Telehealth compliance, state by state
Six pillars determine whether a telehealth session is compliant in any U.S. jurisdiction. Pick a state to see how its rules apply to your practice — or get the framework first.
The six pillars at a glance
Click any pillar for the full framework explainer, or jump to a state below to see how the pillar applies there.
Cross-state licensing
Your license must be valid in the state where the patient is sitting — not where you are.
Licensure compacts
Interstate compacts (IMLC, PSYPACT, NLC, etc.) let qualifying providers practice across member states.
Informed consent
Every state requires patient consent, but the form (written vs. verbal), timing, and minors rules vary.
Online prescribing
Telehealth prescribing rules layer DEA federal limits on top of state-specific overlays — especially for controlled substances.
Professional board standards
Each state board sets credential-specific rules on recordkeeping, technology, and supervision.
Modality + privacy
HIPAA-compliant platforms, BAA requirement, audio-only acceptability, and patient-location verification — the technical floor.
State-by-state compliance detail
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