TeleMed Today

State Laws

Telemedicine laws, state by state

Licensure, cross-state practice, consent, Medicaid, and payment parity, compared across states, with a sourced guide for each state we have published. For how the pieces fit together, start with the national overview.

51 of 51 jurisdictions have a published guide. Each published guide lists the statutes, rules, and agency sources it relies on. States without a guide are marked in the table below.

Compare states

Each guide column is quoted from that state’s at-a-glance summary. Summaries are short by design, and the exceptions and qualifiers live in the guide, so read it before relying on a cell. The IMLC column comes from our compact tracker (membership status from the IMLC Commission, effective dates from state codes, checked September 28, 2026). Dates are the effective date of the state’s enacting law, not the date the state began issuing licenses through the compact; the guide gives both where they differ. A member state with no date is one whose statutory effective date we have not yet verified. Non-members and states with bills that were only introduced have no effective date.

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51 jurisdictions

Telemedicine law comparison by state: licensure, Interstate Medical Licensure Compact status, telehealth registration, consent, Medicaid audio-only coverage, and private-payer payment parity
StateIMLC (physician compact)License requiredTelehealth registrationConsentMedicaid audio-onlyPrivate-payer payment parityGuide updated
AlabamaMemberBill and effective date not yet verified against a primary state source.Yes — full Alabama license or IMLCNone — special purpose license repealed in 2022Yes — statutory, documented in the recordYes — modifier FQ, paid at parityNo — no private payer telehealth lawSeptember 25, 2026
AlaskaEnacted, not liveeff. 09/20/2026Enacted as AS 08.64.253 by sec. 6; became law without the governor's signature 6/23/2026 (period expired 6/22); effective 90 days later under AS 01.10.070(b). IMLCC lists Alaska as "IMLC Passed; Implementation Delayed"; no expedited licenses yet.Yes, with narrow out-of-state physician exceptionsNo provider registration; telemedicine businesses must registerNo general statute; Medicaid billing requires documented consentYes — two-way audio-only is a covered modalityNo — coverage mandate onlySeptember 28, 2026
ArizonaMembereff. 05/11/2016AZ license or registration with the matching Arizona board under § 36-3606Yes — § 36-3606, any profession with a comparable Arizona boardYes — verbal or written, before services begin (§ 36-3602)Yes, when video is not reasonably available; in-person rate for mental health and SUDYes for audio-video; audio-only parity only for behavioral health and SUDSeptember 28, 2026
ArkansasEnacted, not liveeff. 03/12/2025Yes — Arkansas license; episodic consultation exceptionNoNo telehealth-specific statute; general informed-consent law appliesYes, if real-time, interactive and meets service requirementsYes — combined payment not below in-person totalSeptember 28, 2026
CaliforniaNot a memberYes — full CA licensureNone; narrow statutory exemptions onlyYes — verbal or written, documented (§ 2290.5)Yes — paid at parity with in-personYes — same service, same rate (network contracts)September 28, 2026
ColoradoMembereff. 06/08/2016CO license, a compact, or the out-of-state telehealth registrationYes — § 12-30-124, open since January 1, 2026Yes — Medicaid disclosure statement; board standards otherwiseYes — telephone, relay calls, and live chat includedYes — coverage and payment paritySeptember 14, 2026
ConnecticutMemberEnacted by P.A. 22-81, § 43. Statutory effective date not yet verified; 03/15/2026 was the Department of Public Health's letter-of-qualification start.Yes — CT license (IMLC operational since March 2026)Expired — the behavioral-health registration sunset June 30, 2025Yes — documented at first interactionYes, for designated servicesYes — permanentSeptember 28, 2026
DelawareMembereff. 07/01/2022Approved 06/23/2021; c. 52 § 21 made § 20 (Chapter 17A, IMLC) effective 07/01/2022.Yes — DE license, compact, or interstate telehealth registrationYes — interstate telehealth registration, 24 Del. C. § 6002(c)Yes — part of the provider-patient relationship (§ 6003)Limited — if interactive telehealth is unavailable and phone is appropriateYes — "at least at the rate" of in-person careSeptember 28, 2026
District of ColumbiaMembereff. 06/05/2018Yes — DC license or compact, with narrow exceptionsNot for clinicians; virtual telehealth platforms register (§ 44-502.01)Yes — physician rule and Medicaid ruleYes — for services listed in 29 DCMR § 910No — coverage parity; cost-sharing capped at in-personSeptember 28, 2026
FloridaMembereff. 03/21/2024FL license or free out-of-state telehealth registrationYes — § 456.47(4), no fee, ~40+ professionsNo telehealth-specific consent statuteNo — not coveredNo mandateSeptember 28, 2026
GeorgiaMemberEnacted 2019; exact signature date not yet verified. 09/16/2021 was the compact go-live.Yes — full GA license, IMLC expedited license, or telemedicine-only licenseYes — a telemedicine license for out-of-state physicians (§ 43-34-31.1), fee-basedNo general telehealth consent statute; Medicaid requires signed written consentNarrow — telephone visits are generally non-covered; modifier 93 exists for the exceptionsYes — with an audio-only carve-out except for behavioral healthSeptember 28, 2026
HawaiiMember (limited)Act 112 (2023). Compact licenses available since Jan 1, 2025; Hawaii not yet a state of principal license (DCCA, May 2026). Act 163 (2025, SB 1365) authorized the background checks needed for SPL status.Yes — Hawaii license, with narrow consultation and emergency exceptionsNoneNo telehealth consent statute; Medicaid documents audio-only preferenceMental health services, per Med-QUEST memo, through December 31, 2027Yes for real-time telehealth, subject to plan terms; home audio-only mental health at 80 per centSeptember 28, 2026
IdahoMembereff. 07/01/2015Yes (or compact privilege); six exemptions in § 54-5713Mental and behavioral health providers only, § 54-5714Per other applicable law; Medicaid requires documented consentYes — real-time telephone, billed with FQ modifierNo — no private-payer telehealth statuteSeptember 28, 2026
IllinoisMembereff. 07/20/2015Yes — Illinois license or authorizationNoneNo telehealth-specific consent statuteYes — under continued HFS flexibilities (modifier 93)Yes — in-network, through December 31, 2027; permanent for mental health and SUDSeptember 28, 2026
IndianaMembereff. 07/01/2022IC 25-22.5-16. Signed 3/10/2022. The Commission's map dates Indiana 5/1/2023.Yes — unlimited Indiana license; no telehealth registrationNone — certificates terminated July 1, 2024Yes — IC 25-1-9.5-7(b)(3); no separate written formYes — designated codes only, modifier 93No — coverage parity onlySeptember 28, 2026
IowaMemberCodified at Iowa Code ch. 147B; effective date not independently verified.Yes — active Iowa license; no telehealth registrationNoneYes — by board rule, 481—655.9(10)Yes — only for codes flagged audio-only, modifier 93Mental health services onlySeptember 25, 2026
KansasMembereff. 07/01/2016Yes — Kansas license or a Board of Healing Arts telemedicine waiverYes — telemedicine waiver, K.S.A. 65-28,135No telehealth consent statute; Medicaid requires itLimited — coding is narrower than the statuteNo — coverage parity onlySeptember 25, 2026
KentuckyMembereff. 06/27/2019Yes — Kentucky license or a recognized compact privilegeNoneYes — statutory, KRS 311.5975Yes — paid at the lower of the telehealth and telephonic rateYes — equivalent, unless contracted lowerSeptember 25, 2026
LouisianaMembereff. 07/01/2021LA license or board telemedicine permitYes — telemedicine permit, LAC 46:XLV §408Yes — board rule, disclosures plus right to declineYes — for some services, with documented rationaleNo — only for physical and occupational therapySeptember 14, 2026
MaineMembereff. 11/01/2017Yes — Maine license or nurse compact license; consult-only registrationYes — interstate consultative registration, physicians onlyYes — joint board rule; MaineCare rule tooYes — telephonic services billed with modifier 93No — coverage and cost-sharing parity onlySeptember 28, 2026
MarylandMembereff. 07/01/2019Health Occupations 14-3A-01. Approved 5/8/2018. The original sunset (9/30/2022) was extended to 6/30/2030 by SB 386 (ch. 313 of 2022). The Commission's map dates Maryland 1/19/2018, the bill's first reading.Yes — Maryland license; no telehealth registrationNoneYes — Board regulation and Medicaid regulationYes — permanent since 2025Yes — same basis, same rate for covered services; no sunsetSeptember 28, 2026
MassachusettsIntroducedFiled in the 194th General Court; first recorded action 02/27/2025. Not enacted.Yes — full Massachusetts license, no reciprocityNone; no special telemedicine licenseYes — telehealth must meet informed-consent standards; no state formYes — at the in-person rate (MassHealth Bulletin 379)Behavioral health only; coverage parity for the restSeptember 28, 2026
MichiganMembereff. 03/26/2026Replaces PA 563 of 2018, repealed effective 03/28/2025.Yes — Michigan license; no telehealth registrationNoneYes — statutory, MCL 333.16284Yes — code-limited, at the beneficiary's preferenceNo — coverage parity onlySeptember 28, 2026
MinnesotaMembereff. 07/01/2015Minn. Stat. 147.38. Effective upon adoption by at least six other states, but no sooner than 7/1/2015 (six had enacted by then). Signed 5/19/2015, the date the Commission's map shows.MN license or § 147.032 telehealth registrationYes — physicians, annual, Board of Medical PracticeNo general telehealth consent statuteYes — through July 1, 2027, modifier 93Yes — § 62A.673, subd. 5, no expirationSeptember 28, 2026
MississippiMembereff. 05/16/2016Yes — Mississippi license; narrow physician-requested consult exceptionNoneBoard rule says "should"; Medicaid requires signed consentNo — only in a declared emergency, when authorizedNo — coverage parity only; section repeals July 1, 2028September 28, 2026
MissouriMembereff. 08/28/2023Yes — full Missouri license; three narrow exceptionsNoneNo general telehealth consent statuteYes — telephone sits inside the definitionNo — coverage parity onlySeptember 28, 2026
MontanaMemberMontana's 2015 bill record is offline; effective date not verified.Yes — Montana or IMLC license; occasional-case exemption untested for telemedicineNo — telemedicine license repealed in 2015No general statute; Medicaid follows in-person consent protocolsYes — telephone allowed for qualifying servicesNo — coverage parity only; Medicaid pays in-person ratesSeptember 28, 2026
NebraskaMembereff. 04/26/2017Yes — Nebraska license or compact privilege; narrow physician exceptionsNoneYes for Nebraska Medicaid telehealth; no general statuteLimited — individual behavioral health or crisis, established clientsConditional — provider must have Nebraska in-person presenceSeptember 28, 2026
NevadaMemberAct contains no effective-date section; Nevada's 2015 session-law volumes were unreachable.Yes — Nevada license, or a telemedicine licenseNoneNo general statute; teledentistry has oneYes — medical necessity, documentedConditionalSeptember 14, 2026
New HampshireMembereff. 07/04/2016Effective date per RSA 329-C:1; the bill-to-chapter link is not independently verified.Yes — NH license, compact or endorsement; limited exceptionsNoYes for physicians (oral or written); Medicaid also requires itYes — all modes, for medically necessary servicesYes — same basis; combined payment equals in-person amountSeptember 28, 2026
New JerseyMembereff. 01/10/2022Yes — NJ license (IMLC pathway available)None — licensure is the pathwayConsent: oral, written, or digital; BME requires a signed acknowledgment of telehealth noticeYes — explicitly protected by statuteYes — currently through December 31, 2027September 28, 2026
New MexicoEnacted, not liveeff. 05/20/2026Yes — NM license or NM telemedicine license; narrow exceptionsNo registry; physician telemedicine license, § 61-6-11.1No general statute; Medical Board rules require informed consentLimited — "limited professional services" by telephoneYes — at least the in-person rateSeptember 28, 2026
New YorkIntroducedS 1505 introduced 01/10/2025 and A 6362 on 03/04/2025; both re-referred to the Higher Education committees 01/07/2026. A second IMLC pair, A 1983 / S 5657, is also in committee. The Commission's map lists A 6362. Not enacted.Yes — full NY licensureNoneYes — documented; verbal acceptable (Medicaid rule)Yes, with limitsYes — currently through April 1, 2028September 28, 2026
North CarolinaMembereff. 01/01/2026Yes — full NC license, with narrow statutory exceptionsNoneNo statute — Board expects it documented; Medicaid requires itYes, as a "virtual communication" using the synchronous audio-only codesNo — no private-payer telehealth law at allSeptember 28, 2026
North DakotaMembereff. 08/01/2019Yes — North Dakota license, with narrow exceptionsNone; narrow statutory and board-rule exceptions onlyNo general statute; some profession-specific provisionsYes — at home, for listed services, when the patient cannot use or declines video; reason documentedNo — coverage parity onlySeptember 28, 2026
OhioMembereff. 09/30/2021Yes — full Ohio licensureNoneYes — documented consent (Medical Board rule); consent before billing (statute)Yes — telephone is inside the telehealth definitionNo — coverage parity and cost-sharing cap onlySeptember 28, 2026
OklahomaMembereff. 11/01/2019Yes — Oklahoma license; no telehealth registrationNoneNo consent statute — board rule and SoonerCare rules applyYes — code-limited, with a clinic-location conditionYes — 36 O.S. § 6803(E)September 14, 2026
OregonNot a memberYes — Oregon or cross-state telemedicine license; four exceptionsNo registration; a telemedicine license for physicians and PAsOHP yes, renewed yearly; some licensing boards tooYes — reimbursed at the in-person rateYes — same reimbursement, ORS 743A.058(8)September 28, 2026
PennsylvaniaMembereff. 10/26/2016Yes — full PA licensureNoneMedicaid rule — consent before the first telehealth serviceYes, when video is unavailable or the situation is urgentNo — coverage mandate only (Act 42 of 2024)September 28, 2026
Rhode IslandEnacted, not liveeff. 06/29/2022Yes — RI license; narrow physician exceptions in § 5-37-16.2NoneNo general statute; Medicaid requires written or verbal consentYes, when justified in the record; not for visual-assessment servicesPartial — in-network primary care, dietitians, behavioral healthSeptember 28, 2026
South CarolinaNot a memberYes — SC license, with two narrow exceptionsNone — a bill would create oneNo telehealth consent statute for physiciansYes — established patients onlyNo — no private-payer telehealth law at allSeptember 14, 2026
South DakotaMembereff. 07/01/2015Yes — SD license or compact privilege; see licensure sectionNoneYes — "appropriate consent" under SDCL 34-52-3; no form prescribedLimited — listed services, generally when video is unavailableNo — coverage parity onlySeptember 28, 2026
TennesseeMembereff. 01/01/2019Yes — full Tennessee license; the Board no longer issues telemedicine-only licensesNoneRelationship forms by mutual consent; no stand-alone consent form statute for physiciansYes — TennCare's MCOs reimburse audio-only when video is unavailableYes, qualified — "consistent with" in-person, capped at the in-person amountSeptember 28, 2026
TexasMembereff. 09/01/2021Yes — full Texas license (old telemedicine-only license closed)NoneYes — statutory, before services beginYes, for HHSC-designated servicesNo — coverage parity onlySeptember 28, 2026
UtahMembereff. 05/12/2015Yes — Utah license or a compact privilegeNone — only a temporary license while an endorsement application is pendingYes — by Division rule, before the initial encounterYes — eight service categories onlyNo — "negotiated commercially reasonable rate"September 25, 2026
VermontMember (limited)eff. 01/01/2020Issues licenses only — cannot serve as State of Principal License.Yes — Vermont license, telehealth credential, or compact privilegeYes — ch. 56 telehealth license or registration; OPR professions use an interim registrationYes — oral or written, documented in the recordYes — clinically appropriate services on DVHA's code listYes — with vendor and value-based contract exceptionsSeptember 28, 2026
VirginiaNot a memberYes — full VA licensure (no IMLC)—Yes — documented (Board guidance; Medicaid rule)Yes, for specified servicesCoverage parity yes; rate parity ambiguousSeptember 28, 2026
WashingtonMembereff. 07/23/2017Yes — Washington license or compact authorization, with three narrow statutory exceptionsNoneNo general telemedicine consent statute; advance consent required to bill audio-onlyYes — established relationship plus documented consent, modifier 93 or FQYes — contracted providers get the same amount as in person; hospitals, telemedicine companies, and groups of 11+ may negotiateSeptember 28, 2026
West VirginiaMembereff. 06/10/2015Yes — WV license or interstate telehealth registrationYes — interstate telehealth registration, § 30-1-26Yes — physician statutes and board rule; Medicaid wants written consentNot under core policy 519.17; check service chaptersPartial — established patients and acute-care consultsSeptember 28, 2026
WisconsinMembereff. 12/16/2015Yes — Wisconsin license; no telehealth registrationNone — 2025 SB 214 vetoed; override failedYes for website-mediated care (Med 24.07); Medicaid sets its ownYes for designated services; excluded from the statutory defaultNo — no private-payer telehealth statute at allSeptember 28, 2026
WyomingMembereff. 07/01/2015Yes — Wyoming license or compact, with narrow rule exemptionsNoneNo general rule; Medicaid requires it for home visitsLimited — physician telephone E/M codes onlyMental health and substance use only — audio or video, W.S. 26-20-701(b)September 28, 2026
Reference tool · All 51 jurisdictions

Cross-state licensing: compact status by state

Which states belong to the physician, nursing, psychology, PT, counseling, PA, and social work licensure compacts — with status from each compact’s commission and, where verified, the enacting bill and effective date.

All state guides

State guide

Alabama

How Alabama regulates telemedicine in 2026 — the full-license rule, an in-person trigger after four visits, Medicaid parity, and no private-payer mandate.

Updated September 25, 2026

State guide

Alaska

Alaska telehealth law: narrow out-of-state physician exceptions, the IMLC enacted by HB 110, no-exam prescribing, Medicaid audio-only, coverage-only parity.

Updated September 28, 2026

State guide

Arizona

How Arizona regulates telemedicine in 2026 — out-of-state provider registration, IMLC membership, Schedule II exam rule, AHCCCS audio-only, payment parity.

Updated September 28, 2026

State guide

Arkansas

How Arkansas regulates telemedicine: the professional relationship rule, a Medical Board limit on controlled substances, audio-only, and payment parity.

Updated September 28, 2026

State guide

California

How California regulates telemedicine in 2026 — full licensure, no IMLC, the AB 1369 exemption, consent rules, Medi-Cal audio-only parity, and payment parity.

Updated September 28, 2026

State guide

Colorado

How Colorado regulates telemedicine in 2026 — the new out-of-state telehealth registration, its controlled-substance ban, and full insurance parity.

Updated September 14, 2026

State guide

Connecticut

How Connecticut regulates telemedicine: newly operational IMLC licensure, controlled-substance prescribing limits, consent, HUSKY coverage, permanent parity.

Updated September 28, 2026

State guide

Delaware

How Delaware regulates telemedicine: interstate telehealth registration, an in-person path for controlled substances, Medicaid phone rules, payment parity.

Updated September 28, 2026

State guide

District of Columbia

How the District of Columbia regulates telemedicine: the 2024 telehealth statute, the physician rule, PDMP duties, Medicaid audio-only and coverage parity.

Updated September 28, 2026

State guide

Florida

How Florida regulates telemedicine in 2026 — the out-of-state provider registration, IMLC membership, Schedule II limits, Medicaid rules, and no parity mandate.

Updated September 28, 2026

State guide

Georgia

How Georgia regulates telemedicine in 2026 — the telemedicine-only license, IMLC membership, controlled-substance exam rules, Medicaid, and payment parity.

Updated September 28, 2026

State guide

Hawaii

How Hawaii regulates telemedicine: a Hawaii license to treat, an in-person rule for opiates, payment parity, and an audio-only sunset on December 31, 2027.

Updated September 28, 2026

State guide

Idaho

How Idaho regulates virtual care in 2026: six licensure exemptions, a mental health telehealth registration, PDMP checks, Medicaid rules, no parity law.

Updated September 28, 2026

State guide

Illinois

How Illinois regulates telemedicine in 2026 — full licensure with an IMLC lane, no in-person exam statute, permanent coverage parity, and a 2028 parity sunset.

Updated September 28, 2026

State guide

Indiana

How Indiana regulates telemedicine in 2026 — the unlimited-license rule, the repealed telehealth certificate, the opioid ban, and coverage-only parity.

Updated September 28, 2026

State guide

Iowa

How Iowa regulates telemedicine in 2026 — Iowa license required, PMP checks before opioids, Medicaid's equivalence rule, mental health payment parity.

Updated September 25, 2026

State guide

Kansas

How Kansas regulates telemedicine in 2026 — the Board of Healing Arts out-of-state waiver, IMLC membership, prescribing by rule, and coverage-only parity.

Updated September 25, 2026

State guide

Kentucky

How Kentucky regulates telemedicine in 2026 — Kentucky license or compact, no telehealth registration, KASPER prescribing checks, and payment parity.

Updated September 25, 2026

State guide

Louisiana

How Louisiana regulates telemedicine in 2026 — the board telemedicine permit, the in-person rule for controlled substances, Medicaid coverage, and no parity.

Updated September 14, 2026

State guide

Maine

How Maine regulates telemedicine: a consultative-only physician registration, the joint Chapter 11 rule, opioid caps, MaineCare audio-only, and coverage parity.

Updated September 28, 2026

State guide

Maryland

How Maryland regulates telemedicine in 2026 — full-license rule, IMLC membership, the Schedule II opioid limit, PDMP duties, and permanent payment parity.

Updated September 28, 2026

State guide

Massachusetts

How Massachusetts regulates telemedicine in 2026 — full licensure, no IMLC, permanent behavioral health payment parity, and MassHealth audio-only rules.

Updated September 28, 2026

State guide

Michigan

How Michigan regulates telemedicine in 2026 — full-license rule, IMLC re-enacted, MAPS prescribing checks, Medicaid parity, coverage-only private parity.

Updated September 28, 2026

State guide

Minnesota

How Minnesota regulates telemedicine in 2026 — out-of-state physician registration, the in-person exam rule for controlled substances, and payment parity.

Updated September 28, 2026

State guide

Mississippi

How Mississippi regulates telemedicine: a full-license rule, board exam and prescribing rules, video-only Medicaid, and coverage parity set to repeal in 2028.

Updated September 28, 2026

State guide

Missouri

How Missouri regulates telemedicine in 2026 — the full-license rule, IMLC membership, the 2026 prescribing rewrite, Medicaid parity, no private rate mandate.

Updated September 28, 2026

State guide

Montana

How Montana regulates telemedicine in 2026: a full license for Montana patients, a registry check before opioids, Medicaid rate parity, coverage parity.

Updated September 28, 2026

State guide

Nebraska

How Nebraska regulates telemedicine: a Nebraska license with narrow exceptions, Medicaid consent rules, limited audio-only, and conditional payment parity.

Updated September 28, 2026

State guide

Nevada

How Nevada regulates telemedicine in 2026 — the telemedicine license for out-of-state physicians, monitoring-program query duties, conditional parity.

Updated September 14, 2026

State guide

New Hampshire

How New Hampshire regulates telemedicine in 2026: license-or-compact rule, Schedule II–IV prescribing with annual exam, audio-only Medicaid, payment parity.

Updated September 28, 2026

State guide

New Jersey

How New Jersey regulates telemedicine in 2026 — IMLC licensure, strict Schedule II rules, signed telehealth notice, NJ FamilyCare, and parity through 2027.

Updated September 28, 2026

State guide

New Mexico

New Mexico's physician telemedicine license, the pending IMLC, Medical Board prescribing and PMP rules, Medicaid telephone limits and private payment parity.

Updated September 28, 2026

State guide

New York

How New York regulates telemedicine in 2026 — licensure with no interstate compact, controlled-substance rules, consent, Medicaid coverage, and payment parity.

Updated September 28, 2026

State guide

North Carolina

How North Carolina regulates telemedicine in 2026 — full-license rule, new IMLC pathway, STOP Act CSRS checks, Medicaid audio-only and RPM, and no parity law.

Updated September 28, 2026

State guide

North Dakota

How North Dakota regulates telemedicine: a patient-location license rule with board exceptions, a telemedicine opioid limit, and coverage-only parity.

Updated September 28, 2026

State guide

Ohio

How Ohio regulates telemedicine in 2026 — full licensure plus IMLC, Schedule II in-person rule and exceptions, Medicaid audio-only, and no payment parity.

Updated September 28, 2026

State guide

Oklahoma

How Oklahoma regulates telemedicine in 2026 — Oklahoma license required, limits on opioid and benzodiazepine starts by telemedicine, and payment parity.

Updated September 14, 2026

State guide

Oregon

How Oregon regulates telemedicine in 2026: a cross-state license for physicians and PAs, PDMP registration, annual Medicaid consent, full payment parity.

Updated September 28, 2026

State guide

Pennsylvania

How Pennsylvania regulates telemedicine in 2026 — full licensure with IMLC access, Act 42 coverage without payment parity, and Medicaid audio-only rules.

Updated September 28, 2026

State guide

Rhode Island

How Rhode Island regulates telemedicine: a full-license rule, an exam statute for Schedule II–IV drugs, 2026 opioid changes, and partial payment parity.

Updated September 28, 2026

State guide

South Carolina

How South Carolina regulates telemedicine in 2026 — full-license rule, no IMLC membership, the narcotic prescribing ban, Medicaid billing, and no parity law.

Updated September 14, 2026

State guide

South Dakota

How South Dakota regulates telemedicine: SDCL 34-52 licensure, a telephone limit on controlled substances, narrow Medicaid audio-only, coverage parity.

Updated September 28, 2026

State guide

Tennessee

How Tennessee regulates telemedicine in 2026 — full licensure with an IMLC route, the insurer in-person encounter rule, CSMD checks, and payment parity.

Updated September 28, 2026

State guide

Texas

How Texas regulates telemedicine in 2026 — full-license rule, IMLC route, chronic-pain prescribing limits, consent, Medicaid audio-only, coverage-only parity.

Updated September 28, 2026

State guide

Utah

How Utah regulates telemedicine in 2026 — the full-license rule, a one-client mental health carve-out, database checks, Medicaid parity, no payment parity.

Updated September 25, 2026

State guide

Vermont

How Vermont regulates telemedicine in 2026: telehealth licenses and registrations, written or oral consent, opioid rules, Medicaid audio-only, payment parity.

Updated September 28, 2026

State guide

Virginia

How Virginia regulates telemedicine: licensure without the IMLC, continuity-of-care exceptions, prescribing rules, Medicaid coverage, and parity nuances.

Updated September 28, 2026

State guide

Washington

How Washington regulates telemedicine in 2026 — Uniform Telehealth Act licensure exceptions, IMLC, PMP and e-prescribing duties, audio-only, and payment parity.

Updated September 28, 2026

State guide

West Virginia

West Virginia telemedicine law in 2026: interstate telehealth registration, Schedule II limits, consent duties, Medicaid video rules and partial payment parity.

Updated September 28, 2026

State guide

Wisconsin

How Wisconsin regulates telemedicine in 2026 — Med 24's full-license rule, the vetoed registration bill, ePDMP checks, Medicaid's mandate, no private parity.

Updated September 28, 2026

State guide

Wyoming

How Wyoming regulates telemedicine: a Wyoming license with narrow exemptions, controlled substance registration, PDMP duties, mental health telehealth parity.

Updated September 28, 2026