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Trending in Telehealth: June 2026

by Stacey Callaghan, Amanda Enyeart and Olivia Andrews | Jul 21, 2026 | Telehealth

Trending in Telehealth highlights monthly state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate the delivery of virtual care.

Trending in June:

Telehealth reimbursement and payment parity
Licensure and cross-state practice
Telehealth practice-specific standards and documentation requirements
Expansion of telehealth across specialties and e-prescribing

A CLOSER LOOK

Proposed legislation and rulemaking:

Iowa’s Board of Optometry proposed rule 481-762.9. If adopted, it would establish the standard of care requirements for teleoptometry, clarify when an optometrist-patient relationship is established through telehealth, and prohibit the use of telemedicine if, consistent with the standard of care, an in-person examination would be required to produce an informed diagnosis.
West Virginia’s Board of Medicine proposed rule 8537 seeking to establish the regulatory framework for the licensure and regulation of genetic counselors in West Virginia, including telehealth practice standards. The rule would define the telemedicine modalities that a genetic counselor may use to establish a patient relationship and would establish the same standard of care for telemedicine services as required for in-person services.
Vermont’s Office of Professional Regulation proposed rule 26P013, which would govern the licensing and registration of out-of-state healthcare professionals providing telehealth-only services to Vermont patients. Currently, healthcare providers who are not licensed in Vermont are not required to pay fees, but this rule would establish an application and renewal fee requirement in order to provide telehealth services to Vermont patients.
Texas’s Board of Pharmacy proposed rule 49743, which would establish documentation and record retention requirements for telehealth services provided by a pharmacist in Texas.
California AB 225 passed one chamber and aims to prevent billing for or collection of facility fees for preventive care telehealth services. The bill would impose notification requirements regarding facility fees and penalties for violations, and would prohibit health insurers from passing facility fees on to enrollees.

Finalized legislation and rulemaking:

Rhode Island enacted SB 3180, expanding veterinary telemedicine authority by allowing veterinarians in Rhode Island to establish provider-patient relationships using . Previously, telehealth was limited to animals with an existing provider-patient relationship. In-person examinations are required to renew a prescription that was previously renewed twice based only on virtual examinations. Controlled substances may not be prescribed without an in-person examination.
Florida final rule 52933 was published, establishing requirements for clinical social work, marriage and family therapy, and mental health counseling intern supervision, including hour thresholds, the use of in-person versus electronic methods, telehealth protocols, and the distinction between individual and group supervision. Face-to-face psychotherapy is defined to include electronic methods as long as certain requirements are met, including that the provider maintains a written telehealth protocol and safety plan.
Alaska’s second chamber passed HB 14, which would require a healthcare insurer to reimburse a provider for healthcare services, including behavioral health services, provided through telehealth on the same basis and at least at the same rate as for comparable healthcare services provided [...]

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Trending in Telehealth: May 2026

by Amanda Enyeart and Emica Kim | Jun 12, 2026 | Telehealth

Trending in May:

Teledentistry practice standards
Establishment of provider-patient relationships through telehealth
Veterinary telemedicine

A CLOSER LOOK

Proposed legislation and rulemaking:

The Delaware Board of Veterinary Medicine proposed new requirements for the use of telemedicine in the practice of veterinary medicine. The regulation would require a veterinarian seeking to provide telemedicine services to hold a current and active Delaware license and to have an established veterinarian-client-patient relationship (VCPR). It would allow licensed Delaware or out-of-state veterinarians to provide telemedicine services for general advice, triage and emergency animal care in urgent instances, and provider-to-provider counseling. The regulation would require records of telemedicine care to be kept in accordance with the Delaware Veterinary Practice Act and would clarify that a person providing veterinary services by telemedicine is subject to the professional standard of care that would apply to the provision of the same services in an in-person setting.
The West Virginia Board of Dentistry proposed to amend an existing rule on teledentistry to remove the definition of “established patient” and details regarding the establishment of such relationship that conflict with the statutory requirements set forth at W. Va. Code §§ 30-4-8b. The regulation would also permit store-and-forward technologies to be used in the performance of teledentistry and would require dentists who deliver teledentistry services to provide health records to the patient or a dentist on record upon patient request within 10 days.
The Arkansas Psychology Board proposed amendments to its rules, including rules governing the practice of telepsychology, by adding “psychological practitioners” to the types of professionals to whom the standards apply.
In Louisiana, SB 30 passed both houses and was sent to the governor. If enacted, it would prohibit the Louisiana State Board of Medical Examiners and the Louisiana State Board of Nursing from adopting or enforcing any rule or policy that would prohibit or restrict a licensed healthcare provider from using telehealth to evaluate, diagnose, or treat obesity or provide weight management services as long as the provider conducts a synchronous interaction with the patient and acts within the scope of his or her license and applicable standard of care.
Also in Louisiana, SB 222 passed both houses and was sent to the governor. The legislation is part of a broader revision of Medicaid behavioral services in the state and would require the Louisiana Department of Health to submit to the Centers for Medicare & Medicaid Services (CMS) no later than October 1, 2026, any necessary state plan amendment, waiver, or other request to authorize reimbursement for psychosocial rehabilitation services delivered via telehealth and to notify the committees on health and welfare within 30 days of the submission to CMS. Notice to the committees would also be required within 30 days if CMS requests additional information or denies [...]

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Trending in Telehealth: April 2026

by Amanda Enyeart, Jayda Greco and Bri Sanchez | May 14, 2026 | Telehealth

Trending in April:

Telehealth reimbursement
Cross-state telehealth practice and continuity of care
Telehealth practice standards and supervision requirements
Expansion of telehealth across provider types and care settings

A CLOSER LOOK

Proposed legislation and rulemaking:

In New York, S 354 passed one chamber and would amend the state public health law to expand reimbursement for telehealth services. The bill would require that healthcare services delivered via telehealth be reimbursed on the same basis, at the same rate, and to the same extent as equivalent services provided in person. The bill clarifies that reimbursement would not extend to facility-based costs not incurred in the delivery of telehealth services.

Finalized legislation and rulemaking:

Tennessee passed HB 2029, which enacts the Dietetics and Nutrition Practice Act. The legislation defines “telehealth” and authorizes licensed dietitians and nutritionists to provide medical nutrition therapy and other nutrition care services via real-time audio, video, or other media. It also permits certain out-of-state practitioners to provide telehealth services under specified conditions, including for continuity of care.
Oregon enacted HB 4070, which expands Medicaid telemedicine reimbursement by broadening the categories of eligible providers, including licensed and certain unlicensed providers, community mental health programs, hospitals, and federally qualified health centers.
Oregon enacted HB 4107, which establishes requirements for urgent care centers, including disclosure of whether telemedicine services are offered. When a provider is unavailable due to illness, emergency, or similar circumstance, an urgent care center may operate temporarily without a licensed healthcare provider onsite if a licensed provider is available via telemedicine and the patient is notified at the first point of contact that services will be delivered through telemedicine.
Kansas enacted HB 2761, which expressly authorizes the use of telepractice in the delivery and supervision of speech-language pathology services. The law defines “telepractice” as the use of telecommunication and internet-based technology to provide remote intervention services and permits speech-language pathology assistants to deliver teletherapy under the direction of a licensed speech-language pathologist. It also allows supervising speech-language pathologists to satisfy direct supervision requirements via real-time audiovisual technology, provided they can observe and communicate with the assistant during service delivery.
Kentucky enacted HB 424, which updates the regulation of social work practice and authorizes the provision of services via telehealth. It also establishes requirements for telehealth practice, including informed consent, confidentiality, accessibility, standards of care, documentation, and cross-jurisdiction practice.
Maryland enacted HB 1483, which repeals the state board’s authority to issue temporary telehealth licenses for clinical professional counselors and social workers, and establishes a limited telehealth exception for continuity of care. Under the exception, certain out-of-state licensed clinical professional counselors may continue providing telehealth services to existing clients for up to six months following the client’s relocation.
Vermont enacted H 84, which amends the state’s [...]

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Trending in Telehealth: March 2026

by Lisa Mazur, Amanda Enyeart and Abygail Hoey | Apr 28, 2026 | Telehealth

Trending in March:

Expansion of telehealth across additional professions (veterinary medicine, genetic counseling, social work, naturopathic medicine).
Licensure flexibility and cross‑state practice, including reciprocity and compacts.
Telehealth integration into emergency, rural, and specialty-care models.

A CLOSER LOOK

Proposed legislation and rulemaking:

Both chambers of the Virginia legislature passed HB 1391 establishing a Sickle Cell Coordinated Access Network, which among other things, would allow specialists to provide telehealth consultations on pain management, treatment protocols, and care coordination.
In Florida, both chambers passed SB 688, which would revise existing laws related to naturopathic medicine, including adding licensed naturopathic doctors to the term “telehealth provider.”
In West Virginia, the first chamber passed SB 677 allowing genetic counselors to provide telehealth services.
In Colorado, the first chamber passed HB 1069, clarifying that “emergency services” includes transportation of an individual to an appropriate location other than a hospital or community integrated healthcare service agency. The use of telemedicine when an insured person has encountered an ambulance service or agency to prevent the need to transport the person to an emergency department is included in the definition of “emergency services,” which services are required to be made available to insured persons 24 hours per day, 7 days per week.
The first chamber of the Hawaii legislature passed HB 2558 aimed at addressing Hawaii’s physician shortage by allowing out-of-state doctors to establish initial physician-patient relationship with Hawaii residents through telehealth services under certain conditions.
Both chambers of the Georgia legislature passed HB 1195 amending Georgia law to allow licensed veterinarians and veterinary technicians to practice telemedicine, teleadvice, and teletriage without requiring an established veterinarian client patient relationship.
The first chamber of the Arizona legislature passed SB 1286 permitting veterinarians to establish a client-patient relationship through electronic means.
In Hawaii, the first chamber passed HB 1871, which would establish the Maternal Health Monitoring Pilot Program within the state Department of Health to offer eligible participants improved maternal healthcare through remote patient monitoring for maternal hypertension and maternal diabetes.
Both chambers of the Kentucky legislature passed HB 424, which regulates the provision of social work services via telehealth in Kentucky by clarifying that social work may be practiced in person, through telehealth, or through other technology, but only by appropriately licensed individuals, those holding a temporary permit, or practitioners authorized under the Social Work Licensure Compact. The bill defines “telehealth” by reference to existing Kentucky law and establishes detailed requirements for telehealth practice, including informed consent, confidentiality, accessibility for individuals with disabilities, proper use of HIPAA‑compliant technology, identity and location verification, documentation, and adherence to the same standards of care as in‑person services. It also addresses cross‑border telehealth by permitting licensed out‑of‑state and multistate practitioners to provide services to Kentucky clients.
The Board of [...]

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Trending in Telehealth: February 2026

by Stacey Callaghan, Amanda Enyeart and Lauren Ellison | Mar 20, 2026 | Telehealth

Trending in February:

Teledentistry
License compacts

A CLOSER LOOK

Proposed legislation & rulemaking:

The first chamber of the South Carolina legislature passed S. 453, which would set outdetailed practice standards for teledentistry, including a “bona fide relationship” framework, emergency-related procedures, and informed consent requirements. The bill clarifies that a bona fide relationship between a patient and a licensee only exists if the licensee has reviewed the patient’s relevant history, medical records, and diagnostic records; has performed an appropriate in-person physical examination of the patient; and has a reasonable expectation that the licensee will provide in-person follow-up care and treatment to the patient on a regular basis.
In Mississippi, the first chamber passed HB 1152, which would permit the use of telemedicine for medical cannabis certification.
Both chambers of the Tennessee legislature passed SB 2118 to prohibit TennCare from covering or reimbursing any medical procedures performed to help an individual identify with or live as a gender that differs from their biological sex assigned at birth. The term “procedures” includes those performed or administered via telehealth.
Both chambers of the New Mexico legislature passed HB 306, which seeks to eliminate facility fees for certain outpatient preventive healthcare, vaccination, and telehealth services, except in rural areas. The bill defines “facility fee” as a fee charged or billed by a hospital or health system for outpatient hospital services that is intended to compensate the health system or hospital for operational expenses. A facility fee is separate and distinct from a professional fee charged or billed by a hospital or health system for professional medical services.
In Virginia, both chambers passed SB 813 to establish the Sickle Cell Coordinated Access Network. This network, in collaboration with the Virginia Commonwealth University Health System Authority, focuses on telehealth consultations with sickle cell specialists for guidance on pain management, treatment protocols, and care coordination.
Virginia’s first chamber also passed SB 555, mandating that all nursing homes conduct monthly medical visits for each resident. Two visits per year must be in person with a physician, while the rest can occur via telehealth.
In Florida, both chambers passed HB 89, requiring veterinarians to inform clients of their right to receive a written prescription before dispensing medication. If the visit is conducted via telehealth, clients must be informed electronically.

Finalized legislation & rulemaking:

The Washington State Health Care Authority issued emergency rules regarding the Apple Health Expansion Program for immigrants. The rules clarify that the requirements for the authorized use of telemedicine and store-and-forward technology are applicable to program benefits, including those administered by the health plan.
Washington’s Health Care Authority also issued a final rule [...]

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