Telehealth has expanded significantly, allowing healthcare professionals to provide care remotely. But can providers offer telehealth services across state lines in 2025? The answer depends on state regulations, licensure compacts, and evolving telemedicine laws.
Understanding Telehealth Across State Borders
Each state has its own licensing requirements for telehealth providers. While some states allow cross-border telehealth, others impose strict regulations. Here’s what you need to know:
- Licensure Requirements: Most states require telehealth providers to be licensed where the patient is located.
- Interstate Medical Licensure Compact (IMLC): This agreement streamlines the licensing process for physicians in participating states.
- Nurse Licensure Compact (NLC): Allows nurse practitioners to practice across state lines in compact states.
- Exceptions for Temporary or Emergency Care: Some states permit out-of-state providers to offer limited telehealth services without full licensure.
States That Support Cross-State Telehealth in 2025
As of 2025, the following states have policies that support telehealth across state lines under specific conditions:
States Participating in the IMLC
The Interstate Medical Licensure Compact (IMLC) allows physicians to apply for expedited licensure in multiple states. Participating states include:
- Arizona
- Colorado
- Illinois
- Maryland
- Minnesota
- Montana
- Nebraska
- Nevada
- New Hampshire
- North Dakota
- South Dakota
- Tennessee
- Texas
- Utah
- Washington
- Wisconsin
For the latest updates on IMLC states, visit IMLC Official Website.
Nurse Practitioners and the NLC
The Nurse Licensure Compact (NLC) allows registered nurses and advanced practice nurses to provide telehealth services in multiple states without additional licensing. Compact states include:
- Florida
- Georgia
- Idaho
- Kentucky
- Missouri
- North Carolina
- Oklahoma
- South Carolina
- Texas
- Virginia
More details on NLC states can be found at NCSBN Nurse Licensure Compact.
States Allowing Temporary Out-of-State Telehealth
Several states provide flexibility for out-of-state telehealth services under temporary or emergency measures. These states may allow:
- Consultations with existing patients
- Short-term services during public health emergencies
- Limited cross-state practice with telehealth-specific registration
For up-to-date policies, check each state’s medical board website or consult with telehealth service providers like ForAssure to ensure compliance.
Challenges and Compliance Considerations
Licensing Hurdles
- Providers must verify if their state participates in an interstate compact.
- Some states still require full licensure, limiting cross-border practice.
Insurance and Reimbursement
- Not all insurers cover out-of-state telehealth services.
- Medicaid and Medicare coverage varies by state.
Data Privacy Regulations
- HIPAA compliance remains essential when offering telehealth across state lines.
- Some states enforce stricter patient privacy laws.
How to Expand Your Telehealth Practice
If you’re a provider looking to offer telehealth across state lines, consider these steps:
- Check Your Licensure Compact Eligibility – If your state participates in IMLC or NLC, obtaining licensure in multiple states is easier.
- Stay Updated on State Laws – Regulations change frequently, so monitor updates.
- Partner with a Telehealth Platform – Platforms like ForAssure provide compliance tools and nationwide provider networks.
Conclusion
Telehealth across state lines is growing, but regulations remain complex. While compact agreements like IMLC and NLC simplify licensure, providers must stay informed about state-specific rules. Whether you’re a physician, nurse practitioner, or healthcare business, choosing a reliable telehealth partner like ForAssure ensures compliance and seamless patient care.
Ready to expand your telehealth practice? Join ForAssure today and take your services nationwide.