alaska

Last updated 07/29/2021

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Arizona

Last updated 05/17/2021

Newly Adopted Legislation

A health care provider who is not …

Newly Adopted Legislation

A health care provider who is not licensed in Arizona may provide telehealth services to a person located in Arizona if the health care provider complies with all of the following:

  1. Registers with the state’s applicable health care provider regulatory board or agency that licenses comparable health care providers on an application prescribed by the board or agency that contains certain elements (see law text).
  2. Before prescribing a controlled substance to a patient, registers with the controlled substances prescription monitoring program.
  3. Pays the registration fee as determined by the applicable health care provider regulatory board or agency.
  4. Holds a current, valid and unrestricted license to practice in another state that is substantially similar to a license issued in Arizona to a comparable health care provider and is not subject to any past or pending disciplinary proceedings in any jurisdiction. The health care provider shall notify the applicable health care provider regulatory board or agency within five days after any restriction is placed on the health care provider’s license or any disciplinary action is initiated or imposed. The health care provider regulatory board or agency registering the health care provider may use the national practitioner databank to verify the information submitted.
  5. Acts in full compliance with all applicable laws and rules of this state, including scope of practice, laws and rules governing prescribing, dispensing and administering prescription drugs and devices, telehealth requirements and the best practice guidelines adopted by the telehealth advisory committee on telehealth best practices established by section 36-3607.
  6. Complies with all existing requirements of Arizona and any other state in which the health care provider is licensed regarding maintaining professional liability insurance, including coverage for telehealth services provided in Arizona.
  7. Consents to this state’s jurisdiction for any disciplinary action or legal proceeding related to the health care provider’s acts or omissions under this article.
  8. Follows Arizona’s standards of care for that particular licensed health profession.
  9. Annually updates the health care provider’s registration for accuracy and submits to the applicable health care provider regulatory board or agency a report with the number of patients the provider served in Arizona and the total number and type of encounters for the preceding year

A health care provider who is registered pursuant to this section may not:

  • Open an office in this state, except as part of a multistate provider group that includes at least one health care provider who is licensed in this state through the applicable health care provider regulatory board or agency.
  • Provide in-person health care services to persons located in this state without first obtaining a license through the applicable health care provider regulatory board or agency.

A health care provider who is not licensed to provide health care services in Arizona but who holds an active license to provide health care services in another jurisdiction and who provides telehealth services to a person located in Aruziba is not subject to the registration requirements of this section if either of the following applies:

  • The services are provided under one of the following circumstances:
    • In response to an emergency medication condition.
    • In consultation with a health care provider who is licensed in Arizona and who has the ultimate authority over the patient’s diagnosis and treatment.
    • To provide after-care specifically related to a medical procedure that was delivered in person in another state.
    • To a person who is a resident of another state and the telehealth provider is the primary care provider or behavioral health provider located in the person’s state of residence.
  • The health care provider provides fewer than ten telehealth encounters in a calendar year.

SOURCE: AZ Revised Statute Sec. 36-3606 & House Bill 2454 (2021 Session), (Accessed May 2021).

An out-of-state doctor may engage in a single or infrequent consultation with an Arizona physician if the consultation regards a specific patient or patients.

SOURCE: AZ Revised Statute Sec. 32-1421. (Accessed May 2021).

Behavioral health providers delivering care via telepractice to Arizona patients must be licensed by the Arizona Board of Behavioral Health Examiners.

SOURCE: AZ Administrative Code, Title 4, Ch. 6, R4-6-1106. Telepractice. (Accessed May 2021)

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Arkansas

Last updated 02/28/2021

An out-of-state physician utilizing an electronic medium who performs an …

An out-of-state physician utilizing an electronic medium who performs an act that is part of a patient care service that was initiated in Arkansas, including interpretation of an X-ray, that would affect the diagnosis or treatment, is engaged in the practice of medicine and subject to regulation by the Arkansas State Medical Board. This section does not apply to:

  • The acts of a medical specialist located in another jurisdiction who provides only episodic consultation services;
  • The acts of a physician located in another jurisdiction who is providing consultation services to a medical school;
  • Decisions regarding the approval of coverage under any insurance or health maintenance organization plan;
  • A service to be performed which is not available in the state;
  • A physician physically seeing a patient in person in another jurisdiction; or
  • Other acts exempted by the board by rule.

SOURCE: AR Code Revised 17-95-206. (Accessed Feb. 2021). 

Healthcare providers must be fully licensed or certified in Arkansas to provide services in the state unless the out-of-state provider is only providing episodic consultation services.

SOURCE: AR Code 17-80-404(d).  (Accessed Feb. 2021).

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California

Last updated 02/28/2021

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Colorado

Last updated 02/28/2021

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Connecticut

Last updated 06/30/2021

Effective Now Until June 30, 2023

Until June 30, 2023, …

Effective Now Until June 30, 2023

Until June 30, 2023, the following providers in another state or territory of the United States or the District of Columbia, that provide telehealth services pursuant to his or her authority under any relevant order issued by the Commissioner of Public Health, and maintains professional liability insurance or other indemnity against liability for professional malpractice in an amount that is equal to or greater than that required for similarly licensed, certified or registered Connecticut health care providers, are considered a telehealth provider:

  • Physician
  • Physician assistant
  • Physical therapist or physical therapist assistant
  • Chiropractor
  • Naturopath
  • Podiatrist
  • Occupational therapist or occupational therapy assistant
  • Optometrist
  • Registered nurse or advanced practice registered nurse
  • Psychologist
  • Marital and family therapist
  • Clinical social worker
  • Master social worker
  • Alcohol and drug counselor
  • Professional counselor
  • Dietitian-nutritionist
  • Speech and language pathologist
  • Respiratory care practitioner
  • Audiologist
  • Pharmacist
  • Paramedic
  • Nurse-midwife
  • Dentist
  • Behavior analyst
  • Genetic counselor
  • Music therapist
  • Art therapist
  • Athletic trainer

Ending on June 30, 2023, any Connecticut entity, institution or health care provider that engages or contracts with a telehealth provider that is licensed, certified or registered in another state or territory of the United States or the District of Columbia to provide health care or other health services shall verify the credentials of such provider in the state in which he or she is licensed, certified or registered, ensure that such a provider is in good standing in such state, and confirm that such provider maintains professional liability insurance or other indemnity against liability for professional malpractice in an amount that is equal to or greater than that required for similarly licensed, certified or registered Connecticut health care providers.

Ending on June 30, 2023, the Commissioner of Public Health may temporarily waive, modify or suspend any regulatory requirements adopted by the Commissioner of Public Health or any boards or commissions as the Commissioner of Public Health deems necessary to reduce the spread of COVID-19 and to protect the public health for the purpose of providing residents of this state with telehealth services from out-of-state practitioners.

Currently as of August 1, 2021, the Commissioner has issued no temporary waiver to allow providers licensed in another state to practice in Connecticut without a Connecticut license. The previous public health emergency waiver expired on July 20, 2021. Therefore, providers will need to be licensed by the State of Connecticut to provide services via telehealth to a patient located within the state.

SOURCE: HB 5596 (2021 Session) (Accessed June 2021).

Permanent Statute

Department of Public Health may establish a process of accepting an applicant’s license from another state and may issue that applicant a license to practice medicine in the state without examination, if certain conditions are met.

SOURCE: CT General Statutes 20, Sec. 12. (Accessed June 2021). 

 

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Delaware

Last updated 07/12/2021

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District of Columbia

Last updated 02/28/2021

Must have license to practice medicine in the District of …

Must have license to practice medicine in the District of Columbia.

SOURCE: DC Regs. Sec. 17-4618.1. (Accessed Feb. 2021).

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Florida

Last updated 07/17/2021

A health care professional not licensed in this state may …

A health care professional not licensed in this state may provide health care services to a patient located in this state using telehealth if the health care professional registers with the applicable board, or the department if there is no board, and provides health care services within the applicable scope of practice established by Florida law or rule.

See law for specific provider requirements.

An out-of-state provider must have professional liability coverage or financial responsibility that includes coverage for telehealth services provided to patients not located in the provider’s home state.  A health care professional registered under this section may not open an office or provide in-person services.  The Department is required to publish all registrants on its website with specific requirements outlined in the law.

SOURCE: FL Statute 456.47 & Florida Board of Medicine (Accessed July 2021).

 

 

 

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Georgia

Last updated 07/26/2021

The Board is authorized to issue telemedicine licenses to physicians …

The Board is authorized to issue telemedicine licenses to physicians who are licensed in other states but not licensed in Georgia.  See law for specific requirements to qualify for telemedicine license.

SOURCE:  Official Code of GA Annotated Sec. 43-34-31.1. (Accessed July 2021).

Must be a Georgia licensed practitioner.

SOURCE:  GA Rules & Regulations Sec. 360-3-.07 (Accessed July 2021).

 

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Hawaii

Last updated 06/17/2021

A licensed out-of-state practitioner of medicine or surgery can utilize …

A licensed out-of-state practitioner of medicine or surgery can utilize telehealth to consult with a Hawaii licensed physician or osteopathic physician as long as they don’t open an office or meet with patients in the state; the HI licensed provider retains control of the patient; and the laws and rules relating to contagious diseases are not violated.

Commissioned medical officers or psychologists employed by the US Department of Defense and credentialed by Tripler Army Medical Center are exempt from licensing requirements when providing services to neighbor island beneficiaries within a Hawaii national guard armory.

SOURCE: HI Revised Statutes Sec. 453-2(3-4). (Accessed June 2021).

Licensed out-of-state radiologists located in Hawaii, may provide services via telemedicine to patients located in another state the radiologist is licensed to practice in.

SOURCE: HI Revised Statutes § 453-2(b) (7). (Accessed June 2021).

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Idaho

Last updated 02/28/2021

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Illinois

Last updated 02/28/2021

Must have an IL medical license.  An out-of-state person providing …

Must have an IL medical license.  An out-of-state person providing a service to a patient in IL through telemedicine submits himself or herself to the jurisdiction of the courts of IL.

SOURCE: IL Compiled Statutes, Chapter 225, 60/49.5(e) (Accessed Feb. 2021).

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Indiana

Last updated 02/28/2021

A provider located outside Indiana may not establish a provider-patient …

A provider located outside Indiana may not establish a provider-patient relationship with an individual in Indiana unless the provider and the provider’s employer or the provider’s contractor have certified in writing to the Indiana Professional Licensing Agency that the provider agrees to be subject to the jurisdiction of the courts of law of Indiana and Indiana Substantive and Procedural Laws.  This certification must be filed by a provider’s employer or contractor at the time of initial certification and renewed when the provider’s license is renewed.

SOURCE: IN Code, 25-1-9.5-9. (Accessed Feb. 2021).

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Iowa

Last updated 02/28/2021

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Kansas

Last updated 02/28/2021

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Kentucky

Last updated 05/26/2021

A provider must be licensed in Kentucky with the exception …

A provider must be licensed in Kentucky with the exception of persons who, being nonresidents of Kentucky and lawfully licensed to practice medicine or osteopathy in their states of actual residence, infrequently engage in the practice of medicine or osteopathy within this state, when called to see or attend particular patients in consultation and association with a Kentucky-licensed physician.

SOURCE: KY Revised Statutes § 311.560. (Accessed May 2021).

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Louisiana

Last updated 02/28/2021

The board shall issue a telemedicine license to allow the …

The board shall issue a telemedicine license to allow the practice of medicine across state lines to an applicant who holds a full and unrestricted license to practice medicine in another state or territory of the United States.

The board shall establish by rule in accordance with the Administrative Procedure Act the requirements for licensure including not opening an office in Louisiana, not meeting with patients in Louisiana, and not receiving calls in Louisiana from patients. The physician, when examining a patient by telemedicine, shall establish a bona fide physician-patient relationship by:

  • Conducting an appropriate examination of the patient as determined by the board.
  • Establishing a diagnosis through the use of accepted medical practices including but not limited to patient history, mental status, and appropriate diagnostic and laboratory testing.
  • Discussing with the patient any diagnosis as well as the risks and benefits of various treatment options.
  • Ensuring the availability for appropriate follow-up care.
  • Fulfilling any other requirements as deemed appropriate and necessary by the board.

SOURCE: LA Revised Statutes 37:1276.1. (Accessed Feb. 2021). 

A physician who practices telemedicine by virtue of a telemedicine permit issued by the board shall not:

  • Open an office in this state;
  • Meet with patients in this state;
  • Receive telephone calls in this state from patients; or
  • Engage in the practice of medicine in this state beyond the limited authority conferred by his or her telemedicine permit.

No physician shall supervise, collaborate or consult with an allied health care provider located in this state via telemedicine unless he or she possesses a full and unrestricted license to practice medicine in this state and satisfies and complies with the prerequisites and requirements specified by all applicable laws and rules.

No physician shall utilize telemedicine to provide care to a patient who is physically located outside of this state, unless the physician possesses lawful authority to do so by the licensing authority of the state in which the patient is located.

SOURCE: LA Admin. Code 46: XLV. 7513. (Accessed Feb. 2021).

LA state agencies and professional boards can regulate the use of telehealth including licensing of out-of-state healthcare providers.  See rule for requirements.

SOURCE: LA Revised Statutes 40:1223.4 (Accessed Feb. 2021).

 A physician may practice in the state with a full license, or hold a telemedicine permit.

SOURCE: LA Admin. Code 46: XLV.7507. (Accessed Feb. 2021).

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Maine

Last updated 02/28/2021

A physician who is not licensed to practice in Maine …

A physician who is not licensed to practice in Maine can may provide consultative services through interstate telemedicine if they are licensed in the state they are providing telemedicine from, their license is in good standing, the physician does not open an office, meet patients or receive calls in the state and agrees to provide only consultative services as requested by other physicians, APRNs or PAs licensed in Maine who hold the ultimate authority over the diagnosis, care and treatment of the patient, and the physician registers with the board every 2 years and pays a fee.

SOURCE:  Maine Revised Statutes Annotated, Title 32, Sec. 3300-D. (Accessed Feb. 2021). 

The Board may issue an interstate telemedicine consultation registration to an applicant who:

  • Submits an administratively complete application on forms approved by the Board;
  • Pays the appropriate licensure application fee;
  • Demonstrates that the applicant is a physician and is fully licensed without restriction to practice medicine in the state from which the physician provides telemedicine services;
  • Meets the examination requirement;
  • Has not had a license to practice medicine revoked or restricted in any state or jurisdiction; and
  • Has no cause existing that may be considered grounds for disciplinary action or denial of licensure as provided by law.

A physician registered for the interstate telemedicine consultation shall not:

  • Open an office in this State;
  • Meet with patients in this State;
  • Receive calls in this State from patients; and
  • Shall provide only consultative services as requested by a physician, advanced practice registered nurse or physician assistant licensed in this State who retains ultimate authority over the diagnosis, care and treatment of the patient.

SOURCE: ME Regulation Sec. 02-373 Ch. 1, p. 13-14. (Accessed Feb. 2021).

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Maryland

Last updated 02/28/2021

A health care practitioner providing health care services through telehealth …

A health care practitioner providing health care services through telehealth must be licensed, certified or otherwise authorized by law to provide health care services in the state if the health care services are being provided to a patient located in the state.

MD has exceptions to its MD-only licensed physicians for physicians practicing in the adjoining states of Delaware, Virginia, West Virginia, and Pennsylvania if the physician does not have an office or other regularly appointed place in the State to meet patients and the same privileges are extended to licensed physicians in Maryland by the adjoining state.

SOURCE: MD Health Occupations Code Annotated Sec. 14-302 (2012). (Accessed Feb. 2021). 

A telehealth practitioner may practice telehealth if one or both of the following occurs:

  • The individual practicing telehealth is physically located in Maryland; or
  • The patient is in Maryland.

SOURCE:  Code of Maryland Admin. Regs. Sec. 10.32.05.03. (Accessed Feb. 2021).

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Massachusetts

Last updated 02/28/2021

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Michigan

Last updated 02/28/2021

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Minnesota

Last updated 02/28/2021

A physician licensed in another state can provide telemedicine services …

A physician licensed in another state can provide telemedicine services to a patient in Minnesota if their license has never been revoked or restricted in any state, they agree to not open an office in Minnesota, meet with patients in Minnesota, or receive calls in Minnesota from patients and they register with the state’s board.  These requirements do not apply in response to emergency medical conditions, the services are on an irregular or infrequent basis, or the physician provides interstate telemedicine services in consultation with a physician licensed in Minnesota.

SOURCE: MN Statute Sec. 147.032.  (Accessed Feb. 2021).

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Mississippi

Last updated 02/28/2021

No person shall engage in the practice of medicine across …

No person shall engage in the practice of medicine across state lines (telemedicine) in this state, hold himself out as qualified to do the same, or use any title, word or abbreviation to indicate to or induce others to believe that he is duly licensed to practice medicine across state lines in this state unless he has first obtained a license to do so from the State Board of Medical Licensure and has met all educational and licensure requirements as determined by the State Board of Medical Licensure. This requirement shall not be required where the evaluation, treatment and/or the medical opinion to be rendered by a physician outside this state (a) is requested by a physician duly licensed to practice medicine in this state, and (b) the physician who has requested such evaluation, treatment and/or medical opinion has already established a doctor/patient relationship with the patient to be evaluated and/or treated.

SOURCE: MS Code Sec. 73-25-34. (Accessed Feb. 2021).

The practice of medicine is deemed to occur in the location of the patient. Therefore, only physicians holding a valid Mississippi license are allowed to practice telemedicine in Mississippi. The interpretation of clinical laboratory studies as well as pathology and histopathology studies performed by physicians without Mississippi licensure is not the practice of telemedicine provided a Mississippi licensed physician is responsible for accepting, rejecting, or modifying the interpretation. The Mississippi licensed physician must maintain exclusive control over any subsequent therapy or additional diagnostics.

SOURCE: MS Admin. Code Title 30, Sec. 2635, Rule 5.2 & 5.4. (Accessed Feb. 2021).

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Missouri

Last updated 02/28/2021

In order to treat patients in this state through the …

In order to treat patients in this state through the use of telemedicine or telehealth, health care providers shall be fully licensed to practice in this state and shall be subject to regulation by their respective professional boards.

Does not apply to:

  • Informal consultation performed by a health care provider licensed in another state, outside of the context of a contractual relationship, and on an irregular or infrequent basis without the expectation or exchange of direct or indirect compensation;
  • Furnishing of health care services by a health care provider licensed and located in another state in case of an emergency or disaster; provided that, no charge is made for the medical assistance; or
  • Episodic consultation by a health care provider licensed and located in another state who provides such consultation services on request to a physician in this state.

SOURCE: MO Revised Statute Ch. 191 Sec. 191.1145. (Accessed Feb. 2021).

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Montana

Last updated 04/27/2021

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Nebraska

Last updated 08/02/2021

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Nevada

Last updated 07/28/2021

Before a provider of health care who is located at …

Before a provider of health care who is located at a distant site may use telehealth to direct or manage the care or render a diagnosis of a patient who is located at an originating site in this State or write a treatment order or prescription for such a patient, the provider must hold a valid license or certificate to practice his or her profession in this State, including, without limitation, a special purpose license. The requirements of this subsection do not apply to a provider of health care who is providing services within the scope of his or her employment by or pursuant to a contract entered into with an urban Indian organization.

SOURCE: NV Revised Statutes Sec. 629.515(1) (Accessed Jul. 2021).

The Board may issue a special purpose license to a physician who is licensed in another state by using equipment that transfers information concerning the medical condition of a patient in this State electronically, telephonically or by fiber optics, including, without limitation, through telehealth, from within or outside this State or the United States.

SOURCE: NV Revised Statutes Sec. 630.261(e). (Accessed Jul. 2021).

 

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New Hampshire

Last updated 07/26/2021

Notwithstanding any provision of law to the contrary, an out-of-state …

Notwithstanding any provision of law to the contrary, an out-of-state healthcare professional providing services by means of telemedicine or telehealth shall be required to be licensed, certified, or registered by the appropriate licensing board within the division of health professions. This paragraph shall not apply to out-of-state physicians who provide consultation services.

SOURCE: NH Revised Statutes Annotated Sec. 310-A:1-g, (Accessed Jul. 2021).

An out-of-state physician providing services via telemedicine or teleradiology shall be deemed to be in the practice of medicine and required to be licensed in New Hampshire. This does not apply to physicians who provide consultation services.

SOURCE: NH Revised Statutes Annotated, 329:1-d-II & NH Revised Statutes Annotated, 329:1-b (Accessed Jul. 2021).

Creates a commission on primary care workforce issues. The commission will collect and review data and information that informs decisions and planning for the primary care workforce and looking for innovative ways for expanding New Hampshire’s primary care reSOURCEs including, but not limited to, interstate collaboration and the use of telehealth.

SOURCE: NH Revised Statutes Annotated, Title X Chapter 126-T:3, (Accessed Jul. 2021).

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New Jersey

Last updated 07/21/2021

Must be licensed in the State of New Jersey. Subject …

Must be licensed in the State of New Jersey. Subject to New Jersey jurisdiction if either the patient or the provider is located in NJ at the item services are provided.

SOURCE: NJ Statute C.45:1-62(2)(b). (Accessed Jul. 2021).

A social worker must hold a license or certificate issued by the Board if he or she:

Is located in New Jersey and provides health care services to any client located in or out of New Jersey by means of telemedicine or telehealth; or

Is located outside of New Jersey and provides health care services to any client located in New Jersey by means of telemedicine or telehealth.

SOURCE: NJ Administrative Code 13:44G-15.1. (Accessed Jul. 2021).

A practicing psychologist must hold a license issued by the Board if he or she:

  • Is located in New Jersey and provides psychological services to any client located in or out of New Jersey by means of telemedicine or telehealth; or
  • Is located outside of New Jersey and provides psychological services to any client located in New Jersey by means of telemedicine or telehealth.

SOURCE: NJ Administrative Code 13:42-13.1. (Accessed Jul. 2021).

A physical therapist or physical therapist assistant must hold a license issued by the Board if he or she:

  • Is located in New Jersey and provides health care services to any patient located in or out of New Jersey by means of telemedicine or telehealth; or
  • Is located outside of New Jersey and provides health care services to any patient located in New Jersey by means of telemedicine or telehealth.

SOURCE: NJ Administrative Code 13:39A-10.1. (Accessed Jul. 2021).

An audiologist and/or speech language pathologist must hold a license issued by the Committee if he or she:

  • Is located in New Jersey and provides health care services to any patient located in, or out of, New Jersey by means of telemedicine or telehealth; or
  • Is located outside of New Jersey and provides health care services to any patient located in New Jersey by means of telemedicine or telehealth.

SOURCE: NJ Administrative Code 13:44C-11.1. (Accessed Jul. 2021).

Recently Adopted Rule

A nurse must hold a license issued by the Board if he or she:

  • Is located in New Jersey and provides health care services to any patient located in or out of New Jersey by means of telemedicine or telehealth; or
  • Is located outside of New Jersey and provides health care services to any patient located in New Jersey by means of telemedicine or telehealth.

SOURCE: NJ Administrative Code 13:37-8A.1. (Accessed Jul. 2021).

Recently Adopted Rule

An acupuncturist must hold a license issued by the Board if he or she:

  • Is located in New Jersey and provides health care services to any patient located in or out of New Jersey by means of telemedicine or telehealth; or
  • Is located outside of New Jersey and provides health care services to any patient located in New Jersey by means of telemedicine or telehealth.

SOURCE: NJ Administrative Code 13:35-9.21. (Accessed Jul. 2021).

A genetic counselor must hold a license issued by the Committee if he or she:

  • Is located in New Jersey and provides health care services to any patient located in or out of New Jersey by means of telemedicine or telehealth; or
  • Is located outside of New Jersey and provides health care services to any patient located in New Jersey by means of telemedicine or telehealth.

SOURCE: NJ Administrative Code 13:35-14.19. (Accessed Jul. 2021).

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New Mexico

Last updated 07/19/2021

Medicine and Surgery

“The practice of medicine across state lines …

Medicine and Surgery

“The practice of medicine across state lines means the rendering of a written or otherwise documented medical opinion concerning diagnosis or treatment of a patient within this state, by a physician located outside this state, as a result of transmission of individual patient data by electronic, telephonic or other means from within this state, to the physician or the physician’s agent, OR the rendering of treatment to a patient within this state, by a physician located outside this state, as a result of transmission of individual patient data by electronic, telephonic or other means from within this state to the physician or the physician’s agent.”

SOURCE: NM Statutes Annotated. Sec. 61-6-6(K). (Accessed Jul. 2021).

The board shall issue a licensed physician a telemedicine license to allow the practice of medicine across state lines to an applicant who holds a full and unrestricted license to practice medicine in another state or territory of the United States.  The board shall establish by rule the requirements for licensure; provided the requirements shall not be more restrictive than those required for licensure by endorsement.

A telemedicine license shall be issued for a period not to exceed three years and may be renewed upon application and payment of fees.

SOURCE: NM Statutes Annotated, 1978 Sec. 61-6-11.1. (Accessed Jul. 2021).

Osteopathic Medicine

The Board of Osteopathic medicine offers a limited telemedicine license that allows an osteopathic physician located outside New Mexico to practice osteopathic medicine on patients located in New Mexico.  The annual fee is $100.

SOURCE: NM Administrative Code 16.17.2.7 & .8, (Accessed Jul. 2021).

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New York

Last updated 07/15/2021

Speech Language Pathologists and Audiologists

If you intend to provide …

Speech Language Pathologists and Audiologists

If you intend to provide telepractice services to a resident of New York State, you must hold a New York State license and be in compliance with the relevant law, rules and regulations.

New York State law permits a person from another state to perform speech-language pathology or audiology services in this State, as long as such services are performed for no more than thirty (30) days in any calendar year and provided that such services are performed in conjunction with and/or under the supervision of Speech-Language Pathologist or Audiologist licensed under Article 159 of the New York State Education Law.

SOURCE: NY Office of the Professions, Speech-Language Pathologists, Practice Guidelines, (Accessed Jul. 2021).

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North Carolina

Last updated 07/12/2021

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North Dakota

Last updated 07/08/2021

The board may also, in its discretion, enter into reciprocal …

The board may also, in its discretion, enter into reciprocal agreements with the licensing agencies of other states or territories or the District of Columbia providing for a reciprocal waiver of further examination or any part thereof.

SOURCE: ND Century Code Sec. 43-17-21 (Accessed Jul. 2021).

Medical Nutrition Therapy and Nutrition Care Services

An individual providing services regulated by this chapter via telehealth shall comply with, and is subject to, all licensing and disciplinary provisions of this chapter.

SOURCE: Senate Bill 2187 (2021 Session) & ND Century Code Ch. 43-44-19 (Accessed Jul. 2021).

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Ohio

Last updated 07/06/2021

Physical Therapy

If a physical therapy patient is located in …

Physical Therapy

If a physical therapy patient is located in Ohio, the physical therapist or physical therapist assistant providing physical therapy services via telehealth shall hold a valid license under sections 4755.40 to 4755.56 of the Revised Code.

SOURCE: OH Admin. Code 4755-27-01(10)(b). (Accessed Jul. 2021).

Optometry

A provider of telehealth services who practices in the state shall be licensed by the board.  A provider of telehealth services who resides out of state and who provides services for Ohio residents shall be licensed by the board.

SOURCE: Ohio Administrative Code 4725-25-01. (Accessed Jul. 2021).

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Oklahoma

Last updated 06/29/2021

Physician treating patients in OK through telemedicine must be fully …

Physician treating patients in OK through telemedicine must be fully licensed in OK.

SOURCE: OK Admin Code Sec. 435:10-7-13(a).  (Accessed Jun. 2021).

The State Board of Osteopathic Examiners has the authority to issue a telemedicine license.

SOURCE: OK Statute, Title 59, Sec. 633, (Accessed Jun. 2021).

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Oregon

Last updated 06/30/2021

Upon application, the Oregon Medical Board may issue to an …

Upon application, the Oregon Medical Board may issue to an out-of-state physician a license for the practice of medicine across state lines if the physician holds a full, unrestricted license to practice medicine in any other state of the United States, has not been the recipient of a professional sanction by any other state of the United States and otherwise meets the standards for Oregon licensure .

In the event that an out-of-state physician has been the recipient of a professional sanction by any other state of the United States, the board may issue a license for the practice of medicine across state lines if the board finds that the sanction does not indicate that the physician is a potential threat to the public interest, health, welfare and safety.

A physician shall make the application on a form provided by the board, accompanied by nonrefundable fees for the application and the license in amounts determined by rule of the board. The board shall adopt necessary and proper rules to govern the renewal of licenses issued under this section.

A license for the practice of medicine across state lines is not a limited license for purposes of ORS 677.132.

A license for the practice of medicine across state lines does not permit a physician to practice medicine in this state except when engaging in the practice of medicine across state lines.

SOURCE: OR Revised Statutes Annotated Sec. 677.139. (Accessed Jun. 2021).

A physician granted a license to practice medicine across state lines has the same duties and responsibilities and is subject to the same penalties and sanctions as any other provider licensed in Oregon, including but not limited to:

  • A physician shall establish a physician-patient relationship;
  • Make a judgment based on some type of objective criteria upon which to diagnose, treat, correct or prescribe;
  • Engage in all necessary practices that are in the best interest of the patient; and
  • Refrain from writing prescriptions based only on an Internet sale or consultation.

SOURCE: OR Admin. Rules, 847-025-0000. (Accessed Jun. 2021).

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Pennsylvania

Last updated 06/19/2021

Pennsylvania issues extraterritorial licenses that allow practice in Pennsylvania to …

Pennsylvania issues extraterritorial licenses that allow practice in Pennsylvania to physicians residing or practicing with unrestricted licenses in an adjoining state, near the Pennsylvania boundary, and whose practice extends into Pennsylvania.

Pennsylvania bases the granting of this license on the availability of medical care in the area involved, and whether the adjoining state extends similar privileges to Pennsylvania physicians.

SOURCE: PA Statutes Annotated, Title 63 Sec. 422.34(a) and (c)(2). (Accessed Feb. 2021).

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Rhode Island

Last updated 06/25/2021

RI allows physicians who have a license in good standing …

RI allows physicians who have a license in good standing in another state to consult with RI licensed physician on a singular occasion or provide teaching assistance for no more than seven days unless extended with written permission from the director.

Physicians not present in RI may not provide consultation to a patient without an established physician-patient relationship, unless that patient is in the physical presence of a physician licensed in RI.

SOURCE:  RI General Law, Sec. 5-37-16.2(a)(3). (Accessed Jun. 2021).

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South Carolina

Last updated 06/19/2021

The physician must be licensed in South Carolina; however, they …

The physician must be licensed in South Carolina; however, they do not need to reside in South Carolina.

SOURCE: SC Code Annotated Sec. 40-47-37(C)(9). (Accessed Jun. 2021).

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South Dakota

Last updated 04/29/2021

An applicant who holds a valid medical license issued by …

An applicant who holds a valid medical license issued by another state can be licensed through reciprocity in South Dakota if:

  • The applicant completed a residency program in the US or Canada;
  • Has passed one of the listed licensure examinations. (Please see rule for list);
  • Is in good standing with their state’s professional board; and
  • Has completed a state and federal criminal background investigation.

SOURCE: SD Regulation 20:78:03:12. (Accessed Apr. 2021).

Any health care professional treating a patient in the state through telehealth shall be fully licensed to practice in the state or employed by a licensed health care facility, an accredited prevention or treatment facility, a community support provider, a nonprofit mental health center, or a licensed child welfare agency and subject to any rule adopted by the applicable South Dakota licensing body.

SOURCE: SD Codified Laws Sec. 34-52-2. (Accessed Apr. 2021).

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Tennessee

Last updated 06/14/2021

“Healthcare services provider” means an individual acting within the scope …

“Healthcare services provider” means an individual acting within the scope of a valid license issued pursuant to title 63, any state-contracted crisis service provider employed by a facility licensed under title 33, or title 68, chapter 24, part 6, as long as the graduate or student is providing telehealth services for the purpose of obtaining hours required for licensure or of otherwise fulfilling the educational requirements to apply for licensure; and is at all times, supervised by an individual who is licensed under this title or title 68, chapter 24, part 6, with an unencumbered
license.

Except as provided in Chapter 6 or 9 of this title, in order to practice under this section a healthcare provider must be licensed to practice in this state or be a graduate or student.

An individual licensed in another state who would, if licensed in this state, qualify as a healthcare provider may practice telehealth while providing healthcare services on a volunteer basis through a free clinic.

SOURCE:  TN Code Sec. 63-1-155, as amended by Senate Bill 929, House Bill 967Senate Bill 1265 & House Bill 508 (2021 Session), (Accessed Jun. 2021).

The board has the authority to issue restricted licenses and special licenses based upon licensure to another state for the limited purpose of authorizing the practice of telemedicine to current applicants or current licensees, or both, as it deems necessary.

SOURCE: TN Code Annotated Sec. 63-6-209(b). (Accessed Jun. 2021).

The Tennessee Medical Board eliminated the telemedicine license.  Individuals granted a telemedicine license under the former version of the rule may apply to have the license converted to a full license. Under certain circumstances individuals who do not convert to a full license can retain their telemedicine license.

SOURCE: TN Rule Annotated, Rule 0880-02.-16. (2) (Accessed Jun. 2021).

The TN Osteopathic Board will still issue a telemedicine license.  See rule for details.

SOURCE: TN Rule Annotated, Rule 1050.02.17.(2) (Accessed Jun. 2021).

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Texas

Last updated 06/07/2021

A telemedicine license may be issued for out of state …

A telemedicine license may be issued for out of state providers. To qualify for an out-of-state telemedicine license, a person must:

  • Be 21 years of age or older;
  • Be actively licensed to practice medicine in another state which is recognized by the board for purposes of licensure, and not the recipient of a previous disciplinary action by any other state or jurisdiction;
  • Not be the subject of a pending investigation by a state medical board or another state or federal agency;
  • Have passed the Texas Medical Jurisprudence Examination;
  • Complete a board-approved application for an out-of-state telemedicine license for the practice of medicine across state lines and submit the requisite initial fee; and
  • Not be denied based on failure to demonstrate the requisite qualifications.

SOURCE: TX Admin. Code, Title 22, Sec. 172.12 (Accessed Jun. 2021).

An out-of-state physician may provide episodic consultation without a TX medical license.

SOURCE: TX Admin. Code, Title 22, Part 9, Sec. 174.8. (Accessed Jun. 2021).

Mental Health Services

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 telemedicine or telehealth to a patient located outside of the state, subject to any applicable regulation of the jurisdiction in which the patient is located.

SOURCE: TX Occupations Code 113.002 (Accessed Jun. 2021).

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Utah

Last updated 06/09/2021

An out-of-state physician may practice without a Utah license if:…

An out-of-state physician may practice without a Utah license if:

  • The physician is licensed in another state, with no licensing action pending and at least 10 years of professional experience;
  • The services are rendered as a public service and for a noncommercial purpose;
  • No fee or other consideration of value is charged, expected or contemplated, beyond an amount necessary to cover the proportionate cost of malpractice insurance; and
  • The physician does not otherwise engage in unlawful or unprofessional conduct.

SOURCE: UT Code Annotated Sec. 58-67-305(7). (Accessed Jun. 2021).

A mental health therapist licensed in another state and in good standing can provide short term transitional mental health therapy remotely if:

  • The mental health therapist is present in the state where he/she is licensed;
  • The client relocates to Utah, and was a client immediately before the relocation;
  • The therapy or counseling is provided for a maximum of 45 days after the client relocates;
  • Within 10 days of the client’s relocation, the mental health therapist provides a written notice to the Division of Occupational and Professional Licensing of their intent to provide therapy/counseling remotely; and
  • The mental health therapist does not engage in unlawful or unprofessional conduct.

SOURCE: UT Code, 58-61-307(k) (Accessed Jun. 2021).

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Vermont

Last updated 06/02/2021

Legislation created the Facilitation of Interstate Practice Using Telehealth Working …

Legislation created the Facilitation of Interstate Practice Using Telehealth Working Group to compile and evaluate methods for facilitating
the practice of health care professionals throughout the United States using telehealth modalities.

The Working Group shall compile and evaluate methods for facilitating the interstate practice of health care professionals using telehealth modalities, including through the creation of telehealth licenses, waiver of licensure, national licensure compacts, and regional reciprocity agreements.  See enacted legislation for details on key considerations the group must make.  The working group must present its findings by December 15, 2021.

SOURCE: House Bill 104 (2021 Session), (Accessed May 2021).

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Virginia

Last updated 05/31/2021

No Reference Found

No Reference Found

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Washington

Last updated 05/08/2021

No Reference Found

No Reference Found

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West Virginia

Last updated 05/24/2021

Newly Passed Legislation

A registration issued pursuant to the provisions …

Newly Passed Legislation

A registration issued pursuant to the provisions of or the requirements of this section does not authorize a health care professional to practice from a physical location within this state without first obtaining appropriate licensure.

By registering to provide interstate telehealth services to patients in this state, a health care practitioner is subject to:

  • The laws regarding the profession in this state, including the state judicial system and all professional conduct rules and standards incorporated into the health care practitioner’s practice act and the legislative rules of registering board; and
  • The jurisdiction of the board with which he or she registers to provide interstate telehealth services, including such board’s complaint, investigation, and hearing process.

A health care professional who registers to provide interstate telehealth services pursuant to the provisions of or the requirements of this section shall immediately notify the board where he or she is registered in West Virginia and of any restrictions placed on the individual’s license to practice in any state or jurisdiction.

SOURCE; WV Code Sec. 30-1-26, as amended by HB 2024 (2021 Session), (Accessed May 2021).

The practice of medicine occurs where the patient is located at the time the telemedicine technologies are used.

A physician or podiatrist who practices telemedicine must be licensed as provided in this article or registered as provided in §30-1-1 et seq. of this code.

This does not apply to:

  • An informal consultation or second opinion, at the request of a physician or podiatrist who is licensed to practice medicine or podiatry in this state:  Provided, that the physician or podiatrist requesting the opinion retains authority and responsibility for the patient’s care; and
  • Furnishing of medical assistance by a physician or podiatrist in case of an emergency or disaster, if no charge is made for the medical assistance.

SOURCE: WV Code Sec. 30-3-13a & 30-14-12d, as amended by HB 2024 (2021 Session), (Accessed May 2021).

Speech Language Pathology and Audiology

See emergency rule for temporary interstate telepractice requirements.

SOURCE: WV Rule 29-01 (Accessed May 2021).

 

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Wisconsin

Last updated 05/18/2021

WI medical license required.

SOURCE: WI Admin. Code MED Ch.

WI medical license required.

SOURCE: WI Admin. Code MED Ch. 24.04 (Accessed May 2021).

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Wyoming

Last updated 05/12/2021

No Reference Found

No Reference Found

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Professional Requirements

Cross-State Licensing

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