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Practicing across state lines

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Providers who wish to practice in other states can apply for full licenses from those states. However, state boards can issue a special purpose license, telemedicine license or certificate, or license to practice medicine across state lines to allow for the practice of telemedicine. These types of special licenses allow practice under specified terms.  At least nine states have special licenses related to telehealth. 

Texas has an out-of-state telemedicine license that limits practice to two types of service: 

  • Follow-up for a patient where the majority of care was rendered in another state
  • Interpretation of diagnostic testing, but results must be reported to a fully licensed physician practicing in Texas

 A license by endorsement grants licenses to out-of-state providers whose states have equivalent standards. This is rare but may become more common.

Three states (MD, NY, VA) and Washington, D.C. provide reciprocity to bordering states. Alabama and Pennsylvania have agreements with other states to grant licenses to out-of-state physicians who have licenses in states that reciprocally accept their home state licenses.

In Connecticut, an out-of-state physician can obtain an in-state license based on his or her home state standards.