Law and Policy in Telemedicine

Telemedicine and Telehealth Licensure

The State of Licensure in the U.S.

State name	Medical Doctors licensure	Nursing licensure
Alabama	Special purpose license for telehealth.	NCSBN Interstate compact not adopted nor introduced.
Alaska	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Arizona	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
Arkansas	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
California	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Colorado	Full license for telehealth required by law and special purpose license.	NCSBN Interstate compact introduced.
Connecticut	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Deleware	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
District of Columbia	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Florida	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Georgia	Full license for telehealth required by law.	NCSBN Interstate compact introduced.
Hawaii	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Idaho	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
Illinois	Full license for telehealth required by law.	NCSBN Interstate compact introduced.
Indiana	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Iowa	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
Kansas	Full license for telehealth required by regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Kentucky	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Louisiana	Full license for telehealth required by regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Maine	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
Maryland	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
Massachusetts	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Michigan	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Minnesota	Special purpose license for telehealth.	NCSBN Interstate compact introduced.
Mississippi	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Missouri	Full license for telehealth required by law.	NCSBN Interstate compact introduced.
Montana	Special purpose license for telehealth.	NCSBN Interstate compact not adopted nor introduced.
Nebraska	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Nevada	Full license for telehealth required by law.	NCSBN Interstate compact not adopted nor introduced.
New Hampshire	Full license for telehealth required by law.	NCSBN Interstate compact introduced.
New Jersey	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
New Mexico	Special purpose license for telehealth.	NCSBN Interstate compact adopted.
New York	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
North Carolina	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
North Dakota	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Ohio	Full license for telehealth required by law and special purpose license.	NCSBN Interstate compact not adopted nor introduced.
Oklahoma	Full license for telehealth required by law.	NCSBN Interstate compact not adopted nor introduced.
Oregon	Special purpose license for telehealth.	NCSBN Interstate compact not adopted nor introduced.
Pennsylvania	Full license for telehealth required by law.	NCSBN Interstate compact not adopted nor introduced.
Rhode Island	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
South Carolina	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact introduced.
South Dakota	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Tennessee	Special purpose license for telehealth.	NCSBN Interstate compact adopted.
Texas	Special purpose license for telehealth.	NCSBN Interstate compact adopted.
Utah	Full license for telehealth required by law.	NCSBN Interstate compact adopted.
Vermont	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact not adopted nor introduced.
Virginia	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
Washington	Statute as written implicitly allows for telemedicine	NCSBN Interstate compact not adopted nor introduced.
West Virginia	Full license for telehealth required by law.	NCSBN Interstate compact not adopted nor introduced.
Wisconsin	Telehealth not specifically addressed in licensure law, regulation or policy.	NCSBN Interstate compact adopted.
Wyoming	Full license for telehealth required by regulation or policy.	NCSBN Interstate compact not adopted nor introduced.

Licensure terms

Full license
Out-of-state physicians providing services via telemedicine directly to in-state patients must obtain a full an unrestricted license from the state in which the service is being provided.
Special purpose license
A variation of the model proposed by the Federation of State Medical Boards, which calls for an abbreviated licensure process for physicians not physically practicing within a state's jurisdiction, but providing services to patients within that jurisdiction.
NCSBN Interstate compact
Developed by the National Council of State Boards of Nursing Model. The Interstate compact is based on a model of mutual recognition for nursing licensure, which allows a nurse to have one license (in his/her state of residency) and to practice in other states, dependent on acknowledging that he/she is subject to each state's laws and discipline.

About the data

Licensure data was drawn from the Telemedicine Licensure Report, which was prepared for OAT in 2003 by the Center for Telemedicine Law.