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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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Trending in Telehealth: December 11 – 17, 2024

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 week:

  • Licensure compacts
  • Telepharmacies
  • Telehealth practice standards

A CLOSER LOOK

Proposed Legislation & Rulemaking:

  • In Michigan, House Bill 4169 was referred to the second committee after passing the first chamber. The bill would enact the Interstate Occupational Therapy Licensure Compact in Michigan. The compact is designed to facilitate use of telehealth technology to increase access to occupational therapy services.
  • New York’s Assembly Bill 6799, which has passed both chambers, was delivered to the governor for review. The proposed legislation seeks to establish an education program for screening drug-induced movement disorders and specifically includes services provided via telehealth.
  • In Ohio, Senate Bill 95 passed the second chamber. If enacted, the legislation would provide an exception to current state law that prohibits pharmacists from dispensing dangerous drugs through telehealth or virtual means. Under state law, dangerous drugs include prescription medications, schedule V controlled substances, injectables, biological products, and drugs with certain mandatory federal caution labels. The proposed legislation would create an allowance for remote dispensing pharmacies, which dispense drugs, counsel patients, and provide other pharmacist care through a telepharmacy system. Telepharmacy is a system that monitors the dispensing of drugs and provides for related drug utilization review and patient counseling services via electronic means. The dispensing of drugs at a remote dispensing pharmacy may include the dispensing of drug-therapy-related devices.

Finalized Legislation & Rulemaking Activity:

  • In Delaware, the Board of Mental Health and Chemical Dependency Professionals final rule took effect, updating existing regulations that include telehealth practice standards. The board clarified that “face-to-face” services include both in-person and live video mental health counseling services. The board also removed the previous supervision requirement for counselor applicants that restricted the amount of supervision that could be credited for live video conferencing rather than in-person means.

Why it matters:

  • Interstate licensure compacts are progressively expanding. Michigan’s proposed legislation to join the Interstate Occupational Therapy Licensure Compact demonstrates states’ ongoing interest in compacts that enable healthcare professionals to practice across state lines. These compacts can expand access to qualified practitioners in underserved and rural areas, enhance career flexibility, and reduce the administrative burdens associated with applying for multiple state licenses.
  • States are adapting to the sustained significance of telehealth. Legislative and regulatory trends reflect a continued recognition that telehealth can be utilized for a wide variety of purposes, including provision of health services education (as in New York’s proposed bill) and supervisory training (as in Delaware’s final rule).

Telehealth is an important development in care delivery, but the regulatory patchwork is complicated. The McDermott Digital Health team works alongside the industry’s leading providers, payors, and technology innovators to help them enter new markets, break down barriers to delivering accessible care and [...]

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