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 7, 2021:
- 26 states and D.C. have ended their emergency declarations.
- 24 states continue to have emergency declarations in place.
- States with declarations in place include: AL, AR, AZ, CA, CT, HI, ID, IL, IN, IA, KY, LA, MS, MO, NC, NV, NM, RI, TN, TX, UT, WA, WV, WY.
- Of these 24 states, 21 states still have licensure flexibilities in place. Licensure flexibilities have expired in MS, NM, and TN despite emergency declarations still in place. Alabama and Arkansas issued new state emergency declarations that reinstate state licensure flexibilities.
- Other state licensure-related updates:
- AZ and FL allow out-of-state providers to register with the state to practice telemedicine in the state, per state law.
- CT passed a bill that will allow out-of-state providers to provide telehealth services to patients in CT through June 30, 2023.
- VT pandemic-related waivers, including allowing health care professionals licensed in other jurisdiction to practice in the state as a volunteer member of the Medical Reserve Corps or part of a staff of a licensed facility/FQHC, will be extended through March 31, 2022 per SB 117. The state’s emergency declaration was lifted on June 15, 2021.
- WV passed a bill to allow health care practitioners licensed and in good standing in another jurisdiction to pay a fee to become registered with the appropriate medical board and become an interstate telehealth practitioner in the state.