Expiration of State Licensure Waivers and Out-of-State Telemedicine Relationships

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Abstract
Physicians generally must hold a license recognized in the state in which their patients are located.1 At the COVID-19 pandemic’s onset, almost all states implemented temporary licensure waivers, which allowed patients to obtain care from out-of-state clinicians via telemedicine.2,3 Over the course of the pandemic, most waivers expired.4 To inform the ongoing debate about reforming physician licensure to facilitate telemedicine, we compared out-of-state telemedicine relationships in states where licensure waivers expired vs states where waivers continued.