State Telehealth and Licensure Expansion COVID-19 Dashboard: A State-by-State Comparison

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. 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.

Key Highlights

As of March 8, 2022:

  • 29 states and D.C. have ended their emergency declarations: AL, AK, AR, CO, DC, FL, IA, IN, KS, ME, MA, MD, MI, MN, MS, MO, MT, ND, NE, NH, NJ, OH, OK, PA, SC, SD, TN, UT, VT, WI.
    • IN and PA, however, have licensure flexibilities still in place through March.
    • IA is giving providers through May 17 to obtain licensure.
    • KS, NJ and VT have extended licensure flexibilities through state legislation.
    • Out-of-state professionals can provide telemedicine services to MN residents if they are registered with the Medical Board per Minnesota Statute § 147.032.
    • OK allows out-of-state providers to obtain a temporary critical needs license through September 14, 2022.
  • 21 states continue to have emergency declarations in place:
    • States with declarations in place include: AZ, CA, CT, DE, GA, HI, ID, IL, KY, LA, NV, NM, NY, NC, OR, RI, TX, VA, WA, WV, WY.
    • Of these 21 states, 18 states still have licensure flexibilities in place. Licensure flexibilities have expired in NM and ID, despite emergency declarations still in place. This is also true in AZ given HB 2454 (see below).
    • CA is going through a phased rollback of COVID-era waivers, however waivers on telehealth and licensure are still in place.
    • In total, 24 states still have licensure flexibilities in place.

Click here for the full report and map.