Medical License Direct
Solution for your medical license needs.
Telemedicine Licenses
Medical License Direct, LLC provides medical licensing services to physicians and groups who
are seeking state medical licenses in one, most or all the states. The service includes
professionally preparing the application, requesting third-party verifications required by the
boards and follow-up for the physician until the license is issued.
Our experience and expertise with the medical licensing process, knowledge of board
procedures, requirements and excellent relations with medical board personnel has taught us
how to help you avoid pitfalls. We coordinate the medical licensing process and, in most cases,
complete it a lot faster than you can.
Physicians who practice interstate telemedicine, teleradiology, or telehealth are required by most
state medical boards to acquire a full, unrestricted medical license before practicing medicine in
that state.
Some medical boards such as Alabama, Montana and Oregon offer a special purpose
telemedicine license. Other states that regulate telepractice in medicine include Texas, Florida,
California and Colorado. The levels of regulation vary greatly by state. For example, California
and Florida, similar to New York, require full licensure to perform any function relating to patient
care, with some exceptions for consultation in some instances. Other states are exploring the
issue of telepractice and in general, how to regulate it.
Perhaps you need multiple state medical licenses or information about a telemedicine license.
Licensing consultants are standing by to assist you and answer your questions about licensing
requirements, determine your eligibility for any of the U.S. Medical Boards and discuss the
service we offer.
Discounts are available for multi-state acquisitions.
Call, 850-471-8648 weekdays 9:00 am to 5:00 pm CST for a FREE initial consultation or
quote.
Or email your questions to info@medicallicensedirect.com and you can generally expect a reply
within a few hours during business hours.
We also offer a prequalification form for your convenience. Or, please click HERE for our paper
or online form and we'll get started right away.
are seeking state medical licenses in one, most or all the states. The service includes
professionally preparing the application, requesting third-party verifications required by the
boards and follow-up for the physician until the license is issued.
Our experience and expertise with the medical licensing process, knowledge of board
procedures, requirements and excellent relations with medical board personnel has taught us
how to help you avoid pitfalls. We coordinate the medical licensing process and, in most cases,
complete it a lot faster than you can.
Physicians who practice interstate telemedicine, teleradiology, or telehealth are required by most
state medical boards to acquire a full, unrestricted medical license before practicing medicine in
that state.
Some medical boards such as Alabama, Montana and Oregon offer a special purpose
telemedicine license. Other states that regulate telepractice in medicine include Texas, Florida,
California and Colorado. The levels of regulation vary greatly by state. For example, California
and Florida, similar to New York, require full licensure to perform any function relating to patient
care, with some exceptions for consultation in some instances. Other states are exploring the
issue of telepractice and in general, how to regulate it.
Perhaps you need multiple state medical licenses or information about a telemedicine license.
Licensing consultants are standing by to assist you and answer your questions about licensing
requirements, determine your eligibility for any of the U.S. Medical Boards and discuss the
service we offer.
Discounts are available for multi-state acquisitions.
Call, 850-471-8648 weekdays 9:00 am to 5:00 pm CST for a FREE initial consultation or
quote.
Or email your questions to info@medicallicensedirect.com and you can generally expect a reply
within a few hours during business hours.
We also offer a prequalification form for your convenience. Or, please click HERE for our paper
or online form and we'll get started right away.
State Medical Board Licensing
Requirements and Provisions
to Practice Telemedicine
Alabama State Board of Medical Examiners
Alabama has a telemed license. (7) Special Purpose License. A medical professional in another state
may apply to the Alabama State Medical Board for a special purpose license to practice in Alabama,
though they may not practice in Alabama more than 10 times per year or more than 1% of their total
practice. A special purpose license is a license issued by the Commission to practice medicine or
osteopathy across state lines which: (a) Is only issued to an applicant whose principal practice location
and license to practice is located in a state or territory of the United States whose laws permit or allow
issuance of a special purpose license to practice medicine or osteopathy across state lines or a similar
license to a physician whose principal practice location and license is located in the State of Alabama;
(b) Limits the licensee solely to the practice of medicine or osteopathy across state lines as defined in
these rules. (Chapter 540-X-16)"
Alaska State Medical Board
Yes, a full, unrestricted Alaska license is required. It is not required if consulting for another radiologist
who is licensed in Alaska. The Alaska Medical Board has issued an opinion that if the physician is
licensed in another state and is reporting to another physician, he does not to be licensed in Alaska. No
specific telemedicine law exists at this time.
Arizona Board of Medical Examiners Yes, physicians in Arizona who read or interpret medical
records and radiology films must hold an Arizona license. Physicians residing in another state, federal
jurisdiction, or country who are authorized to practice medicine in that jurisdiction are not required to
hold an Arizona license if the physician engages in actual single or infrequent consultation with a doctor
of medicine licensed in Arizona and if the consultation regards a specific patient or patients (ARS §32-
1421[B]).
Arkansas State Medical Board
Yes, physicians in Arkansas who read or interpret medical records and radiology films must hold an
Arkansas license. Regulation No. 20, Practice of Medicine by a Non-resident, states: Pursuant to Ark.
Code Ann. 17-95-401 and 17-95-202, the Arkansas State Medical Board sets forth the following Rule
and Regulation concerning the practice of medicine by a non-resident physicians or osteopaths: Any
non-resident physician or osteopath who, while located outside the State of Arkansas, provides
diagnostic or treatment services to patients within the State of Arkansas on a regular basis or under a
contract with the health care provider, a clinic located in this state, or a health care facility, is engaged in
the practice of medicine or osteopathy in this state and, therefore must obtain a license to practice
medicine in this State. Any nonresident physician or osteopath who, while located outside of the state,
consults on an irregular basis with a physician or osteopath who holds a license to practice medicine
within the State of Arkansas and who is located in this State, is not required to obtain a license to
practice medicine in the State of Arkansas History: Adopted March 14, 1997
June 10, 2016 - The Arkansas State Medical Board this week signed off on amendments to Act 887 of
2015, which would allow clinicians to establish "a proper physician/patient relationship (via) real-time
audio and visual telemedicine technology" as long as the platform "provides information at least equal to
such information as would have been obtained by an in-person examination."
Medical Board of California
Yes, a full, unrestricted California medical license is required. "(1) A physician and surgeon practices
medicine in this state across state lines when that person is located outside of this state but, through the
use of any medium, including an electronic medium, practices or attempts to practice, or advertises or
holds himself or herself out as practicing, any system or mode of treating the sick or afflicted in this
state, or diagnoses, treats, operates for, or prescribes for any ailment, blemish, deformity, disease,
disfigurement, disorder, injury, or other physical or mental condition of any person in this state. 2038.
Whenever the words ""diagnose"" or ""diagnosis"" are used in this chapter, they include any undertaking
by any method, device, or procedure whatsoever, and whether gratuitous or not, to ascertain or
establish whether a person is suffering from any physical or mental disorder. Such terms shall also
include the taking of a person's blood pressure and the use of mechanical devices or machines for the
purpose of making a diagnosis and representing to such person any conclusion regarding his or her
physical or mental condition. Machines or mechanical devices for measuring or ascertaining height or
weight are excluded from this section."
Colorado Board of Medical Examiners
Yes, a full, unrestricted Colorado medical license is required. 12-36-106. Practice of medicine defined -
exemptions from licensing requirements - repeal. (1) For the purpose of this article, "practice of
medicine" means: (a) Holding out one's self to the public within this state as being able to diagnose,
treat, prescribe for, palliate, or prevent any human disease, ailment, pain, injury, deformity, or physical
or mental condition, whether by the use of drugs, surgery, manipulation, electricity, telemedicine, the
interpretation of tests, including primary diagnosis of pathology specimens, images, or photographs, or
any physical, mechanical, or other means whatsoever; (g) The delivery of telemedicine, which means
the delivery of medical services and any diagnosis, consultation, treatment, transfer of medical data, or
education related to health care services using interactive audio, interactive video, or interactive data
communication. Nothing in this paragraph (g) shall be construed to limit the delivery of health services
by other licensed professionals, within the professional's scope of practice, using advanced technology,
including, but not limited to, interactive audio, interactive video, or interactive data communication. (2) If
any person who does not possess and has not filed a license to practice medicine within this state, as
provided in this article, and who is not exempted from the licensing requirements under this section,
shall do any of the acts mentioned in this section as constituting the practice of medicine, he shall be
deemed to be practicing medicine without complying with the provisions of this article and in violation
thereof.
Connecticut Medical Examining Board
Yes, a full, unrestricted Connecticut medical license is required. "(d) The provisions of subsection (a) of
this section shall apply to any individual whose practice of medicine includes any ongoing, regular or
contractual arrangement whereby, regardless of residency in this or any other state, he provides,
through electronic communications or interstate commerce, diagnostic or treatment services, including
primary diagnosis of pathology specimens, slides or images, to any person located in this state. In the
case of electronic transmissions of radiographic images, licensure shall be required for an out-of-state
physician who provides, through an ongoing, regular or contractual arrangement, official written reports
of diagnostic evaluations of such images to physicians or patients in this state. The provisions of
subsection (a) of this section shall not apply to a nonresident physician who, while located outside this
state, consults (A) on an irregular basis with a physician licensed by section 20-10 of the general
statutes, as amended, who is located in this state or (B) with a medical school within this state for
educational or medical training purposes. Notwithstanding the provisions of this subsection, the
provisions of subsection (a) of this section shall not apply to any individual who regularly provides the
types of services described in this subsection pursuant to any agreement or arrangement with a short-
term acute care general hospital, licensed by the department of public health, provided such agreement
or arrangement was entered into prior to February 1, 1996, and is in effect as of the effective date of
this section. (e) On and after October 1, 1999, any person licensed as an osteopathic physician or
osteopath pursuant to Chapter 371 shall be deemed licensed as a physician and surgeon pursuant to
this chapter. (20-9)"
Delaware Board of Medical Practice
Yes, a full, unrestricted Delaware medical license is required.
District of Columbia Board of Medicine
Yes, a full, unrestricted District of Columbia medical license is required.
Florida Board of Medicine
Yes, a full, unrestricted Florida medical license is required.
Board Revises Florida’s Telemedicine Practice Rule
Effective March 7, 2016, the Board of Medicine’s revised Telemedicine Rule, Rule 64B8-9.0141, F.A.C.,
goes into effect. The amended rule reads:
(1) “Telemedicine” means the practice of medicine by a licensed Florida physician or physician assistant
where patient care, treatment, or services are provided through the use of medical information
exchanged from one site to another via electronic communications. Telemedicine shall not include the
provision of health care services only through an audio only telephone, email messages, text messages,
facsimile transmission, U.S. Mail or other parcel service, or any combination thereof.
(2) The standard of care, as defined in Section 456.50(1)(e), F.S., shall remain the same regardless of
whether a Florida licensed physician or physician assistant provides health care services in person or
by telemedicine.
(3) Florida licensed physicians and physician assistants providing health care services by telemedicine
are responsible for the quality of the equipment and technology employed and are responsible for their
safe use. Telemedicine equipment and technology must be able to provide, at a minimum, the same
information to the physician and physician assistant which will enable them to meet or exceed the
prevailing standard of care for the practice of medicine.
(4) Controlled substances shall not be prescribed through the use of telemedicine except for the
treatment of psychiatric disorders. This provision does not preclude physicians from ordering controlled
substances through the use of telemedicine for patients hospitalized in a facility licensed pursuant to
Chapter 395, F.S.
(5) Prescribing medications based solely on an electronic medical questionnaire constitutes the failure
to practice medicine with that level of care, skill, and treatment which is recognized by reasonably
prudent physicians as being acceptable under similar conditions and circumstances, as well as
prescribing legend drugs other than in the course of a physician’s professional practice.
(6) Physicians and physician assistants shall not provide treatment recommendations, including issuing
a prescription, via electronic or other means, unless the following elements have been met:
(a) A documented patient evaluation, including history and physical examination to establish the
diagnosis for which any legend drug is prescribed.
(b) Discussion between the physician or the physician assistant and the patient regarding treatment
options and the risks and benefits of treatment.
(c) Maintenance of contemporaneous medical records meeting the requirements of Rule 64B8-9.003, F.
A.C.
(7) The practice of medicine by telemedicine does not alter any obligation of the physician or the
physician assistant regarding patient confidentiality or recordkeeping.
(8) A physician-patient relationship may be established through telemedicine.
(9)(a) Nothing contained in this rule shall prohibit consultations between physicians or the transmission
and review of digital images, pathology specimens, test results, or other medical data by physicians or
other qualified providers related to the care of Florida patients.
(b) This rule does not apply to emergency medical services provided by emergency physicians,
emergency medical technicians (EMTs), paramedics, and emergency dispatchers. Emergency medical
services are those activities or services to prevent or treat a sudden critical illness or injury and to
provide emergency medical care and prehospital emergency medical transportation to sick, injured, or
otherwise incapacitated persons in this state.
(c) The provisions of this rule shall not apply where a physician or physician assistant is treating a
patient with an emergency medical condition that requires immediate medical care. An emergency
medical condition is a medical condition manifesting itself by acute symptoms of sufficient severity that
the absence of immediate medical attention will result in serious jeopardy to patient health, serious
impairment to bodily functions, or serious dysfunction of a body organ or part.
(d) The provisions of this rule shall not be construed to prohibit patient care in consultation with another
physician who has an ongoing relationship with the patient, and who has agreed to supervise the patient’
s treatment, including the use of any prescribed medications, nor on-call or cross-coverage situations in
which the physician has access to patient records.
Rulemaking Authority 458.331(1)(v) FS. Law Implemented 458.331(1)(v) FS. History‒New 3-12-14,
Amended 7-22-14, 10-26-14.
Where does the Board stand on Telemedicine?
Georgia Composite State Board of Medical Examiners
Click for recent rulings
Yes, a full, unrestricted Georgia medical license is required. "43-34-31.1. (a) A person who is physically
located in another state or foreign country and who, through the use of any means, including electronic,
radiographic, or other means of telecommunication, through which medical information or data is
transmitted, performs an act that is part of a patient care service located in this state, including but not
limited to the initiation of imaging procedures or the preparation of pathological material for examination,
and that would affect the diagnosis or treatment of the patient is engaged in the practice of medicine in
this state. Any person who performs such acts through such means shall be required to have a license
to practice medicine in this state and shall be subject to regulation by the board. Any such out-of-state
or foreign practitioner shall not have ultimate authority over the care or primary diagnosis of a patient
who is located in this state. (b) This Code section shall not apply to: (1) The acts of a doctor of medicine
or doctor of osteopathy located in another state or foreign country who: (A) Provides consultation
services at the request of a physician licensed in this state; and (B) Provides such services on an
occasional rather than on a regular or routine basis; "
Hawaii Board of Medical Examiners
Yes, a full, unrestricted Hawaii medical license is required. Hawaii does not specifically address
telemedicine, but reading of films/x-ray images for a patient in Hawaii would be considered practicing
medicine in the state and will therefore require a Hawaii medical license.
Idaho State Board of Medicine Yes, a full, unrestricted Idaho medical license is required. The board
often receives requests on whether physicians who regularly read radiologic or imaging studies done in
Idaho on Idaho patients by Idaho physicians must have an Idaho license. It is the Board's interpretation
that such physicians must hold an Idaho license. The "practice of medicine" means to investigate,
diagnose, treat, correct, or prescribe for any human disease, ailment, injury, infirmity, deformity, or other
condition, physical or mental, by any means or instrumentality. Idaho Code 54-1804(2) makes it a felony
to practice in the state of Idaho without a license.
Illinois Department of Professional Regulation Yes, a full, unrestricted Illinois medical license is
required. " Sec. 49.5. Telemedicine. (a) The General Assembly finds and declares that because of
technological advances and changing practice patterns the practice of medicine is occurring with
increasing frequency across state lines and that certain technological advances in the practice of
medicine are in the public interest. The General Assembly further finds and declares that the practice of
medicine is a privilege and that the licensure by this State of practitioners outside this State engaging in
medical practice within this State and the ability to discipline those practitioners is necessary for the
protection of the public health, welfare, and safety. (b) A person who engages in the practice of
telemedicine without a license issued under this Act shall be subject to penalties provided in Section 59.
(c) For purposes of this Act, ""telemedicine"" means the performance of any of the activities listed in
Section 49, including but not limited to rendering written or oral opinions concerning diagnosis or
treatment of a patient in Illinois by a person located outside the State of Illinois as a result of
transmission of individual patient data by telephonic, electronic, or other means of communication from
within this State. ""Telemedicine"" does not include the following: (1) periodic consultations between a
person licensed under this Act and a person outside the State of Illinois; (2) a second opinion provided
to a person licensed under this Act; and (3) diagnosis or treatment services provided to a patient in
Illinois following care or treatment originally provided to the patient in the state in which the provider is
licensed to practice medicine. (d) Whenever the Department has reason to believe that a person has
violated this Section, the Department may issue a rule to show cause why an order to cease and desist
should not be entered against that person. The rule shall clearly set forth the grounds relied upon by
the Department and shall provide a period of 7 days from the date of the rule to file an answer to the
satisfaction of the Department. Failure to answer to the satisfaction of the Department shall cause an
order to cease and desist to be issued immediately. (e) An out-of-state person providing a service listed
in Section 49 to a patient residing in Illinois through the practice of telemedicine submits himself or
herself to the jurisdiction of the courts of this State. (Source: P.A. 90-99, eff. 1-1-98.)"
Indiana Health Professions Bureau
Yes, a full, unrestricted Indiana medical license is required to diagnose and prescribe, not to consult on
an infrequent basis for another doctor of medicine. "IC 25-22.5-1-1.1 Definitions Sec. 1.1. As used in
this article: (a) ""Practice of medicine or osteopathic medicine"" means any one (1) or a combination of
the following: (1) Holding oneself out to the public as being engaged in: (A) the diagnosis, treatment,
correction, or prevention of any disease, ailment, defect, injury, infirmity, deformity, pain, or other
condition of human beings; (B) the suggestion, recommendation, or prescription or administration of any
form of treatment, without limitation; (4) Providing diagnostic or treatment services to a person in Indiana
when the diagnostic or treatment services: (A) are transmitted through electronic communications; and
(B) are on a regular, routine, and non-episodic basis or under an oral or written agreement to regularly
provide medical services."
Iowa Board of Medicine
Yes, a full, unrestricted Iowa medical license is required. "At a recent meeting, the Iowa Board of Medical
Examiners reviewed the inquiry relating to the licensure requirements for out-of-state physicians
performing diagnoses through electronic means. It is the Board's policy to require any physician who
participates in the diagnosis and treatment of a patient situated in Iowa to obtain licensure. However,
there is a provision in the Board's authorizing statute which permits physicians not licensed in Iowa to
provide medical consultation and services which are "incidental" to the care of patients. Medical reports
used for "primary diagnostic purposes" are generally not considered incidental and thus are seldom
exempted under this provision."
Kansas Board of Healing Arts
Yes, a full, unrestricted Kansas medical license required, but not if it's for a second reading where the
radiologist is consulting with a radiologist licensed in Kansas. K.A.R. 100-26-1 addresses the issue,
though it does not prohibit telemedicine. Essentially, it requires Kansas licensure, or exemption from
licensure, if the patient is located in Kansas, regardless of the doctor's location. Exemption from
licensure is usually accomplished through consultation or supervision with a Kansas licensee. In short,
the Board has generally believed that an initial read constitutes a diagnosis which requires licensure or
supervision, and an overread is consultation which does not require licensure. New regulations are
proposed, and have been adopted on a temporary basis, for other services performed within the state.
Please find these regulations on our website at www.ksbha.org.
Kentucky Board of Medical Licensure
Yes, a full, unrestricted Kentucky medical license is required. Telemedicine Policy Statement -
Physicians living outside Kentucky but actively practicing medicine upon patients within Kentucky should
be required to meet the same statutory qualifications and should be held to the same standards of
acceptable and prevailing medical practice within the Commonwealth as are resident physicians
practicing within the state. Adopted: September 18, 1997
Louisiana State Board of Medical Examiners
Yes, a full, unrestricted Louisiana medical license is required. The Louisiana Medical Board has issued
an opinion that the doctor has to be licensed in LA in order to practice telemedicine.
Maine Board of Licensure in Medicine Yes, a full, unrestricted Maine medical license is required.
"No specific telemedicine provision exists at this time, but the current law states: Unless licensed by the
board, an individual may not practice medicine or surgery or a branch of medicine or surgery or claim to
be legally licensed to practice medicine or surgery or a branch of medicine or surgery within the State by
diagnosing, relieving in any degree or curing, or professing or attempting to diagnose, relieve or cure a
human disease, ailment, defect or complaint, whether physical or mental, or of physical and mental
origin, by attendance or by advice, or by prescribing or furnishing a drug, medicine, appliance,
manipulation, method or a therapeutic agent whatsoever or in any other manner unless otherwise
provided by statutes of this State. [1995, c. 671, §11 (amd).]"
Maryland Board of Physician Quality Assurance
Yes, a full, unrestricted Maryland medical license is required.
Massachusetts Board of Registration
http://www.mass.gov/eohhs/gov/departments/borim/physicians/
Yes, a full, unrestricted Massachusetts medical license is required. There are no mentions of
telemedicine in the current law; however, the opinion of the Board is that the statute defines occasional
consultation as once a year. Providing diagnosis on more frequent basis requires obtaining a state
medical license.
Michigan Board of Medicine
Yes, a full, unrestricted Michigan medical license is required. No specific mention of telemedicine, but
the current law states that one is required to have a full license to practice medicine.
Minnesota Board of Medical Practice
A telemedicine license is required. It is more restricted and costs less. Any physician wishing to practice
telemedicine in the state of Minnesota must either be licensed by the state or register with the medical
board. The list of acceptable activities is extensive. There are exceptions for emergency consultations
and irregular consultations, the latter being defined as once a month or fewer than ten patients. There is
also an exception for consultation when a Minnesota physician maintains final control over the diagnosis
and treatment of the patient. The law also allows for appropriate use of telemedicine in the home.
Mississippi State Board of Medical
Yes, a full, unrestricted Mississippi medical license is required. It is not required if reading for
consultation only. Section 73-25-34,Telemedicine; licensing requirements for practicing medicine across
state lines, states:
(1) For the purposes of this section, telemedicine, or the practice of medicine across state lines, shall be
defined to include any one or both of the following:
(a) Rendering of a medical opinion concerning diagnosis or treatment of a patient within this state by a
physician located outside this state as a result of transmission individual patient data by electronic or
other means from within this state to such physician or his agent; or
(b) The rendering of treatment to a patient within this state by a physician located outside this state as a
result of transmission of individual patient data by electronic or other means from within this state to
such physician or his agent.
(2) Except as hereinafter provided, no person shall engage in the practice of medicine across state lines
(telemedicine) in this state, hold himself out as qualified to do the same, or use any title, word or
abbreviation to indicate to or induce others to believe that he is duly licensed to practice medicine
across state lines in this state unless he has first obtained a license to do so from the State Board of
Medical Licensure and has met all educational and licensure requirements as determined by the State
Board of Medical Licensure.
(3) The requirement of licensure as set forth in subsection (2) above shall not be required where the
evaluation, treatment and/or the medical opinion to be rendered by a physician outside this state (a) is
requested by a physician duly licensed to practice medicine in this state, and (b) the physician who has
requested such evaluation, treatment and/or medical opinion has already established a doctor/patient
relationship with the patient to be evaluated and/or treated.
Missouri State Board of Registration for the Healing Arts
Yes, a full, unrestricted Missouri medical license is required if the physician is reading directly for a
patient. It is not required if the physician is reading for another doctor of medicine already licensed in
the state.
Montana Board of Medical Examiners
Radiologists are exempt from licensure to diagnose for a medical condition by reading x-rays, etc.
However, some facilities require physicians to obtain a license.
Statute MCA 37-3-341 to 349 – Telemedicine
· Provides for a telemedicine license
· Defines telemedicine
· Exemptions include informal consultation made
without expectation of compensation; diagnosis of a
medical condition by a physician located outside MT
based on an x-ray, cardiogram, pap smear, or other
specimen sent for evaluation; and communication with
a patient in MT in collaboration with a physician
licensed in MT.
· Limits scope of practice for telemedicine
· Specifies requirements and qualifications
· Specifies grounds for discipline
· Subjects licensee to jurisdiction MT Bd and MT courts
Rules – Telemedicine Rules – 24.156.801 to 811
· Specifies requirements
· Requires licensees to report initiation of disciplinary
action; denial of hospital privileges; restriction or
limitation of practice in any license jurisdiction within
15 days
· Subjects licensee to MT MPA and jurisdiction of the
MT Bd
(Statute passed 1999)
Nebraska Board of Medicine and Surgery Yes, a full, unrestricted Nebraska medical license is
required. "71-1,102. Practice of medicine and surgery, defined. For the purpose of the Uniform
Licensing Law, and except as otherwise provided by law, the following classes of persons shall be
deemed to be engaged in the practice of medicine and surgery: (1) Persons who publicly profess to be
physicians, surgeons, or obstetricians, or publicly profess to assume the duties incident to the practice
of medicine, surgery, or obstetrics, or any of their branches; (2) persons who prescribe and furnish
medicine for some illness, disease, ailment, injury, pain, deformity, or any physical or mental condition,
or treat the same by surgery; (3) persons holding themselves out to the public as being qualified in the
diagnosis or treatment of diseases, ailments, pain, deformity, or any physical or mental condition, or
injuries of human beings; (4) persons who suggest, recommend, or prescribe any form of treatment for
the intended palliation, relief, or cure of any physical or mental ailment of any person; (5) persons who
maintain an office for the examination or treatment of persons afflicted with ailments, diseases, injuries,
pain, deformity, or any physical or mental condition of human beings; (6) persons who attach to their
name the title of M.D., surgeon, physician, physician and surgeon, or any word or abbreviation
indicating that they are engaged in the treatment or diagnosis of ailments, diseases, injuries, pain,
deformity, infirmity, or any physical or mental condition of human beings; and (7) persons who are
physically located in another state but who, through the use of any medium, including an electronic
medium, perform for compensation any service which constitutes the healing arts that would affect the
diagnosis or treatment of an individual located in this state, unless he or she is providing consultation
services to a physician and surgeon who is duly licensed in this state and is a treating physician of the
individual. For purposes of this subdivision, consultation means the evaluation of the medical data of the
patient as provided by the treating physician and rendering a recommendation to such treating
physician as to the method of treatment or analysis of the data. Source: Laws 1927, c. 167, §100, p.
482; C.S. 1929, §71-1401; Laws 1943, c. 150, §18, p. 546; R.S. 1943, §71-1,102; Laws 1969, c. 563,
§1, p. 2291; Laws 1997, LB 452, §1. Effective date September 13, 1997."
Nevada State Board of Medical Examiners
Yes, a Nevada medical license is required. Physicians practicing telemedicine may qualify for a special
license, please call licensing at 775-688-2559 x233
New Hampshire Board of Medicine
Yes, a full, unrestricted New Hampshire medical license is required. "329:1-b Practice of Teleradiology. –
I. In this section, ""teleradiology"" means the evaluation, interpretation, or consultation by the electronic
transmission of radiological images from one location to another. II. Any out-of-state physician providing
radiological services who performs radiological diagnostic evaluations or interpretations for New
Hampshire patients by means of teleradiology shall be deemed to be in the practice of medicine and
shall be required to be licensed under this chapter. III. This section shall not apply to out-of-state
radiologists who provide consultation services pursuant to RSA 329:21, II. Source. 1999, 246:2, eff.
Sept. 7, 1999."
New Jersey State Board of Medical Examiners
Yes, a full, unrestricted New Jersey medical license is required. New Jersey Medical Board has issued a
policy that all physicians practicing medicine must hold a NJ license. A specific telemedicine regulation is
pending review.
New Mexico State Board of Medical Examiners
Physicians need at least a telemedicine license, available for a $434 fee. Applicants need to fill out a
statewide doctor of medicine application, present verification of all licenses in other states (active, full,
and unrestricted), a copy of specialty board certificate, submit cards for a background check and cannot
be physically practicing in New Mexico.
New York State Board for Medicine
Yes, a full, unrestricted New York medical license is required, unless reading for an occasional
consultation. "New York Medical Board has issued a statement on telemedicine. In the practice of
medicine and dentistry, Education Law includes specific provisions permitting occasional consultations
by physicians and dentists licensed in their home state (Education Law Section 6526(3) for medicine,
and Section 6610(5) for dentistry). This consultation exemption statutorily establishes the extent to
which these professionals licensed in other jurisdictions may practice in New York State when engaged
in consulting arrangements. This regulatory approach is premised on the prohibition in law against
professional practice in New York by anyone who is not licensed in this State."
North Carolina Medical Board
Yes, a full, unrestricted North Carolina medical license is required. "(b) Any person shall be regarded as
practicing medicine or surgery within the meaning of this Article who shall diagnose or attempt to
diagnose, treat or attempt to treat, operate or attempt to operate on, or prescribe for or administer to, or
profess to treat any human ailment, physical or mental, or any physical injury to or deformity of another
person. A person who resides in any state or foreign country and who, by use of any electronic or other
mediums, performs any of the acts described in this subsection, including prescribing medication by use
of the Internet or a toll-free telephone number, shall be regarded as practicing medicine or surgery and
shall be subject to the provisions of this Article and appropriate regulation by the North Carolina Medical
Board."
North Dakota State Board of Medical Examiners
Yes, a full, unrestricted North Dakota medical license is required. There is no specific regulation for
telemedicine, but a physician is said to be practicing medicine in the location of the patient, not the
physician, and thus the state requires a full license.
State Medical Board of Ohio
Section 4731.296 of the Ohio Revised Code defines “telemedicine” as “the practice of medicine in this
state through the use of any communication, including oral, written, or electronic communication by a
physician outside this state.” Telemedicine and teleradiology are both considered the practice of
medicine pursuant to Section 4731.34 of the Ohio Revised Code. A person who wishes to practice
telemedicine in Ohio must have an Ohio license.
The requirements are essentially the same as if applying for full licensure, with a few
exceptions. To be eligible for a telemedicine certificate, the applicant must hold a current,
unrestricted license to practice medicine or osteopathic medicine and surgery issued by another
state that requires license holders to complete at least fifty hours of continuing medical
education every two years. In addition, the applicant’s principle place of practice is located in
that state. Please refer to Section 4731.296 of the Ohio Revised Code for all the specific
requirements of the telemedicine certificate.
It should be noted that a holder of a telemedicine certificate may not practice medicine in
person in the state of Ohio without either obtaining a special activity certificate under Section
4731.294 of the Ohio Revised Code, or converting the telemedicine certificate to a full certificate
issued under Section 4731.29 of the Ohio Revised Code.
A telemedicine certificate may be converted to a full certificate upon receipt of a written request
from the certificate holder. Once the telemedicine certificate is converted, the holder is subject
to all requirements and privileges attendant to a full certificate, including continuing education
requirements.
Oklahoma Board of Medical Licensure and Supervision
Yes, radiologists need to obtain a full, unrestricted Oklahoma medical license and have to specify
teleradiology as the reason for seeking a license in another state.
Oregon Board of Medical Examiners
Teleradiology status is for physicians whose practice is to read radiological images transmitted from
Oregon to their practice location in another state and who communicate their radiological findings back
to the ordering physician in Oregon. Requires agency letter of verification.
Telemonitoring status is for physicians whose practice is the intraoperative monitoring of data collected
during surgery and which is transmitted to them in a location outside of Oregon via a telemedicine link
may request this status. Requires letter from hospital or surgical center requesting Telemonitoring
status.
Telemedicine status is for physicians outside Oregon who directly treat patients, provide them with a
written or documented medical opinion concerning diagnosis or treatment in Oregon, and who have a
physician-patient relationship with the patients. Requires completion of Practice Across State Lines
Practice Description form: http://www.oregon.gov/OMB/MD-DO_Application/Telemedicine_Request.pdf.
Pennsylvania State Board of Medicine
Yes, a full, unrestricted Pennsylvania medical license is required. The Board does not currently have
specific regulations addressing the parameters of how to engage in the practice of medicine over the
Internet. Absent specific regulations physicians are obligated under Section 41 of the Medical Practice
Act, 63 P.S. 422.41 to adhere to accepted standards of practice.
Puerto Rico - (787) 782-8949
Yes, a full, unrestricted Puerto Rico medical license required, unless the radiologist is consulting on
infrequent basis.
"20 L.P.R.A. § 6002 License; After the approval of this law any physician or osteopath that desires to
practice telemedicine in Puerto Rico has to apply for and obtain a license from the Board of Medical
Examiners for the practice of medicine, surgery or osteopathy in compliance with the requirements of
sections 31 and following of Chapter 20."
Rhode Island Board of Medical Licensure and Discipline Yes, a full, unrestricted Rhode Island
medical license is required if the radiologist is reading directly for a patient. The license is not required if
the physician is consulting for another doctor of medicine already licensed in the state.
"1.14 ""Practice of Medicine"", pursuant to section 5-37-1 (1) of the Act, shall include the practice of
allopathic and osteopathic medicine. Any person shall be regarded as practicing medicine within the
meaning of the act who holds himself or herself out as being able to diagnose, treat, operate, or
prescribe for any person ill or alleged to be ill with disease, pain, injury, deformity or abnormal physical
or mental condition, or who shall either profess to heal, offer or undertake, by any means or method, to
diagnose, treat, operate, or prescribe for any person for disease, pain, injury, deformity or physical or
mental condition. In addition, one who attaches the title M.D., physician, surgeon, D.O., osteopathic
physician and surgeon, or any other similar word or words or abbreviation to his or her name indicating
that he or she is engaged in the treatment or diagnosis of the diseases, injuries or conditions of persons
shall be held to be engaged in the practice of medicine."
South Carolina Board of Medical Examiners
Yes, a full, unrestricted South Carolina medical license is required. This link may be helpful:
http://www.llr.state.sc.us/pol/occupationaltherapy/index.asp?file=TelehealthFAQ.HTM
http://www.llr.sc.gov/POL/Medical/index.asp?file=Policies/MEPRIMDIAG.HTM
South Dakota Board of Medical and Osteopathic Examiners
Yes, a full, unrestricted South Dakota medical license is required.
Tennessee Board of Medical Examiners A telemedicine license is available.
Texas State Board of Medical Examiners
The Texas Medical Board adopted a rule change effective on September 23, 2010 that may affect your
Out-of-State Telemedicine License application. Board Rule, Tex. Admin. Code, Sec. 172.12 Out-of-State
Telemedicine License is included below. The Board adopted the changes to better protect the public by
setting limitations on out-of-state physicians who do not hold a full unrestricted license and who provide
care to Texas residents.
Tex. Admin. Code, Sec. 172.12(c) imposes new limits on the Out-of-State Telemedicine License for
which you have applied. An Out-of-State Telemedicine License to practice medicine across state lines is
now limited exclusively to: (1) the interpretation of diagnostic testing and reporting of those results to a
physician fully licensed and located in Texas, or (2) the follow-up of patients where the majority of
patient care was rendered in another state.
TAC §172.12. Telemedicine License.
(a) Qualifications. A person may not engage in the practice of medicine across state lines in this State,
hold oneself as qualified to do the same, or use any title, word, or abbreviation to indicate or induce
others to believe that one is licensed to practice across state lines in this state unless the person is
actually so licensed. For a person to be eligible for an out-of-state telemedicine license to practice
medicine across state lines under the Medical Practice Act, §151.056, and §163.1 of this title (relating to
Definitions), the person must:
(1) be 21 years of age or older;
(2) be actively licensed to practice medicine in another state which is recognized by the board for
purposes of licensure, and not the recipient of a previous disciplinary action by any other state or
jurisdiction;
(3) not be the subject of a pending investigation by a state medical board or another state or federal
agency;
(4) be certified in a medical specialty pursuant to the standards of and approved by the American Board
of Medical Specialties or the Bureau of Osteopathic Specialists and Boards of Certification;
(5) have passed the Texas Medical Jurisprudence Examination;
(6) complete a board-approved application for an out-of-state telemedicine license for the practice of
medicine across state lines and submit the requisite initial fee; and
(7) not be determined ineligible for licensure under subsection (b) of this section.
(b) Denial of Out-of-State Telemedicine License. An application for an out-of-state telemedicine license
to practice medicine across state lines may be denied based on failure to demonstrate the requisite
qualifications for issuance of an out-of-state license, any grounds for denial of an application for a full
license, failure to submit the required fee, and any grounds for disciplinary action of a licensee under
the Medical Practice Act, §164.051 (relating to Grounds for Denial or Disciplinary Action).
(c) Limits on Out-of-State Telemedicine License. An out-of-state telemedicine license to practice
medicine across state lines shall be limited exclusively to the interpretation of diagnostic testing and
reporting results to a physician fully licensed and located in Texas or for the follow-up of patients where
the majority of patient care was rendered in another state, and the license holder shall practice medicine
in a manner so as to comply with all other statutes and laws governing the practice of medicine in the
state of Texas. Unless a person holds a current full license to practice medicine in this state pursuant to
this chapter and the provisions of the Medical Practice Act, Chapter 155 (relating to License to Practice
Medicine), a person holding an out-of-state telemedicine license shall not be authorized to physically
practice medicine in the state of Texas.
(d) Registration Requirements. All out-of-state telemedicine licenses to practice medicine across state
lines licenses must be renewed and maintained according to registration requirements of Section 166.1
of this title (relating to Physician Registration).
(e) Disciplinary Action. The issuance by the board of an out-of-state telemedicine license subjects the
licensee to the jurisdiction of the board in all matters set forth in the Medical Practice Act and all rules
and regulations, including all matters related to discipline.
(f) Exemptions. The following activities shall be exempt from the requirements of an out-of-state
telemedicine license and this chapter:
(1) episodic consultation by a medical specialist located in another jurisdiction who provides such
consultation services on request to a person licensed in this state;
(2) consultation services provided by a physician located in another jurisdiction to a medical school as
defined in the Education Code, §61.501;
(3) consultation services provided by a physician located in another jurisdiction to an institution defined
in either Subchapter C, Chapter 73, or Subchapter K, Chapter 74 of the Education Code;
(4) informal consultation performed by a physician outside the context of a contractual relationship and
on an irregular or infrequent basis without the expectation or exchange of direct or indirect
compensation;
(5) furnishing of medical assistance by a physician in case of an emergency or disaster if no charge is
made for the medical assistance; and
(6) ordering home health or hospice services for a resident of this state to be delivered by a home and
community support services agency licensed by this state, by the resident's treating physician who is
located in another jurisdiction of a state having borders contiguous with the borders of this state.
Utah Department of Commerce
Yes, a full, unrestricted Utah medical license is required. " (2) Regardless of the form in which a licensee
engages in the practice of medicine, the licensee may only permit the practice of medicine in that form of
practice to be conducted by an individual: (a) licensed in Utah as a physician and surgeon under
Section 58-67-301 or as an osteopathic physician and surgeon under Section 58-68-301; and (b) who is
able to lawfully and competently engage in the practice of medicine."
Vermont Board of Medical Practice
There are no specific telemedicine provisions, but the current law states that to practice any type of
medicine one needs a full Vermont medical license.
Virginia Board of Medicine
Yes, a full, unrestricted Virginia medical license is required for diagnosing and prescribing.
Washington Medical Quality Assurance Commission
Yes, a full, unrestricted Washington medical license is required for diagnosing and prescribing.
"A physician who prescribes medication based solely on electronic communication does not meet the
standards of medical practice and can be subject to disciplinary action. The State of Washington
Medical Quality Assurance Commission considers this practice to be unprofessional conduct under
RCW 18.130.180(4). Physicians who treat or prescribe over the Internet are practicing medicine and
must possess appropriate licensure in all jurisdictions where patients reside."
West Virginia Board of Medicine Yes, a full, unrestricted West Virginia medical license is required.
"§30-3-13. Unauthorized practice of medicine and surgery or podiatry; criminal penalties; limitations. (a)
A person shall not engage in the practice of medicine and surgery or podiatry, hold himself or herself
out as qualified to practice medicine and surgery or podiatry or use any title, word or abbreviation to
indicate to or induce others to believe that he or she is licensed to practice medicine and surgery or
podiatry in this state unless he or she is actually licensed under the provisions of this article. A person
engaged in the practice of telemedicine is considered to be engaged in the practice of medicine within
this state and is subject to the licensure requirements of this article. As used in this section, the term
""practice of telemedicine"" means the use of electronic information and communication technologies to
provide health care when distance separates participants and includes one or both of the following: (1)
The diagnosis of a patient within this state by a physician located outside this state as a result of the
transmission of individual patient data, specimens or other material by electronic or other means from
within this state to the physician or his or her agent; or (2) the rendering of treatment to a patient within
this state by a physician located outside this state as a result of transmission of individual patient data,
specimens or other material by electronic or other means from within this state to the physician or his or
her agent. No person may practice as a physician's assistant, hold himself or herself out as qualified to
practice as a physician's assistant, or use any title, word or abbreviation to indicate to or induce others
to believe that he or she is licensed to practice as a physician's assistant in this state unless he or she is
actually licensed under the provisions of this article. Any person who violates the provisions of this
subsection is guilty of a misdemeanor and, upon conviction thereof, shall be fined not more than ten
thousand dollars, or imprisoned in the county jail not more than twelve months, or both fined and
imprisoned. (b) The provisions of this section do not apply to: (2) Physicians or podiatrists licensed in
other states or foreign countries who are acting in a consulting capacity with physicians or podiatrists
duly licensed in this state, for a period of not more than three months: Provided, That this exemption is
applicable on a one-time only basis;"
Wisconsin Medical Examining Board
Yes, a full, unrestricted Wisconsin medical license is required.
Wyoming Board of Medicine
Yes, a full, unrestricted Wyoming medical license is required if the radiologist is reading directly for a
patient. If the reading is done as a consultation for another radiologist licensed in Wyoming, the license
is not required. Any physician rendering medical diagnosis and/or treatment to a person physically
present in this state must have a license issued by the board when such diagnosis/treatment is
rendered, regardless of the physician's location and regardless of the means by which such
diagnosis/treatment is rendered. This regulation shall not apply if an out-of-state physician consults by
telephone, electronic or any other means with an attending physician licensed by this board or an out-of-
state physician is specifically exempt from licensure under W.S. 33-26-103(a)(i-ix). Section 7. Exemption
from licensure. (a) Consultants. Physicians residing in and licensed to practice medicine in another state
or country called into this state for consultation by a physician licensed to practice medicine in this state
may practice medicine without first obtaining a Wyoming license for a period not to exceed seven (7)
days in any fifty-two (52) week period. Consults of longer duration or greater frequency are not exempt
and require licensure.
STATE BOARD REQUIREMENTS AND PROVISIONS SUBJECT TO CHANGE WITHOUT NOTICE.
We try to keep this page updated as information becomes available. Please let us know if you
find info to the contrary. This page is partially updated as changes occur.
Requirements and Provisions
to Practice Telemedicine
Alabama State Board of Medical Examiners
Alabama has a telemed license. (7) Special Purpose License. A medical professional in another state
may apply to the Alabama State Medical Board for a special purpose license to practice in Alabama,
though they may not practice in Alabama more than 10 times per year or more than 1% of their total
practice. A special purpose license is a license issued by the Commission to practice medicine or
osteopathy across state lines which: (a) Is only issued to an applicant whose principal practice location
and license to practice is located in a state or territory of the United States whose laws permit or allow
issuance of a special purpose license to practice medicine or osteopathy across state lines or a similar
license to a physician whose principal practice location and license is located in the State of Alabama;
(b) Limits the licensee solely to the practice of medicine or osteopathy across state lines as defined in
these rules. (Chapter 540-X-16)"
Alaska State Medical Board
Yes, a full, unrestricted Alaska license is required. It is not required if consulting for another radiologist
who is licensed in Alaska. The Alaska Medical Board has issued an opinion that if the physician is
licensed in another state and is reporting to another physician, he does not to be licensed in Alaska. No
specific telemedicine law exists at this time.
Arizona Board of Medical Examiners Yes, physicians in Arizona who read or interpret medical
records and radiology films must hold an Arizona license. Physicians residing in another state, federal
jurisdiction, or country who are authorized to practice medicine in that jurisdiction are not required to
hold an Arizona license if the physician engages in actual single or infrequent consultation with a doctor
of medicine licensed in Arizona and if the consultation regards a specific patient or patients (ARS §32-
1421[B]).
Arkansas State Medical Board
Yes, physicians in Arkansas who read or interpret medical records and radiology films must hold an
Arkansas license. Regulation No. 20, Practice of Medicine by a Non-resident, states: Pursuant to Ark.
Code Ann. 17-95-401 and 17-95-202, the Arkansas State Medical Board sets forth the following Rule
and Regulation concerning the practice of medicine by a non-resident physicians or osteopaths: Any
non-resident physician or osteopath who, while located outside the State of Arkansas, provides
diagnostic or treatment services to patients within the State of Arkansas on a regular basis or under a
contract with the health care provider, a clinic located in this state, or a health care facility, is engaged in
the practice of medicine or osteopathy in this state and, therefore must obtain a license to practice
medicine in this State. Any nonresident physician or osteopath who, while located outside of the state,
consults on an irregular basis with a physician or osteopath who holds a license to practice medicine
within the State of Arkansas and who is located in this State, is not required to obtain a license to
practice medicine in the State of Arkansas History: Adopted March 14, 1997
June 10, 2016 - The Arkansas State Medical Board this week signed off on amendments to Act 887 of
2015, which would allow clinicians to establish "a proper physician/patient relationship (via) real-time
audio and visual telemedicine technology" as long as the platform "provides information at least equal to
such information as would have been obtained by an in-person examination."
Medical Board of California
Yes, a full, unrestricted California medical license is required. "(1) A physician and surgeon practices
medicine in this state across state lines when that person is located outside of this state but, through the
use of any medium, including an electronic medium, practices or attempts to practice, or advertises or
holds himself or herself out as practicing, any system or mode of treating the sick or afflicted in this
state, or diagnoses, treats, operates for, or prescribes for any ailment, blemish, deformity, disease,
disfigurement, disorder, injury, or other physical or mental condition of any person in this state. 2038.
Whenever the words ""diagnose"" or ""diagnosis"" are used in this chapter, they include any undertaking
by any method, device, or procedure whatsoever, and whether gratuitous or not, to ascertain or
establish whether a person is suffering from any physical or mental disorder. Such terms shall also
include the taking of a person's blood pressure and the use of mechanical devices or machines for the
purpose of making a diagnosis and representing to such person any conclusion regarding his or her
physical or mental condition. Machines or mechanical devices for measuring or ascertaining height or
weight are excluded from this section."
Colorado Board of Medical Examiners
Yes, a full, unrestricted Colorado medical license is required. 12-36-106. Practice of medicine defined -
exemptions from licensing requirements - repeal. (1) For the purpose of this article, "practice of
medicine" means: (a) Holding out one's self to the public within this state as being able to diagnose,
treat, prescribe for, palliate, or prevent any human disease, ailment, pain, injury, deformity, or physical
or mental condition, whether by the use of drugs, surgery, manipulation, electricity, telemedicine, the
interpretation of tests, including primary diagnosis of pathology specimens, images, or photographs, or
any physical, mechanical, or other means whatsoever; (g) The delivery of telemedicine, which means
the delivery of medical services and any diagnosis, consultation, treatment, transfer of medical data, or
education related to health care services using interactive audio, interactive video, or interactive data
communication. Nothing in this paragraph (g) shall be construed to limit the delivery of health services
by other licensed professionals, within the professional's scope of practice, using advanced technology,
including, but not limited to, interactive audio, interactive video, or interactive data communication. (2) If
any person who does not possess and has not filed a license to practice medicine within this state, as
provided in this article, and who is not exempted from the licensing requirements under this section,
shall do any of the acts mentioned in this section as constituting the practice of medicine, he shall be
deemed to be practicing medicine without complying with the provisions of this article and in violation
thereof.
Connecticut Medical Examining Board
Yes, a full, unrestricted Connecticut medical license is required. "(d) The provisions of subsection (a) of
this section shall apply to any individual whose practice of medicine includes any ongoing, regular or
contractual arrangement whereby, regardless of residency in this or any other state, he provides,
through electronic communications or interstate commerce, diagnostic or treatment services, including
primary diagnosis of pathology specimens, slides or images, to any person located in this state. In the
case of electronic transmissions of radiographic images, licensure shall be required for an out-of-state
physician who provides, through an ongoing, regular or contractual arrangement, official written reports
of diagnostic evaluations of such images to physicians or patients in this state. The provisions of
subsection (a) of this section shall not apply to a nonresident physician who, while located outside this
state, consults (A) on an irregular basis with a physician licensed by section 20-10 of the general
statutes, as amended, who is located in this state or (B) with a medical school within this state for
educational or medical training purposes. Notwithstanding the provisions of this subsection, the
provisions of subsection (a) of this section shall not apply to any individual who regularly provides the
types of services described in this subsection pursuant to any agreement or arrangement with a short-
term acute care general hospital, licensed by the department of public health, provided such agreement
or arrangement was entered into prior to February 1, 1996, and is in effect as of the effective date of
this section. (e) On and after October 1, 1999, any person licensed as an osteopathic physician or
osteopath pursuant to Chapter 371 shall be deemed licensed as a physician and surgeon pursuant to
this chapter. (20-9)"
Delaware Board of Medical Practice
Yes, a full, unrestricted Delaware medical license is required.
District of Columbia Board of Medicine
Yes, a full, unrestricted District of Columbia medical license is required.
Florida Board of Medicine
Yes, a full, unrestricted Florida medical license is required.
Board Revises Florida’s Telemedicine Practice Rule
Effective March 7, 2016, the Board of Medicine’s revised Telemedicine Rule, Rule 64B8-9.0141, F.A.C.,
goes into effect. The amended rule reads:
(1) “Telemedicine” means the practice of medicine by a licensed Florida physician or physician assistant
where patient care, treatment, or services are provided through the use of medical information
exchanged from one site to another via electronic communications. Telemedicine shall not include the
provision of health care services only through an audio only telephone, email messages, text messages,
facsimile transmission, U.S. Mail or other parcel service, or any combination thereof.
(2) The standard of care, as defined in Section 456.50(1)(e), F.S., shall remain the same regardless of
whether a Florida licensed physician or physician assistant provides health care services in person or
by telemedicine.
(3) Florida licensed physicians and physician assistants providing health care services by telemedicine
are responsible for the quality of the equipment and technology employed and are responsible for their
safe use. Telemedicine equipment and technology must be able to provide, at a minimum, the same
information to the physician and physician assistant which will enable them to meet or exceed the
prevailing standard of care for the practice of medicine.
(4) Controlled substances shall not be prescribed through the use of telemedicine except for the
treatment of psychiatric disorders. This provision does not preclude physicians from ordering controlled
substances through the use of telemedicine for patients hospitalized in a facility licensed pursuant to
Chapter 395, F.S.
(5) Prescribing medications based solely on an electronic medical questionnaire constitutes the failure
to practice medicine with that level of care, skill, and treatment which is recognized by reasonably
prudent physicians as being acceptable under similar conditions and circumstances, as well as
prescribing legend drugs other than in the course of a physician’s professional practice.
(6) Physicians and physician assistants shall not provide treatment recommendations, including issuing
a prescription, via electronic or other means, unless the following elements have been met:
(a) A documented patient evaluation, including history and physical examination to establish the
diagnosis for which any legend drug is prescribed.
(b) Discussion between the physician or the physician assistant and the patient regarding treatment
options and the risks and benefits of treatment.
(c) Maintenance of contemporaneous medical records meeting the requirements of Rule 64B8-9.003, F.
A.C.
(7) The practice of medicine by telemedicine does not alter any obligation of the physician or the
physician assistant regarding patient confidentiality or recordkeeping.
(8) A physician-patient relationship may be established through telemedicine.
(9)(a) Nothing contained in this rule shall prohibit consultations between physicians or the transmission
and review of digital images, pathology specimens, test results, or other medical data by physicians or
other qualified providers related to the care of Florida patients.
(b) This rule does not apply to emergency medical services provided by emergency physicians,
emergency medical technicians (EMTs), paramedics, and emergency dispatchers. Emergency medical
services are those activities or services to prevent or treat a sudden critical illness or injury and to
provide emergency medical care and prehospital emergency medical transportation to sick, injured, or
otherwise incapacitated persons in this state.
(c) The provisions of this rule shall not apply where a physician or physician assistant is treating a
patient with an emergency medical condition that requires immediate medical care. An emergency
medical condition is a medical condition manifesting itself by acute symptoms of sufficient severity that
the absence of immediate medical attention will result in serious jeopardy to patient health, serious
impairment to bodily functions, or serious dysfunction of a body organ or part.
(d) The provisions of this rule shall not be construed to prohibit patient care in consultation with another
physician who has an ongoing relationship with the patient, and who has agreed to supervise the patient’
s treatment, including the use of any prescribed medications, nor on-call or cross-coverage situations in
which the physician has access to patient records.
Rulemaking Authority 458.331(1)(v) FS. Law Implemented 458.331(1)(v) FS. History‒New 3-12-14,
Amended 7-22-14, 10-26-14.
Where does the Board stand on Telemedicine?
Georgia Composite State Board of Medical Examiners
Click for recent rulings
Yes, a full, unrestricted Georgia medical license is required. "43-34-31.1. (a) A person who is physically
located in another state or foreign country and who, through the use of any means, including electronic,
radiographic, or other means of telecommunication, through which medical information or data is
transmitted, performs an act that is part of a patient care service located in this state, including but not
limited to the initiation of imaging procedures or the preparation of pathological material for examination,
and that would affect the diagnosis or treatment of the patient is engaged in the practice of medicine in
this state. Any person who performs such acts through such means shall be required to have a license
to practice medicine in this state and shall be subject to regulation by the board. Any such out-of-state
or foreign practitioner shall not have ultimate authority over the care or primary diagnosis of a patient
who is located in this state. (b) This Code section shall not apply to: (1) The acts of a doctor of medicine
or doctor of osteopathy located in another state or foreign country who: (A) Provides consultation
services at the request of a physician licensed in this state; and (B) Provides such services on an
occasional rather than on a regular or routine basis; "
Hawaii Board of Medical Examiners
Yes, a full, unrestricted Hawaii medical license is required. Hawaii does not specifically address
telemedicine, but reading of films/x-ray images for a patient in Hawaii would be considered practicing
medicine in the state and will therefore require a Hawaii medical license.
Idaho State Board of Medicine Yes, a full, unrestricted Idaho medical license is required. The board
often receives requests on whether physicians who regularly read radiologic or imaging studies done in
Idaho on Idaho patients by Idaho physicians must have an Idaho license. It is the Board's interpretation
that such physicians must hold an Idaho license. The "practice of medicine" means to investigate,
diagnose, treat, correct, or prescribe for any human disease, ailment, injury, infirmity, deformity, or other
condition, physical or mental, by any means or instrumentality. Idaho Code 54-1804(2) makes it a felony
to practice in the state of Idaho without a license.
Illinois Department of Professional Regulation Yes, a full, unrestricted Illinois medical license is
required. " Sec. 49.5. Telemedicine. (a) The General Assembly finds and declares that because of
technological advances and changing practice patterns the practice of medicine is occurring with
increasing frequency across state lines and that certain technological advances in the practice of
medicine are in the public interest. The General Assembly further finds and declares that the practice of
medicine is a privilege and that the licensure by this State of practitioners outside this State engaging in
medical practice within this State and the ability to discipline those practitioners is necessary for the
protection of the public health, welfare, and safety. (b) A person who engages in the practice of
telemedicine without a license issued under this Act shall be subject to penalties provided in Section 59.
(c) For purposes of this Act, ""telemedicine"" means the performance of any of the activities listed in
Section 49, including but not limited to rendering written or oral opinions concerning diagnosis or
treatment of a patient in Illinois by a person located outside the State of Illinois as a result of
transmission of individual patient data by telephonic, electronic, or other means of communication from
within this State. ""Telemedicine"" does not include the following: (1) periodic consultations between a
person licensed under this Act and a person outside the State of Illinois; (2) a second opinion provided
to a person licensed under this Act; and (3) diagnosis or treatment services provided to a patient in
Illinois following care or treatment originally provided to the patient in the state in which the provider is
licensed to practice medicine. (d) Whenever the Department has reason to believe that a person has
violated this Section, the Department may issue a rule to show cause why an order to cease and desist
should not be entered against that person. The rule shall clearly set forth the grounds relied upon by
the Department and shall provide a period of 7 days from the date of the rule to file an answer to the
satisfaction of the Department. Failure to answer to the satisfaction of the Department shall cause an
order to cease and desist to be issued immediately. (e) An out-of-state person providing a service listed
in Section 49 to a patient residing in Illinois through the practice of telemedicine submits himself or
herself to the jurisdiction of the courts of this State. (Source: P.A. 90-99, eff. 1-1-98.)"
Indiana Health Professions Bureau
Yes, a full, unrestricted Indiana medical license is required to diagnose and prescribe, not to consult on
an infrequent basis for another doctor of medicine. "IC 25-22.5-1-1.1 Definitions Sec. 1.1. As used in
this article: (a) ""Practice of medicine or osteopathic medicine"" means any one (1) or a combination of
the following: (1) Holding oneself out to the public as being engaged in: (A) the diagnosis, treatment,
correction, or prevention of any disease, ailment, defect, injury, infirmity, deformity, pain, or other
condition of human beings; (B) the suggestion, recommendation, or prescription or administration of any
form of treatment, without limitation; (4) Providing diagnostic or treatment services to a person in Indiana
when the diagnostic or treatment services: (A) are transmitted through electronic communications; and
(B) are on a regular, routine, and non-episodic basis or under an oral or written agreement to regularly
provide medical services."
Iowa Board of Medicine
Yes, a full, unrestricted Iowa medical license is required. "At a recent meeting, the Iowa Board of Medical
Examiners reviewed the inquiry relating to the licensure requirements for out-of-state physicians
performing diagnoses through electronic means. It is the Board's policy to require any physician who
participates in the diagnosis and treatment of a patient situated in Iowa to obtain licensure. However,
there is a provision in the Board's authorizing statute which permits physicians not licensed in Iowa to
provide medical consultation and services which are "incidental" to the care of patients. Medical reports
used for "primary diagnostic purposes" are generally not considered incidental and thus are seldom
exempted under this provision."
Kansas Board of Healing Arts
Yes, a full, unrestricted Kansas medical license required, but not if it's for a second reading where the
radiologist is consulting with a radiologist licensed in Kansas. K.A.R. 100-26-1 addresses the issue,
though it does not prohibit telemedicine. Essentially, it requires Kansas licensure, or exemption from
licensure, if the patient is located in Kansas, regardless of the doctor's location. Exemption from
licensure is usually accomplished through consultation or supervision with a Kansas licensee. In short,
the Board has generally believed that an initial read constitutes a diagnosis which requires licensure or
supervision, and an overread is consultation which does not require licensure. New regulations are
proposed, and have been adopted on a temporary basis, for other services performed within the state.
Please find these regulations on our website at www.ksbha.org.
Kentucky Board of Medical Licensure
Yes, a full, unrestricted Kentucky medical license is required. Telemedicine Policy Statement -
Physicians living outside Kentucky but actively practicing medicine upon patients within Kentucky should
be required to meet the same statutory qualifications and should be held to the same standards of
acceptable and prevailing medical practice within the Commonwealth as are resident physicians
practicing within the state. Adopted: September 18, 1997
Louisiana State Board of Medical Examiners
Yes, a full, unrestricted Louisiana medical license is required. The Louisiana Medical Board has issued
an opinion that the doctor has to be licensed in LA in order to practice telemedicine.
Maine Board of Licensure in Medicine Yes, a full, unrestricted Maine medical license is required.
"No specific telemedicine provision exists at this time, but the current law states: Unless licensed by the
board, an individual may not practice medicine or surgery or a branch of medicine or surgery or claim to
be legally licensed to practice medicine or surgery or a branch of medicine or surgery within the State by
diagnosing, relieving in any degree or curing, or professing or attempting to diagnose, relieve or cure a
human disease, ailment, defect or complaint, whether physical or mental, or of physical and mental
origin, by attendance or by advice, or by prescribing or furnishing a drug, medicine, appliance,
manipulation, method or a therapeutic agent whatsoever or in any other manner unless otherwise
provided by statutes of this State. [1995, c. 671, §11 (amd).]"
Maryland Board of Physician Quality Assurance
Yes, a full, unrestricted Maryland medical license is required.
Massachusetts Board of Registration
http://www.mass.gov/eohhs/gov/departments/borim/physicians/
Yes, a full, unrestricted Massachusetts medical license is required. There are no mentions of
telemedicine in the current law; however, the opinion of the Board is that the statute defines occasional
consultation as once a year. Providing diagnosis on more frequent basis requires obtaining a state
medical license.
Michigan Board of Medicine
Yes, a full, unrestricted Michigan medical license is required. No specific mention of telemedicine, but
the current law states that one is required to have a full license to practice medicine.
Minnesota Board of Medical Practice
A telemedicine license is required. It is more restricted and costs less. Any physician wishing to practice
telemedicine in the state of Minnesota must either be licensed by the state or register with the medical
board. The list of acceptable activities is extensive. There are exceptions for emergency consultations
and irregular consultations, the latter being defined as once a month or fewer than ten patients. There is
also an exception for consultation when a Minnesota physician maintains final control over the diagnosis
and treatment of the patient. The law also allows for appropriate use of telemedicine in the home.
Mississippi State Board of Medical
Yes, a full, unrestricted Mississippi medical license is required. It is not required if reading for
consultation only. Section 73-25-34,Telemedicine; licensing requirements for practicing medicine across
state lines, states:
(1) For the purposes of this section, telemedicine, or the practice of medicine across state lines, shall be
defined to include any one or both of the following:
(a) Rendering of a medical opinion concerning diagnosis or treatment of a patient within this state by a
physician located outside this state as a result of transmission individual patient data by electronic or
other means from within this state to such physician or his agent; or
(b) The rendering of treatment to a patient within this state by a physician located outside this state as a
result of transmission of individual patient data by electronic or other means from within this state to
such physician or his agent.
(2) Except as hereinafter provided, no person shall engage in the practice of medicine across state lines
(telemedicine) in this state, hold himself out as qualified to do the same, or use any title, word or
abbreviation to indicate to or induce others to believe that he is duly licensed to practice medicine
across state lines in this state unless he has first obtained a license to do so from the State Board of
Medical Licensure and has met all educational and licensure requirements as determined by the State
Board of Medical Licensure.
(3) The requirement of licensure as set forth in subsection (2) above shall not be required where the
evaluation, treatment and/or the medical opinion to be rendered by a physician outside this state (a) is
requested by a physician duly licensed to practice medicine in this state, and (b) the physician who has
requested such evaluation, treatment and/or medical opinion has already established a doctor/patient
relationship with the patient to be evaluated and/or treated.
Missouri State Board of Registration for the Healing Arts
Yes, a full, unrestricted Missouri medical license is required if the physician is reading directly for a
patient. It is not required if the physician is reading for another doctor of medicine already licensed in
the state.
Montana Board of Medical Examiners
Radiologists are exempt from licensure to diagnose for a medical condition by reading x-rays, etc.
However, some facilities require physicians to obtain a license.
Statute MCA 37-3-341 to 349 – Telemedicine
· Provides for a telemedicine license
· Defines telemedicine
· Exemptions include informal consultation made
without expectation of compensation; diagnosis of a
medical condition by a physician located outside MT
based on an x-ray, cardiogram, pap smear, or other
specimen sent for evaluation; and communication with
a patient in MT in collaboration with a physician
licensed in MT.
· Limits scope of practice for telemedicine
· Specifies requirements and qualifications
· Specifies grounds for discipline
· Subjects licensee to jurisdiction MT Bd and MT courts
Rules – Telemedicine Rules – 24.156.801 to 811
· Specifies requirements
· Requires licensees to report initiation of disciplinary
action; denial of hospital privileges; restriction or
limitation of practice in any license jurisdiction within
15 days
· Subjects licensee to MT MPA and jurisdiction of the
MT Bd
(Statute passed 1999)
Nebraska Board of Medicine and Surgery Yes, a full, unrestricted Nebraska medical license is
required. "71-1,102. Practice of medicine and surgery, defined. For the purpose of the Uniform
Licensing Law, and except as otherwise provided by law, the following classes of persons shall be
deemed to be engaged in the practice of medicine and surgery: (1) Persons who publicly profess to be
physicians, surgeons, or obstetricians, or publicly profess to assume the duties incident to the practice
of medicine, surgery, or obstetrics, or any of their branches; (2) persons who prescribe and furnish
medicine for some illness, disease, ailment, injury, pain, deformity, or any physical or mental condition,
or treat the same by surgery; (3) persons holding themselves out to the public as being qualified in the
diagnosis or treatment of diseases, ailments, pain, deformity, or any physical or mental condition, or
injuries of human beings; (4) persons who suggest, recommend, or prescribe any form of treatment for
the intended palliation, relief, or cure of any physical or mental ailment of any person; (5) persons who
maintain an office for the examination or treatment of persons afflicted with ailments, diseases, injuries,
pain, deformity, or any physical or mental condition of human beings; (6) persons who attach to their
name the title of M.D., surgeon, physician, physician and surgeon, or any word or abbreviation
indicating that they are engaged in the treatment or diagnosis of ailments, diseases, injuries, pain,
deformity, infirmity, or any physical or mental condition of human beings; and (7) persons who are
physically located in another state but who, through the use of any medium, including an electronic
medium, perform for compensation any service which constitutes the healing arts that would affect the
diagnosis or treatment of an individual located in this state, unless he or she is providing consultation
services to a physician and surgeon who is duly licensed in this state and is a treating physician of the
individual. For purposes of this subdivision, consultation means the evaluation of the medical data of the
patient as provided by the treating physician and rendering a recommendation to such treating
physician as to the method of treatment or analysis of the data. Source: Laws 1927, c. 167, §100, p.
482; C.S. 1929, §71-1401; Laws 1943, c. 150, §18, p. 546; R.S. 1943, §71-1,102; Laws 1969, c. 563,
§1, p. 2291; Laws 1997, LB 452, §1. Effective date September 13, 1997."
Nevada State Board of Medical Examiners
Yes, a Nevada medical license is required. Physicians practicing telemedicine may qualify for a special
license, please call licensing at 775-688-2559 x233
New Hampshire Board of Medicine
Yes, a full, unrestricted New Hampshire medical license is required. "329:1-b Practice of Teleradiology. –
I. In this section, ""teleradiology"" means the evaluation, interpretation, or consultation by the electronic
transmission of radiological images from one location to another. II. Any out-of-state physician providing
radiological services who performs radiological diagnostic evaluations or interpretations for New
Hampshire patients by means of teleradiology shall be deemed to be in the practice of medicine and
shall be required to be licensed under this chapter. III. This section shall not apply to out-of-state
radiologists who provide consultation services pursuant to RSA 329:21, II. Source. 1999, 246:2, eff.
Sept. 7, 1999."
New Jersey State Board of Medical Examiners
Yes, a full, unrestricted New Jersey medical license is required. New Jersey Medical Board has issued a
policy that all physicians practicing medicine must hold a NJ license. A specific telemedicine regulation is
pending review.
New Mexico State Board of Medical Examiners
Physicians need at least a telemedicine license, available for a $434 fee. Applicants need to fill out a
statewide doctor of medicine application, present verification of all licenses in other states (active, full,
and unrestricted), a copy of specialty board certificate, submit cards for a background check and cannot
be physically practicing in New Mexico.
New York State Board for Medicine
Yes, a full, unrestricted New York medical license is required, unless reading for an occasional
consultation. "New York Medical Board has issued a statement on telemedicine. In the practice of
medicine and dentistry, Education Law includes specific provisions permitting occasional consultations
by physicians and dentists licensed in their home state (Education Law Section 6526(3) for medicine,
and Section 6610(5) for dentistry). This consultation exemption statutorily establishes the extent to
which these professionals licensed in other jurisdictions may practice in New York State when engaged
in consulting arrangements. This regulatory approach is premised on the prohibition in law against
professional practice in New York by anyone who is not licensed in this State."
North Carolina Medical Board
Yes, a full, unrestricted North Carolina medical license is required. "(b) Any person shall be regarded as
practicing medicine or surgery within the meaning of this Article who shall diagnose or attempt to
diagnose, treat or attempt to treat, operate or attempt to operate on, or prescribe for or administer to, or
profess to treat any human ailment, physical or mental, or any physical injury to or deformity of another
person. A person who resides in any state or foreign country and who, by use of any electronic or other
mediums, performs any of the acts described in this subsection, including prescribing medication by use
of the Internet or a toll-free telephone number, shall be regarded as practicing medicine or surgery and
shall be subject to the provisions of this Article and appropriate regulation by the North Carolina Medical
Board."
North Dakota State Board of Medical Examiners
Yes, a full, unrestricted North Dakota medical license is required. There is no specific regulation for
telemedicine, but a physician is said to be practicing medicine in the location of the patient, not the
physician, and thus the state requires a full license.
State Medical Board of Ohio
Section 4731.296 of the Ohio Revised Code defines “telemedicine” as “the practice of medicine in this
state through the use of any communication, including oral, written, or electronic communication by a
physician outside this state.” Telemedicine and teleradiology are both considered the practice of
medicine pursuant to Section 4731.34 of the Ohio Revised Code. A person who wishes to practice
telemedicine in Ohio must have an Ohio license.
The requirements are essentially the same as if applying for full licensure, with a few
exceptions. To be eligible for a telemedicine certificate, the applicant must hold a current,
unrestricted license to practice medicine or osteopathic medicine and surgery issued by another
state that requires license holders to complete at least fifty hours of continuing medical
education every two years. In addition, the applicant’s principle place of practice is located in
that state. Please refer to Section 4731.296 of the Ohio Revised Code for all the specific
requirements of the telemedicine certificate.
It should be noted that a holder of a telemedicine certificate may not practice medicine in
person in the state of Ohio without either obtaining a special activity certificate under Section
4731.294 of the Ohio Revised Code, or converting the telemedicine certificate to a full certificate
issued under Section 4731.29 of the Ohio Revised Code.
A telemedicine certificate may be converted to a full certificate upon receipt of a written request
from the certificate holder. Once the telemedicine certificate is converted, the holder is subject
to all requirements and privileges attendant to a full certificate, including continuing education
requirements.
Oklahoma Board of Medical Licensure and Supervision
Yes, radiologists need to obtain a full, unrestricted Oklahoma medical license and have to specify
teleradiology as the reason for seeking a license in another state.
Oregon Board of Medical Examiners
Teleradiology status is for physicians whose practice is to read radiological images transmitted from
Oregon to their practice location in another state and who communicate their radiological findings back
to the ordering physician in Oregon. Requires agency letter of verification.
Telemonitoring status is for physicians whose practice is the intraoperative monitoring of data collected
during surgery and which is transmitted to them in a location outside of Oregon via a telemedicine link
may request this status. Requires letter from hospital or surgical center requesting Telemonitoring
status.
Telemedicine status is for physicians outside Oregon who directly treat patients, provide them with a
written or documented medical opinion concerning diagnosis or treatment in Oregon, and who have a
physician-patient relationship with the patients. Requires completion of Practice Across State Lines
Practice Description form: http://www.oregon.gov/OMB/MD-DO_Application/Telemedicine_Request.pdf.
Pennsylvania State Board of Medicine
Yes, a full, unrestricted Pennsylvania medical license is required. The Board does not currently have
specific regulations addressing the parameters of how to engage in the practice of medicine over the
Internet. Absent specific regulations physicians are obligated under Section 41 of the Medical Practice
Act, 63 P.S. 422.41 to adhere to accepted standards of practice.
Puerto Rico - (787) 782-8949
Yes, a full, unrestricted Puerto Rico medical license required, unless the radiologist is consulting on
infrequent basis.
"20 L.P.R.A. § 6002 License; After the approval of this law any physician or osteopath that desires to
practice telemedicine in Puerto Rico has to apply for and obtain a license from the Board of Medical
Examiners for the practice of medicine, surgery or osteopathy in compliance with the requirements of
sections 31 and following of Chapter 20."
Rhode Island Board of Medical Licensure and Discipline Yes, a full, unrestricted Rhode Island
medical license is required if the radiologist is reading directly for a patient. The license is not required if
the physician is consulting for another doctor of medicine already licensed in the state.
"1.14 ""Practice of Medicine"", pursuant to section 5-37-1 (1) of the Act, shall include the practice of
allopathic and osteopathic medicine. Any person shall be regarded as practicing medicine within the
meaning of the act who holds himself or herself out as being able to diagnose, treat, operate, or
prescribe for any person ill or alleged to be ill with disease, pain, injury, deformity or abnormal physical
or mental condition, or who shall either profess to heal, offer or undertake, by any means or method, to
diagnose, treat, operate, or prescribe for any person for disease, pain, injury, deformity or physical or
mental condition. In addition, one who attaches the title M.D., physician, surgeon, D.O., osteopathic
physician and surgeon, or any other similar word or words or abbreviation to his or her name indicating
that he or she is engaged in the treatment or diagnosis of the diseases, injuries or conditions of persons
shall be held to be engaged in the practice of medicine."
South Carolina Board of Medical Examiners
Yes, a full, unrestricted South Carolina medical license is required. This link may be helpful:
http://www.llr.state.sc.us/pol/occupationaltherapy/index.asp?file=TelehealthFAQ.HTM
http://www.llr.sc.gov/POL/Medical/index.asp?file=Policies/MEPRIMDIAG.HTM
South Dakota Board of Medical and Osteopathic Examiners
Yes, a full, unrestricted South Dakota medical license is required.
Tennessee Board of Medical Examiners A telemedicine license is available.
Texas State Board of Medical Examiners
The Texas Medical Board adopted a rule change effective on September 23, 2010 that may affect your
Out-of-State Telemedicine License application. Board Rule, Tex. Admin. Code, Sec. 172.12 Out-of-State
Telemedicine License is included below. The Board adopted the changes to better protect the public by
setting limitations on out-of-state physicians who do not hold a full unrestricted license and who provide
care to Texas residents.
Tex. Admin. Code, Sec. 172.12(c) imposes new limits on the Out-of-State Telemedicine License for
which you have applied. An Out-of-State Telemedicine License to practice medicine across state lines is
now limited exclusively to: (1) the interpretation of diagnostic testing and reporting of those results to a
physician fully licensed and located in Texas, or (2) the follow-up of patients where the majority of
patient care was rendered in another state.
TAC §172.12. Telemedicine License.
(a) Qualifications. A person may not engage in the practice of medicine across state lines in this State,
hold oneself as qualified to do the same, or use any title, word, or abbreviation to indicate or induce
others to believe that one is licensed to practice across state lines in this state unless the person is
actually so licensed. For a person to be eligible for an out-of-state telemedicine license to practice
medicine across state lines under the Medical Practice Act, §151.056, and §163.1 of this title (relating to
Definitions), the person must:
(1) be 21 years of age or older;
(2) be actively licensed to practice medicine in another state which is recognized by the board for
purposes of licensure, and not the recipient of a previous disciplinary action by any other state or
jurisdiction;
(3) not be the subject of a pending investigation by a state medical board or another state or federal
agency;
(4) be certified in a medical specialty pursuant to the standards of and approved by the American Board
of Medical Specialties or the Bureau of Osteopathic Specialists and Boards of Certification;
(5) have passed the Texas Medical Jurisprudence Examination;
(6) complete a board-approved application for an out-of-state telemedicine license for the practice of
medicine across state lines and submit the requisite initial fee; and
(7) not be determined ineligible for licensure under subsection (b) of this section.
(b) Denial of Out-of-State Telemedicine License. An application for an out-of-state telemedicine license
to practice medicine across state lines may be denied based on failure to demonstrate the requisite
qualifications for issuance of an out-of-state license, any grounds for denial of an application for a full
license, failure to submit the required fee, and any grounds for disciplinary action of a licensee under
the Medical Practice Act, §164.051 (relating to Grounds for Denial or Disciplinary Action).
(c) Limits on Out-of-State Telemedicine License. An out-of-state telemedicine license to practice
medicine across state lines shall be limited exclusively to the interpretation of diagnostic testing and
reporting results to a physician fully licensed and located in Texas or for the follow-up of patients where
the majority of patient care was rendered in another state, and the license holder shall practice medicine
in a manner so as to comply with all other statutes and laws governing the practice of medicine in the
state of Texas. Unless a person holds a current full license to practice medicine in this state pursuant to
this chapter and the provisions of the Medical Practice Act, Chapter 155 (relating to License to Practice
Medicine), a person holding an out-of-state telemedicine license shall not be authorized to physically
practice medicine in the state of Texas.
(d) Registration Requirements. All out-of-state telemedicine licenses to practice medicine across state
lines licenses must be renewed and maintained according to registration requirements of Section 166.1
of this title (relating to Physician Registration).
(e) Disciplinary Action. The issuance by the board of an out-of-state telemedicine license subjects the
licensee to the jurisdiction of the board in all matters set forth in the Medical Practice Act and all rules
and regulations, including all matters related to discipline.
(f) Exemptions. The following activities shall be exempt from the requirements of an out-of-state
telemedicine license and this chapter:
(1) episodic consultation by a medical specialist located in another jurisdiction who provides such
consultation services on request to a person licensed in this state;
(2) consultation services provided by a physician located in another jurisdiction to a medical school as
defined in the Education Code, §61.501;
(3) consultation services provided by a physician located in another jurisdiction to an institution defined
in either Subchapter C, Chapter 73, or Subchapter K, Chapter 74 of the Education Code;
(4) informal consultation performed by a physician outside the context of a contractual relationship and
on an irregular or infrequent basis without the expectation or exchange of direct or indirect
compensation;
(5) furnishing of medical assistance by a physician in case of an emergency or disaster if no charge is
made for the medical assistance; and
(6) ordering home health or hospice services for a resident of this state to be delivered by a home and
community support services agency licensed by this state, by the resident's treating physician who is
located in another jurisdiction of a state having borders contiguous with the borders of this state.
Utah Department of Commerce
Yes, a full, unrestricted Utah medical license is required. " (2) Regardless of the form in which a licensee
engages in the practice of medicine, the licensee may only permit the practice of medicine in that form of
practice to be conducted by an individual: (a) licensed in Utah as a physician and surgeon under
Section 58-67-301 or as an osteopathic physician and surgeon under Section 58-68-301; and (b) who is
able to lawfully and competently engage in the practice of medicine."
Vermont Board of Medical Practice
There are no specific telemedicine provisions, but the current law states that to practice any type of
medicine one needs a full Vermont medical license.
Virginia Board of Medicine
Yes, a full, unrestricted Virginia medical license is required for diagnosing and prescribing.
Washington Medical Quality Assurance Commission
Yes, a full, unrestricted Washington medical license is required for diagnosing and prescribing.
"A physician who prescribes medication based solely on electronic communication does not meet the
standards of medical practice and can be subject to disciplinary action. The State of Washington
Medical Quality Assurance Commission considers this practice to be unprofessional conduct under
RCW 18.130.180(4). Physicians who treat or prescribe over the Internet are practicing medicine and
must possess appropriate licensure in all jurisdictions where patients reside."
West Virginia Board of Medicine Yes, a full, unrestricted West Virginia medical license is required.
"§30-3-13. Unauthorized practice of medicine and surgery or podiatry; criminal penalties; limitations. (a)
A person shall not engage in the practice of medicine and surgery or podiatry, hold himself or herself
out as qualified to practice medicine and surgery or podiatry or use any title, word or abbreviation to
indicate to or induce others to believe that he or she is licensed to practice medicine and surgery or
podiatry in this state unless he or she is actually licensed under the provisions of this article. A person
engaged in the practice of telemedicine is considered to be engaged in the practice of medicine within
this state and is subject to the licensure requirements of this article. As used in this section, the term
""practice of telemedicine"" means the use of electronic information and communication technologies to
provide health care when distance separates participants and includes one or both of the following: (1)
The diagnosis of a patient within this state by a physician located outside this state as a result of the
transmission of individual patient data, specimens or other material by electronic or other means from
within this state to the physician or his or her agent; or (2) the rendering of treatment to a patient within
this state by a physician located outside this state as a result of transmission of individual patient data,
specimens or other material by electronic or other means from within this state to the physician or his or
her agent. No person may practice as a physician's assistant, hold himself or herself out as qualified to
practice as a physician's assistant, or use any title, word or abbreviation to indicate to or induce others
to believe that he or she is licensed to practice as a physician's assistant in this state unless he or she is
actually licensed under the provisions of this article. Any person who violates the provisions of this
subsection is guilty of a misdemeanor and, upon conviction thereof, shall be fined not more than ten
thousand dollars, or imprisoned in the county jail not more than twelve months, or both fined and
imprisoned. (b) The provisions of this section do not apply to: (2) Physicians or podiatrists licensed in
other states or foreign countries who are acting in a consulting capacity with physicians or podiatrists
duly licensed in this state, for a period of not more than three months: Provided, That this exemption is
applicable on a one-time only basis;"
Wisconsin Medical Examining Board
Yes, a full, unrestricted Wisconsin medical license is required.
Wyoming Board of Medicine
Yes, a full, unrestricted Wyoming medical license is required if the radiologist is reading directly for a
patient. If the reading is done as a consultation for another radiologist licensed in Wyoming, the license
is not required. Any physician rendering medical diagnosis and/or treatment to a person physically
present in this state must have a license issued by the board when such diagnosis/treatment is
rendered, regardless of the physician's location and regardless of the means by which such
diagnosis/treatment is rendered. This regulation shall not apply if an out-of-state physician consults by
telephone, electronic or any other means with an attending physician licensed by this board or an out-of-
state physician is specifically exempt from licensure under W.S. 33-26-103(a)(i-ix). Section 7. Exemption
from licensure. (a) Consultants. Physicians residing in and licensed to practice medicine in another state
or country called into this state for consultation by a physician licensed to practice medicine in this state
may practice medicine without first obtaining a Wyoming license for a period not to exceed seven (7)
days in any fifty-two (52) week period. Consults of longer duration or greater frequency are not exempt
and require licensure.
STATE BOARD REQUIREMENTS AND PROVISIONS SUBJECT TO CHANGE WITHOUT NOTICE.
We try to keep this page updated as information becomes available. Please let us know if you
find info to the contrary. This page is partially updated as changes occur.
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