Trending in Telehealth: May 2025

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 May:

• Controlled substances
• Mental and behavioral health
• Payment parity

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • Alaska SB 83, which passed the Alaska Senate, would require health insurers to reimburse healthcare providers for healthcare services provided through telehealth on the same basis and at least at the same rate as for comparable healthcare services provided in-person.
  • California AB 260, which passed the California State Assembly, would establish protections around access to medication abortion. The bill would require the Department of Health Care Services to update Medi-Cal provider enrollment procedures to allow remote service providers who offer reproductive healthcare services exclusively through telehealth modalities to enroll as Medi-Cal providers using an “administrative location” as their service address. The bill would exempt these administrative locations from certain requirements applicable to in-person locations. It would also permit the use of a cellular telephone as the primary business phone for reproductive healthcare providers. Further, the bill would expand the Medi-Cal definition of asynchronous store and forward to include asynchronous electronic transmissions initiated directly by patients, including through mobile telephone applications, and would authorize Medi-Cal providers to establish a new patient relationship using asynchronous store and forward if the visit is related to reproductive healthcare services. The bill has been referred to the California Senate.
  • Colorado SB 48 passed both chambers of the Colorado General Assembly. If signed by the governor, the bill would require large group health benefit plans to offer policyholders the option to purchase coverage for US Food and Drug Administration (FDA)-approved anti-obesity medications, including at least one FDA-approved GLP-1 medication. The bill would also require such plans to provide coverage for intensive behavioral or lifestyle therapy and medical nutrition therapy, which may be provided by telehealth as a means of delivery.
  • Louisiana HB 137 passed both chambers of the Louisiana State Legislature. If signed by the governor, the bill would authorize psychologists and medical psychologists to evaluate a patient via telehealth to execute an emergency certificate. Under an emergency certificate, a person who has a mental illness or a person who is suffering from a substance-related or addictive disorder may be admitted and detained at a treatment facility for observation, diagnosis, and treatment for a period not to exceed 15 days.
  • New York A 949, which passed the New York State Assembly, would permit the use of telemedicine services for mental and behavioral health issues under the workers’ compensation system. The bill would require in-person visits within 12 months of the first telehealth visit and within six months of the first audio-only telehealth visit, unless the provider determined that an in-person visit was likely to cause disruption or create undue hardship on the patient [...]

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Trending in Telehealth: April 2025

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 April:

• Teledentistry
• Prescription and drug dispensing and monitoring
• Remote monitoring

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • Georgia HB 567, which would authorize and regulate teledentistry, successfully passed both chambers of the legislature. The bill specifies that a dentist must have a physical office in the state, maintain relationships with in-person referral dentists, and ensure that teledentistry services adhere to existing standards for patient care, including privacy and consent requirements.
  • Arkansas HB 1429 would allow interpreting physicians to be available via telecommunication instead of requiring their physical presence onsite for diagnostic mammography procedures. The bill has cleared the House and the Senate.
  • Hawaii HB 302 received approval from both the House and the Senate. The bill would repeal the requirement for an in-person provider-patient relationship and permit applicants or primary caregivers to temporarily purchase medical cannabis after submitting the applicant’s certification form.
  • Passing in a second chamber, Indiana SB 473 would enable prescription of agonist opioids through telehealth services, without an in-person visit, for the treatment or management of opioid dependence.
  • Arizona SB 1335, which would mandate the director of the Arizona Health Care Cost Containment System to provide an annual report on teledentistry, passed in a second chamber.
  • Montana HB 806 passed in a second chamber. The bill would revise laws related to nutritionists and dietitians, including incorporating the provision of services via telehealth into the definition of “practice of nutrition.”

Finalized Legislation & Rulemaking Activity:

  • Indiana HB 1572 was signed into law and goes into effect July 1, 2025. This law adds speech-language pathology assistants to the definition of “practitioner” for telehealth purposes, specifies services included in “audiology,” and allows the sale and use of over-the-counter hearing aids without fitting by a registered hearing aid dealer or licensed audiologist.
  • North Dakota’s SB 2353 was signed into law and goes into effect on August 1, 2025. It allows certified community behavioral health clinics to provide telemedicine consultations for mental health and substance use disorder treatments.
  • Expanding telehealth services, Virginia SB 1367 was signed into law and goes into effect July 1, 2025. This law allows remote patient monitoring for pregnant and postpartum individuals, ensuring broader access to telehealth monitoring beyond high-risk pregnancies.
  • Wyoming adopted regulation 7211 as an emergency rule on April 3, 2025. The rule enhances telehealth services within the state by allowing healthcare providers licensed in other states to offer telehealth services to patients in Wyoming without needing a Wyoming license, provided they notify the appropriate licensing board and meet certain conditions.
  • Ohio’s SB 95 went into effect on April [...]

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Trending in Telehealth: March 2025

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 March:

  • Youth counseling and mental health services
  • Insurance coverage
  • Interstate compacts

A CLOSER LOOK

Proposed Regulations and Legislation:

  • In Hawaii, the House proposed House Bill (HB) 951 to allow a patient seen in person by another health care provider in the same medical group as the prescribing physician to be prescribed opiates for a three-day supply or less via telehealth.
  • Tennessee proposed Senate Bill (SB) 231 to require health benefit plan coverage of speech therapy, both in person and via telehealth.
  • Oklahoma proposed amendments revising the office location requirements for tele-dentistry. While dentists were previously required to maintain office locations in Oklahoma, the amendment increases flexibility by allowing dentists to maintain office locations in Oklahoma or in states adjacent to Oklahoma, so long as the offices are located within 50 miles of an Oklahoma border of a state with an interstate dental and dental hygienist compact.
  • Both chambers of the Tennessee legislature passed SB 1122 to create a youth mental health service program, which includes the use of telehealth.
  • Both chambers of the Maryland legislature passed SB 94, an amendment that would require Medicaid to cover maternal health self-measured blood pressure monitoring for all eligible recipients. Specifically, the program must cover the provision of validated home blood pressure monitors and reimbursement of health care providers and other staff time used for patient training, remote patient monitoring, transmission of blood pressure data, interpretation of readings, and the delivery of co-interventions.
  • Also in Maryland, the House proposed an amendment that would allow certain out-of-state providers to deliver clinical professional counseling services via telehealth to students. Among other changes, the amendment removes limitations that previously capped counseling services at five days per month and 15 days per calendar year.
  • West Virginia’s SB 299 would require legislative telehealth rules to include a prohibition on prescribing or dispensing gender-altering medication.
  • In Colorado, the Department of Regulatory Agencies and the Medical Board proposed a rule imposing requirements for physicians and physician groups entering into collaborating agreements. Physicians must actively practice medicine in Colorado and, for purposes of the rule, practicing medicine based primarily on telehealth technologies does not constitute as “actively practicing medicine.”

Finalized Regulatory and Legislative Activity:

  • Virginia passed HB 1945, requiring that each school board consider developing and implementing policies that allow public school students to schedule and participate in telehealth services and mental health teletherapy services during regular school hours with parental consent. The bill mandates that any such policies developed by a school board must (i) require each school to designate a location for student use for such telehealth appointments, (ii) implement measures to ensure the [...]

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Trending in Telehealth: February 2025

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 February:

  • Interstate compacts
  • Telepharmacy services
  • Veterinary services
  • Telehealth practice standards

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • North Dakota proposed amendments to the North Dakota Century Code related to optometrist licensure and standards for providing tele-optometry. The amendments delineate the circumstances under which a licensed optometrist may use telemedicine to provide care. Proposed practice standards include requirements to establish a proper provider-patient relationship and requirements related to informed consent.
  • In Indiana, Senate Bill 473 proposed amendments that would allow providers to prescribe certain agonist opioids through telemedicine technologies for the treatment or management of opioid dependence. Current law only allows partial agonist opioids to be prescribed virtually.

Finalized Legislation & Rulemaking Activity:

  • Ohio enacted Senate Bill 95, authorizing the operation of remote dispensing pharmacies, defined as pharmacies where the dispensing of drugs, patient counseling, and other pharmacist care is provided and monitored through telepharmacy systems.
  • The Texas Health and Human Services Commission adopted an amendment to the Texas Government Code, requiring that providers be reimbursed for teledentistry services. The amendment allows flexibility for a dentist to use synchronous audiovisual technologies to conduct an oral evaluation of an established client. This change makes oral evaluations more accessible and prevents unnecessary travel for clients in the Texas Health Steps Program.
  • The Arkansas governor signed Senate Bill 61 into law, authorizing the practice of veterinary telemedicine in the state. The bill includes practice standards for veterinary telemedicine and provision of emergency veterinary care.
  • Also in Arkansas, House Bill 1427 enacted the Healthy Moms, Healthy Babies Act. The act amends Arkansas law to improve maternal health and establish reimbursement procedures for remote ultrasounds.

Compact Activity:

  • Several states have advanced licensure compacts. These compacts enable certain categories of physicians to practice across state lines, whether in person or via telemedicine. The following states have introduced bills to enact these compacts:

Why it matters:

  • States continue to expand practitioners’ ability to provide telehealth services across state lines. While telemedicine is often seen as an alternative method for care delivery, it can sometimes be the most effective and efficient option. Expanding interstate licensure compacts improves access to qualified practitioners, particularly in underserved and rural areas. These compacts also enhance career opportunities and reduce the burdens associated with obtaining multiple state licenses.
  • States [...]

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Trending in Telehealth: January 6 – 27, 2025

Trending in Telehealth highlights 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 the past weeks:

  • Provider training
  • Telepharmacy
  • Licensure exceptions

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • In Ohio, the Department of Mental Health and Addiction Services proposed amendments to the mobile response and stabilization services (MRSS) rule. The changes would clarify when telehealth is a “clinically appropriate” modality for delivering MRSS, such as when a clinician requests a mobile response and that clinician is not available to respond in person as part of the MRSS team.
  • New York’s FY 2026 budget includes legislation to join the Nurse Licensure Compact (NLC). Joining the NLC would make it easier for certain categories of nurses licensed in other states to practice in New York either physically or through telemedicine, and for New York providers to offer virtual care to their patients who travel to other states.
  • Also in New York, Senate Bill 1430 passed the Senate and was referred to the Assembly. The proposed legislation would establish the New York state abortion clinical training program within the Department of Health. The curriculum would include training on the delivery of abortion and other reproductive healthcare services through telehealth.
  • Vermont’s Office of Professional Regulation proposed amendments to the Administrative Rules of the Board of Pharmacy that further elaborate on the state’s telepharmacy practicing and licensure requirements. Under the proposed rules, telepharmacists would be subject to the same rules and standards applicable to all modalities of pharmacy practice. The proposed rule also provides that pharmacists licensed in other jurisdictions who wish to provide only telepharmacy services from outside of Vermont to individuals located in Vermont may apply for an out-of-state telepharmacist license.

Finalized Legislation & Rulemaking Activity:

  • North Dakota adopted rule amendments that provide exceptions to physician licensure for telehealth providers licensed in another state, including for continuation of care for an established patient, care while the patient is located within the state temporarily, preparation for a scheduled in-person visit, practitioner-to-practitioner consultations, and emergency circumstances.
  • The Ohio governor signed Senate Bill 95 into law. The legislation provides an exception to current state law that prohibits pharmacists from dispensing dangerous drugs through telehealth or virtual means. For more information on this rule, please see our previous post.
  • The Texas Medical Board repealed 22 Tex. Admin. Code § 170, which included regulations concerning the electronic prescribing of controlled substances. The board also repealed 22 Tex. Admin. Code § 174, concerning telemedicine generally, and replaced it with the new 22 Tex. Admin. Code § 175. These regulations state that a physician may not provide telemedicine medical services to patients in Texas unless the physician holds a full Texas [...]

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