State Expansion of Telehealth and Licensing Waivers
During the public health emergency, all 50 states and the District of Columbia used emergency authority to waive some aspect(s) of state licensure requirements to facilitate patients getting care. This has provided an unprecedented opportunity for patients, providers, and policymakers to explore the impact of cross-state care. This has benefited the delivery of health care in many ways, but perhaps most notably, it has opened up many new avenues for patient choice and access to care.
As states begin to lift their COVID-19 emergency waivers or let them expire, many of the telehealth and licensure flexibilities enacted at the start of the pandemic to ensure continuity and access to care for patients are also expiring. As such, the Alliance has created a chart outlining which states have lifted their COVID-19 emergency waivers, and how this has impacted telehealth and licensing flexibilities in each state. This document will be updated regularly, and can be found below.
As of September 30, 2022:
- 42 states and D.C. have ended their emergency declarations: AL, AK, AZ, AR, CO, DC, FL, GA, HI, ID, IN, IA, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, SC, SD, TN, UT, VT, VA, WV, WI, WY.
- IN, NH, NY, PA and VT, however, have licensure flexibilities still in place.
- IN will extend out-of-state health care registry through the duration of the federal PHE.
- NH SB 277 extends the expiration for temporary and emergency licenses for health care workers, if they were obtained on or before Jan. 31, 2022, through June 30, 2023.
- NY licensure flexibilities will remain in effect until October 27, 2022 per EO #4.13.
- PA began to phase out licensing waivers on May 23, 2022. The remainder of the waivers will expire October 31, 2022.
- VT passed legislation that extends pandemic-era license waivers through June 30, 2023.
- 8 states continue to have emergency declarations in place: CA, CT, DE, IL, KS, RI, TX, WA.
- Of these 8 states, 6 states still have licensure flexibilities in place. Licensure flexibilities have expired in CT and DE, despite emergency declarations still in place.
- CA is going through a phased rollback of COVID-era waivers, however waivers on telehealth and licensure are still in place.
- In total, 11 states still have licensure flexibilities in place.