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 April 18, 2022:
- 37 states and D.C. have ended their emergency declarations: AL, AK, AZ, AR, CO, DC, FL, GA, HI, ID, IN, IA, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NH, NJ, ND, OH, OK, OR, PA, SC, SD, TN, UT, VT, VA, WV, WI, WY.
- IN, IA, LA, NJ, OK, 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.
- IA physicians have through May 17 to obtain licensure to comply with normal licensure requirements. LA temporary licenses will expire June 14, 2022. OK providers can obtain a temporary critical needs license through Sept. 14, 2022.
- NJ passed legislation to temporary authorize licensed out-of-state providers to practice in the state through June 30, 2022 + 60 day grace period after the conclusion of the federal PHE.
- VT passed legislation that extends pandemic-era license waivers through June 30, 2023.
- Out-of-state professionals can provide telemedicine services to MN residents if they are registered with the Medical Board per Minnesota Statute § 147.032.
- 13 states continue to have emergency declarations in place: CA, CT, DE, IL, KS, KY, NV, NM, NY, NC, RI, TX, WA.
- Of these 13 states, 9 states still have licensure flexibilities in place. Licensure flexibilities have expired in CT, DE, IL, and NM, 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, 15 states still have licensure flexibilities in place.