Tessic Health

NE · STATE RULES

Telehealth rules in Nebraska

Nebraska wrote its telehealth consent into statute rather than leaving it to the boards, and it reads like a form. Four specific things must be put in writing before a first consultation, the patient may agree verbally during the visit, and a signed statement has to follow within ten days. A separate provision reaches children in behavioral health, where a trained adult who knows the treatment plan is expected to be in the room unless a parent waives it.

Book a DemoAll states
First visit
Async allowed
Physician license
IMLC; consultation exemption
Controlled drugs
Federal rules, no state layer
Nurse practitioners
Full practice

Rules checked September 2026 · 21 sources cited

ONLY IN NEBRASKA

What is different about Nebraska

Each rule here is true of Nebraska and of none of the states that border it. Beside each one: what the neighbours do instead.

  1. 01 · Practice

    Four written statements, signed within ten days

    Before an initial telehealth consultation the patient gets written information covering four points: that they keep the option to refuse the consultation at any time, that existing confidentiality protections apply, that they have access to all medical information, and that identifiable images or information will not be shared without their written consent. Verbal agreement can carry the visit, with a signed statement inside ten days.

    Source: Neb. Rev. Stat. 71-8505

    Across the border

    • South Dakota

      South Dakota disposes of the question in a single line, providing that a health care professional using telehealth follows whatever state or federal requirement for informed consent already applies to them.

      Source: S.D. Codified Laws 34-52-7

    • Iowa

      Iowa requires appropriate informed consent for the service and for the use of telemedicine, with individual professions adding disclosures about technology limits and unauthorized access to protected health information.

      Source: Iowa Admin. Code 481-655.9

    • Missouri

      Missouri reserves its written consent rule for school-based care, where a parent or guardian authorizes the service, and elsewhere accepts verbal consent so long as it is documented in the record.

      Source: Mo. Rev. Stat. 191.1145

    • Kansas

      Kansas sets no consent content at all in its professional requirements, having spent its telemedicine act on defining which modalities count rather than on what the patient must be told.

      Source: Kansas Statutes chapter 40

    • Colorado

      Colorado asks for one written statement before the initial telemedicine treatment, covering the right to refuse telemedicine and continued access to records, with later visits documented verbally.

      Source: C.R.S. 25.5-5-320

    • Wyoming

      Wyoming has no single consent statute, leaving psychology, physical therapy, chiropractic and dentistry to each publish their own rule with different content and different formalities.

      Source: Wyoming rules and regulations

  2. 02 · Practice

    A trained adult in the room for a child

    For a minor receiving behavioral health services by telehealth, an appropriately trained staff member or employee familiar with the child's treatment plan must be immediately available in person to manage an emergency. A parent or guardian may waive that requirement, but the default is presence rather than absence.

    Source: Neb. Rev. Stat. 71-8509

    Across the border

    • South Dakota

      South Dakota imposes no on-site staffing duty for a minor's remote behavioral health visit, and its telehealth chapter is concerned with licensure and consent rather than who else is present.

      Source: S.D. Codified Laws 34-52

    • Iowa

      Iowa's child-focused rule works on medication instead of staffing, barring a mental health professional with prescribing authority from prescribing any new medication to a student during a school telehealth session.

      Source: Center for Connected Health Policy: Iowa

    • Missouri

      Missouri legislated the exact opposite, providing that an originating site shall not be required to maintain immediate availability of on-site clinical staff except as the standard of care itself demands.

      Source: Mo. Rev. Stat. 191.1145

    • Kansas

      Kansas has no presence requirement for minors either, and the constraint a child's remote visit runs into there is the exclusion of voice-only and email-only contact from telemedicine.

      Source: Kansas Statutes chapter 40

    • Colorado

      Colorado places no adult at the originating site by statute, and its distinctive duties around a minor's care come from the privacy act's treatment of health data rather than from staffing.

      Source: C.R.S. 6-1-1306

    • Wyoming

      Wyoming leaves emergency planning to each board's consent rule, with psychology requiring the licensee to address emergency procedures in writing rather than to station someone beside the patient.

      Source: Wyoming Board of Medicine

  3. 03 · Licenses

    Consultation without taking on the patient

    A physician licensed in another state who is incidentally called into the state, or contacted by electronic or other medium for consultation, may evaluate medical data and give treatment recommendations without a license here. What the exemption does not permit is establishing independent practice.

    Source: Nebraska Uniform Credentialing Act

    Across the border

    • South Dakota

      South Dakota expects the professional to be fully licensed there or employed by a licensed health care facility, and handles outside physicians through reciprocal licensure rather than a consultation carve-out.

      Source: S.D. Codified Laws 36-4-19

    • Iowa

      Iowa requires an active Iowa medical license from any physician who uses telemedicine in the diagnosis and treatment of a patient located there, with no consultation exemption of this shape.

      Source: Iowa Admin. Code 481-655.9

    • Missouri

      Missouri's exceptions cover informal consultation, emergency and disaster services, and episodic consultation, all turned on the absence of an expectation of compensation rather than on the mode of contact.

      Source: Mo. Rev. Stat. 191.1145

    • Kansas

      Kansas issues an actual credential instead, a waiver from the Board of Healing Arts that the board must grant within fifteen days of a complete application, with the fee capped by statute.

      Source: Center for Connected Health Policy: Kansas

    • Colorado

      Colorado makes no room for unlicensed consultation, so a physician either holds a license there, reached through the compact, or does not advise on the patient at all.

      Source: Colorado Revised Statutes

    • Wyoming

      Wyoming's opening is for continuity rather than consultation, letting a physician licensed elsewhere carry on treating a patient for six months where the relationship began at an in-person visit there.

      Source: Wyoming Board of Medicine

PRACTICE RULES

How telehealth works in Nebraska

The telehealth chapter, sections 71-8501 onward, carries the consent statement, the definitions and the rules for minors. The Uniform Credentialing Act supplies who may practice and what they may do.

  1. 01

    Any credential holder may begin

    Any credential holder under the Uniform Credentialing Act may establish a provider and patient relationship through telehealth, which puts physicians, nurse practitioners, physician assistants and therapists on the same footing for a first visit.

    Source: Neb. Rev. Stat. 38-1,143

  2. 02

    The consent statement is content, not a checkbox

    The four points in the statute are the minimum content of the written information, so a generic terms page will not do the work. The signed statement follows within ten days where consent was taken verbally.

    Source: Neb. Rev. Stat. 71-8505

  3. 03

    Licensed in the state, by the department

    The telehealth chapter requires the provider to be licensed, registered or certified to practice here by the department, which anchors the licensing question to the state where the patient sits.

    Source: Neb. Rev. Stat. 71-8503

  4. 04

    Telepharmacy has its own definition

    The state defines telepharmacy as pharmacist care delivered by a pharmacist located within the United States using telecommunications, remote order entry or other automation, which matters for a brand running its own pharmacy layer.

    Source: Center for Connected Health Policy: Nebraska

FIRST VISIT

Can a first visit happen without a live call in Nebraska?

Yes

Yes. Any credential holder may establish the relationship through telehealth under Neb. Rev. Stat. 38-1,143, and nothing in the chapter excludes asynchronous contact or rules a questionnaire out, provided the consent statement is delivered first.

The state legislated what the patient must be told rather than how the encounter must be carried, which makes this one of the more permissive states on modality and one of the more prescriptive on paperwork.

  1. 01

    Consent before the consultation

    The written information precedes the initial consultation, so it belongs at the top of intake. Where the patient consents verbally in the visit, the signed statement is chased and stored within ten days.

    Source: Neb. Rev. Stat. 71-8505

  2. 02

    Prescribing follows the credential

    A credential holder providing telehealth may prescribe where they are authorized to prescribe under state and federal law, so the question is the clinician's own scope rather than a telehealth-specific permission.

    Source: Neb. Rev. Stat. 38-1,143

  3. 03

    Minors in behavioral health

    For a child's behavioral health visit the default is an appropriately trained adult familiar with the treatment plan immediately available in person, which shapes whether a home-based session is workable at all.

    Source: Neb. Rev. Stat. 71-8509

PRESCRIBING

Prescriptions and controlled drugs in Nebraska

The state adds no telehealth-specific controlled substance limits. What binds a remote prescriber is the federal framework plus the ordinary prescribing and monitoring rules that apply to any credential holder.

  1. 01

    Authorized is authorized

    Telehealth does not narrow prescriptive authority and does not widen it. A credential holder prescribes what their credential allows, and a remote encounter is judged against the same expectations as an office visit.

    Source: Neb. Rev. Stat. 38-1,143

  2. 02

    Federal conditions carry controlled drugs

    Because the state wrote no telemedicine exception for controlled substances, the operative limits are the federal ones, and a prescriber cannot fall back on a state allowance that does not exist.

    Source: Center for Connected Health Policy: Nebraska

  3. 03

    The monitoring program

    The prescription drug monitoring program takes dispensing data statewide and is available to prescribers and pharmacists, and it is the record that shows whether a remote prescriber knew the patient's wider picture.

    Source: Neb. Rev. Stat. 71-8503

  4. 04

    Pharmacist care can be remote too

    Because telepharmacy is defined in statute, a brand's counselling and order-entry workflows can run remotely provided the pharmacist is located within the United States and the definition is met.

    Source: Center for Connected Health Policy: Nebraska

Federal rules apply on top of every state's. Prescribing controlled substances by telehealth without an in-person visit runs on DEA flexibilities currently extended through December 31, 2026, with a permanent rule still pending.

LICENSES

Who can treat patients in Nebraska

Physicians are licensed through the department under the Uniform Credentialing Act, and the state belongs to eight or more compacts. The consultation exemption sits beside them for occasional advice.

  1. 01

    Compacts across professions

    The state participates in the medical, nursing, counselling, dentistry, emergency medical services, occupational therapy, physician assistant, psychology and social work compacts, which covers most of a telehealth brand's staffing.

    Source: Center for Connected Health Policy: Nebraska

  2. 02

    The exemption has a hard edge

    Consultation without a license is limited to evaluating medical data and recommending treatment. The moment a clinician is establishing independent practice with the patient, the exemption stops covering them.

    Source: Nebraska Uniform Credentialing Act

  3. 03

    Nurse practitioners practice independently

    Nurse practitioners here reached full practice authority, and the board licenses them to diagnose and prescribe without a written collaboration agreement with a physician standing behind the license.

    Source: AANP: full practice authority brief

  4. 04

    The patient's location decides

    The telehealth chapter ties the credential to practicing in this state, so a clinician sitting anywhere else who treats someone here needs the state's own credential or the compact route to it.

    Source: Neb. Rev. Stat. 71-8503

How Tessic Health's providers are licensed in Nebraska

ADVERTISING

Marketing to patients in Nebraska

Two things shape marketing here: the consumer protection statutes, and a data privacy act that gives residents opt-out rights a brand's tracking stack has to respect.

  1. 01

    Opt-out rights exist

    The state's data privacy act gives consumers rights over targeted advertising, sale and profiling, and asks controllers to respect an opt-out preference signal, which reaches a telehealth brand's analytics as much as its ad buys.

    Source: Neb. Rev. Stat. 87-1101

  2. 02

    The confidentiality promise is a claim

    Because the consent statement promises that existing confidentiality protections apply and that identifiable images will not be shared without written consent, a marketing pixel that contradicts it is a broken promise in writing.

    Source: Neb. Rev. Stat. 71-8505

  3. 03

    Deceptive trade practices

    The consumer protection and uniform deceptive trade practices acts reach misrepresentations about the characteristics or quality of a service, with enforcement by the attorney general and a private action available.

    Source: Neb. Rev. Stat. 87-1101

  4. 04

    Claims reach the credential

    False or misleading advertising is a ground for discipline under the Uniform Credentialing Act, so a brand's promotional language exposes the treating clinician's credential as well as the company.

    Source: Center for Connected Health Policy: Nebraska

TESSIC HEALTH IN NEBRASKA

How Tessic Health's providers cover Nebraska

The consent statement is treated here as a product requirement rather than a legal appendix, because the statute names its contents and puts a ten-day clock on the signature.

  1. 01

    The four points are on screen

    Intake shows the right to refuse, the confidentiality position, access to medical information, and the promise not to share identifiable images without written consent, as text rather than as a link.

  2. 02

    The ten-day signature is tracked

    Where a patient consents verbally in the visit, the signed statement is requested immediately and chased inside ten days, with the outstanding list monitored rather than left to the clinician.

  3. 03

    Minors routed with an adult present

    Behavioral health visits for a minor are scheduled with a trained adult familiar with the treatment plan available in person, or with a recorded parental waiver, before the session opens.

  4. 04

    Consultation is not coverage

    The out-of-state consultation exemption is used for advice to a treating clinician, never as a way to staff routine visits, because it does not permit establishing independent practice.

  5. 05

    Pharmacy and markup

    Dispensing goes through pharmacies licensed to ship here, priced at 0% markup, and temperature-controlled shipping is used where the drug calls for it.

COMMON QUESTIONS

Questions about telehealth in Nebraska

  • Four things in writing before the initial consultation: that they may refuse the telehealth consultation at any time, that existing confidentiality protections apply, that they have access to all medical information, and that identifiable images will not be shared without written consent.

  • Yes, during the consultation. A signed statement must follow within ten days, so a brand that takes verbal consent has to track and collect the signature rather than treat the verbal agreement as the end of it.

  • Yes. Any credential holder under the Uniform Credentialing Act may establish the relationship through telehealth, and the chapter does not exclude asynchronous contact or rule out an intake questionnaire.

  • An appropriately trained staff member or employee familiar with the child's treatment plan, immediately available in person to manage an emergency during a behavioral health visit, unless a parent or guardian waives it.

  • For consultation only. A physician licensed in another state who is incidentally called in or contacted electronically may evaluate medical data and recommend treatment, but may not establish independent practice with the patient.

  • No. Full practice authority applies, so the board licenses a nurse practitioner to diagnose and prescribe without a written collaboration agreement with a physician behind it.

SOURCES

Rules checked September 2026 · 21 sources cited. A planning summary, not legal advice. Statutes, board rules and enforcement priorities change; a brand's own counsel should review its model and marketing before launch.

OTHER STATES

Rules in other states

Each state page is researched from that state's own statutes and board rules.

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