The ability to practice can essentially cross state lines with telehealth. For instance, it’s not appropriate in most cases to be able to practice as a physician with telehealth unless you are licensed in that state. Now, in most cases, you can physically be located in Florida and take care of a patient in Texas but you would need to be licensed in Texas. There are many professions (i.e., Health Coach) where you do not need any type of training. One big thing about this is that in quite a few states, you must have an established relationship with patients to see them for telehealth as well.
As of November 2018, more than 3,000 U.S. physicians have received permission to practice in multiple states through the Interstate Medical Licensure Compact Commission, a branch of the Federation of State Medical Boards (FSMB). This compact has been approved in 24 states thus far. The compact is one of three currently in operation for healthcare providers; the others are one for physical therapists and one for nurses. However, the lack of license portability remains a barrier. There is an expedited process for licensing board-certified physicians with no background issues. But physicians practicing in multiple states must adhere to a variety of state-specific medical practice regulations and there are annual license renewal fees for each state license. There is no national licensure at present.