STATE RULES

Telehealth rules, state by state.

Tessic Health's providers are licensed in all 50 states. Each page covers one of them in full: the practice rules, whether a first visit can be async, prescribing and controlled drugs, licenses, advertising, and how the provider network operates there. Every page names at least three rules that no neighbouring state shares, so no two of these pages say the same thing.

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States researched in full

States that want a live first visit

175

Rules found in no neighbouring state

620

Statutes, rules and board documents cited

STATES

Pick a state.

SIDE BY SIDE

How the states compare

The first-visit rule, the physician licensing path, the controlled-drug headline and nurse practitioner authority, state by state.

State	First visit	Physician license	Controlled drugs	Nurse practitioners
Alabama	Async allowed	Compact member; 10-day rule	Live visit, yearly in person	Reduced practice
Alaska	Async with conditions	Compact joined, not open yet	Seven days on a first opioid	Full practice
Arizona	Async allowed	Compact member or registration	Schedule II: video or in-person	Full practice
Arkansas	Async with conditions	Own license; compact pending	No scheduled drugs without exam	Reduced practice
California	Async allowed	Own license only, no compact	CURES check before Sched. II–IV	Restricted practice
Colorado	Async with conditions	IMLC member; own license	Electronic, with a rural waiver	Full practice
Connecticut	Async with conditions	Compact member; own license	No Schedule I to III remotely	Full practice
Delaware	Async with conditions	Compact member; own license	PMP checks tied to opioids	Full practice
Florida	Async allowed	IMLC or telehealth registration	Schedule II only in 4 settings	Restricted practice
Georgia	Live visit first	Compact or telemedicine license	No controlled drugs for pain	Restricted practice
Hawaii	Async with conditions	Compact member; own license	Opiates need in-person first	Full practice
Idaho	Async with conditions	IMLC; behavioral registration	Federal law governs by statute	Full practice
Illinois	Async allowed	Illinois license; IMLC member	State CS license; e-Rx II–V	Reduced practice
Indiana	Async with conditions	Compact member; own license	No opioids by telehealth	Reduced practice
Iowa	Async with conditions	IMLC member; own license	Exam before any prescription	Full practice
Kansas	Async with conditions	Waiver in 15 days, or IMLC	Same rules as an office visit	Full practice
Kentucky	Async with conditions	IMLC member; state license	E-prescribing for II to V	Reduced practice
Louisiana	Async with conditions	Compact member or permit	In-person visit within a year	Reduced practice
Maine	Async with conditions	Medical compact member	100 MME daily opioid cap	Full practice
Maryland	Async allowed	Compact member; own license	No Schedule II opiates for pain	Full practice
Massachusetts	Async allowed	No medical compact; own license	All drugs are Schedule VI	Full practice
Michigan	Async with conditions	IMLC member; own license	Electronic for every drug	Restricted practice
Minnesota	Async with conditions	IMLC member; own license	E-prescribing for all drugs	Full practice
Mississippi	Live visit first	Own license only	Good faith exam before any drug	Reduced practice
Missouri	Async with conditions	Compact member; full license	State registration, no check	Restricted practice
Montana	Async with conditions	IMLC member; own license	Schedule II allowed by rule	Full practice
Nebraska	Async allowed	IMLC; consultation exemption	Federal rules, no state layer	Full practice
Nevada	Async with conditions	IMLC member; special purpose	Consent before a first Rx	Full practice
New Hampshire	Async allowed	Compact member; own license	Re-evaluation every year	Full practice
New Jersey	Async with conditions	State license; compact member	In-person exam for Schedule II	Reduced practice
New Mexico	Async with conditions	Telemedicine license, 3 years	State registration required	Full practice
New York	Async allowed	NY license only; no IMLC	Testosterone is Schedule II	Full practice
North Carolina	Async with conditions	Compact member since Jan 2026	5-day cap on first opioid Rx	Restricted practice
North Dakota	Async with conditions	IMLC; one-year continuation	Opioids only for use disorder	Full practice
Ohio	Async allowed	Compact member (IMLC)	Schedule II needs in-person exam	Reduced practice
Oklahoma	Async with conditions	Own license only, no waiver	Federal rules, no state layer	Restricted practice
Oregon	Async with conditions	Telemedicine license, no IMLC	No statewide e-Rx mandate	Full practice
Pennsylvania	Async allowed	Compact member, issues licenses	Exam before controlled drugs	Reduced practice
Rhode Island	Live visit first	Own state license required	Live visit before prescribing	Full practice
South Carolina	Async with conditions	Own license, no compact	No Sched. II-III narcotics	Restricted practice
South Dakota	Async with conditions	Own license or facility role	Federal rules, no state layer	Full practice
Tennessee	Async with conditions	Compact member; state license	Buprenorphine tied to clinics	Restricted practice
Texas	Async with conditions	IMLC member via HB 1616	Video required for chronic pain	Restricted practice
Utah	Async with conditions	IMLC; temporary endorsement	State license plus federal	Full practice
Vermont	Async with conditions	Capped telehealth credentials	Registry checks follow pain	Full practice
Virginia	Async with conditions	Own license, no compact	In-state site or referral	Restricted practice
Washington	Async with conditions	IMLC member; no state permit	PMP check under opioid rules	Full practice
West Virginia	Live visit first	IMLC, or remote registration	Prior in-person for Schedule II	Reduced practice
Wisconsin	Async with conditions	IMLC member; own license	Federal rules, no state layer	Reduced practice
Wyoming	Async with conditions	IMLC member; six-month rule	No first Rx over the internet	Full practice