Tessic Health

NV · STATE RULES

Telehealth rules in Nevada

Nevada writes its telehealth limits into the pharmacy law rather than the practice act. Before a first controlled-substance prescription a practitioner has to document the alternatives considered and obtain the patient's written informed consent, the treatment plan gets reviewed before it passes ninety days, and the relationship itself carries a six-month clock. This page covers those rules, the two licensing doors the state holds open, advertising limits, and how Tessic Health's providers work inside them.

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Rules checked September 2026 · 28 sources cited

ONLY IN NEVADA

What is different about Nevada

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

  1. 01 · Prescribing

    Consent and a plan before controlled drugs

    NRS 639.23911 makes a practitioner establish a bona fide relationship, assess the risk of abuse, document why this drug rather than an alternative, and obtain the patient's informed consent before an initial controlled-substance prescription. NRS 639.23913 then requires a meeting to review the treatment plan before care continues past ninety days.

    Source: NRS 639.23911

    Across the border

    • Oregon

      Oregon sets no consent document and no review interval. Its prescription monitoring program in ORS chapter 431A is built for reporting and voluntary lookups rather than as a checkpoint before a prescription.

      Source: ORS chapter 431A

    • Idaho

      Idaho hands the question to Congress. Idaho Code 54-5707 says a controlled substance may be ordered through virtual care only in compliance with federal law, and adds no state consent form or review schedule.

      Source: Idaho Code 54-5707

    • Utah

      Utah requires relevant clinical history and a documented diagnosis before a prescription under Utah Code 26B-4-704, but stops there: no signed consent, no documented comparison of alternatives, no ninety-day review.

      Source: Utah Code 26B-4-704

    • Arizona

      Arizona regulates the modality rather than the paperwork: A.R.S. 36-3602 requires an in-person or audio-visual examination before a Schedule II prescription, with no consent document attached.

      Source: A.R.S. 36-3602

    • California

      California's control is a database query. Cal. Health & Safety Code 11165.4 requires a CURES review in the prior twenty-four hours before a first Schedule II, III or IV prescription and again at least every six months.

      Source: Cal. Health & Safety Code 11165.4

  2. 02 · First visit

    A six-month clock on the examination

    NRS 639.235 treats a relationship as bona fide for prescribing purposes where the practitioner examined the patient in person, electronically, telephonically or by fibre optics within the six months immediately before the prescription was issued. The window, not the modality, is what the statute fixes.

    Source: NRS 639.235

    Across the border

    • Oregon

      Oregon puts no interval in statute and goes the other way on coverage, barring a plan under ORS 743A.058 from requiring any established relationship before a telemedicine service is paid for.

      Source: ORS 743A.058

    • Idaho

      Idaho Code 54-5705 lets virtual care itself begin the relationship whenever the community standard of care is satisfied, with no lookback period written anywhere into the telehealth act.

      Source: Idaho Code 54-5705

    • Utah

      Utah requires the relationship to be formed during the encounter in front of the provider, not carried in from an earlier visit, so a past examination does no work there.

      Source: Utah Code 26B-4-704

    • Arizona

      Arizona's telehealth act lets a health status examination happen through telehealth under A.R.S. 36-3602 and puts no expiry on it, reserving its firmness for Schedule II drugs.

      Source: A.R.S. 36-3602

    • California

      California allows the prior examination to be a self-screening tool or questionnaire under Cal. Bus. & Prof. Code 2242, and never ties its validity to how recently the patient was seen.

      Source: Cal. Bus. & Prof. Code 2242

  3. 03 · Practice

    AI cannot deliver behavioral health care

    AB 406 bars an artificial intelligence system from providing behavioral or mental health care and from representing that it is capable of doing so. The restriction is a prohibition on the service itself, not a labeling or disclosure duty attached to it.

    Source: Nevada AB 406 summary (Wilson Sonsini)

    Across the border

    • Oregon

      Oregon aimed at the label instead. HB 2748 reserves the nurse practice act's protected titles for people, so an automated assistant cannot present itself under one.

      Source: HB 2748

    • Idaho

      Idaho has enacted nothing on artificial intelligence in clinical work. A chat tool there runs into the ordinary prohibition on unlicensed practice and nothing more specific.

      Source: Idaho Code 54-1804

    • Utah

      Utah permits mental health chatbots and regulates them instead, requiring disclosure that the user is not speaking to a person and restricting how the conversation may be used for advertising.

      Source: Utah Code 13-72

    • Arizona

      Arizona pointed its artificial intelligence law at insurers: HB 2175 requires a licensed clinician to make the final call on a medical-necessity denial, leaving clinical chat tools alone.

      Source: Arizona HB 2175 summary (Healthcare Value Hub)

    • California

      California bars an AI system from using words that imply care comes from a licensed professional, which polices presentation rather than forbidding the underlying behavioral health service.

      Source: AB 489, Business and Professions Code 4999.8 to 4999.9

PRACTICE RULES

How telehealth works in Nevada

NRS chapter 629 sets the general telehealth frame: who may provide it, where the patient may be, and when a relationship may begin remotely. The medical practice act in NRS chapter 630 supplies the discipline behind it.

  1. 01

    Who may treat from a distance

    NRS 629.515 requires a provider of health care who directs care, diagnoses or prescribes for a patient located in the state to hold a license or certificate here, or the special purpose license. Providers working for an urban Indian organization are exempted from that requirement.

    Source: NRS 629.515

  2. 02

    Relationships may begin remotely

    The same section lets a provider establish a relationship with a patient using telehealth when doing so is clinically appropriate. Clinical appropriateness, judged against the standard of care, is the whole of the test outside controlled substances.

    Source: NRS 629.515

  3. 03

    Discipline follows the license

    NRS chapter 630 gives the Board of Medical Examiners its grounds for discipline, and they apply to a remote encounter as they do to an office visit. A special purpose licensee is answerable to the board on the same terms.

    Source: NRS chapter 630

  4. 04

    Hospitals may extend privileges

    NRS 449.1925 lets a hospital grant staff privileges to a practitioner who will provide services by telehealth, in the manner the federal conditions of participation describe. That keeps a remote consultant inside the hospital's own credentialing.

    Source: NRS chapter 449

FIRST VISIT

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

Yes, with conditions

Yes for ordinary care, where NRS 629.515 lets telehealth establish the relationship when it is clinically appropriate. For a controlled substance the statute tightens: NRS 639.235 wants an examination, by any medium, inside the previous six months.

The split matters for a brand. A non-controlled first visit can run on the modality the presentation calls for, while anything in Schedule II through V comes with a documented consent, a risk assessment and a dated examination behind it.

  1. 01

    Clinically appropriate is the test

    Nothing in NRS chapter 629 names a required modality for a first non-controlled visit. The provider judges whether telehealth suits the presentation and carries the ordinary burden of showing the standard of care was met if that judgement is questioned.

    Source: NRS 629.515

  2. 02

    The examination window

    Under NRS 639.235 the examination that supports a controlled-substance prescription may be in person, electronic, telephonic or by fibre optics, but it must fall inside the six months before the prescription issues. A stale examination does not carry the prescription.

    Source: NRS 639.235

  3. 03

    One dose increase, then a review

    NRS 639.23911 allows a practitioner to issue no more than one further prescription increasing the dose without meeting the patient again, in person or by telehealth, to re-evaluate the treatment plan. The second increase needs that meeting first.

    Source: NRS 639.23911

PRESCRIBING

Prescriptions and controlled drugs in Nevada

The prescribing rules live in NRS chapter 639, the pharmacy chapter, which is where the state put its controlled-substance procedure. Electronic transmission is compulsory for controlled substances and optional for everything else.

  1. 01

    Electronic only for controlled drugs

    NRS 639.23535 requires controlled-substance prescriptions to reach the pharmacy by electronic transmission. Prescriptions for other drugs may still travel by any method NRS 639.2353 authorizes, including a written prescription handed to the patient.

    Source: NRS 639.23535

  2. 02

    The ninety-day review

    NRS 639.23913 requires a practitioner to meet the patient, in person or by telehealth, to review the treatment plan before continuing a controlled substance beyond ninety days of continuous prescribing. The review is documented in the record.

    Source: NRS 639.23913

  3. 03

    Registration for controlled substances

    NRS chapter 453 requires a practitioner who dispenses, prescribes or administers controlled substances to register with the State Board of Pharmacy, which sits alongside the federal registration rather than replacing it.

    Source: NRS chapter 453

  4. 04

    Reporting into the database

    NRS 453.164 governs the prescription monitoring database, which pharmacies report to and which practitioners query. The reports feed the risk assessment NRS 639.23911 expects before a first controlled-substance prescription.

    Source: NRS 453.164

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 Nevada

The state keeps two doors open for physicians who live elsewhere: the Interstate Medical Licensure Compact and a special purpose license written for telemedicine. Nurse practitioners hold full practice authority.

  1. 01

    The special purpose license

    NRS 630.261 allows the Board of Medical Examiners to issue a special purpose license to a physician licensed in another state so they may perform medical acts through telehealth for a patient located here. It is a standing credential, not a temporary permit.

    Source: NRS 630.261

  2. 02

    The compact route as well

    The state ratified the Interstate Medical Licensure Compact, so a physician whose state of principal licensure issues a letter of qualification can take the expedited path to a full license here instead.

    Source: Interstate Medical Licensure Compact

  3. 03

    Nurse practitioners prescribe on their own

    This is a full practice authority state. NRS 632.237 asks an advanced practice registered nurse for two years or two thousand hours of experience, or a physician protocol, only before prescribing Schedule II drugs.

    Source: NRS 632.237

  4. 04

    Where the patient sits is what counts

    NRS 629.515 anchors the licensing question to the patient's location, not the provider's. A clinician outside the state who directs care for someone inside it is practicing here for licensing purposes.

    Source: NRS 629.515

How Tessic Health's providers are licensed in Nevada

ADVERTISING

Marketing to patients in Nevada

Marketing runs into the deceptive trade practices chapter, the consumer health data statute and, for anything in behavioral health, the prohibition on artificial intelligence delivering that care at all.

  1. 01

    Deceptive trade practices

    NRS chapter 598 makes it a deceptive trade practice to misrepresent the characteristics or standard of a service, to advertise goods or services with no intent to supply the demand, or to make a false statement about a price reduction.

    Source: NRS chapter 598

  2. 02

    Consumer health data

    The state's consumer health data law requires opt-in consent before collecting or sharing data that identifies a health condition, a published consumer health data privacy policy, and a ban on geofencing around health facilities to serve advertising.

    Source: Center for Connected Health Policy: Nevada

  3. 03

    No AI behavioral health offer

    Because AB 406 bars an artificial intelligence system from providing behavioral or mental health care, a brand cannot market an automated tool as delivering therapy, counselling or psychiatric assessment to a patient located here.

    Source: Nevada AB 406 summary (Wilson Sonsini)

  4. 04

    Telephone solicitation rules

    NRS chapter 598 also governs telephone solicitation, requiring registration for sellers, honoring do-not-call elections, and restricting the hours in which a solicitation call may be placed to a resident.

    Source: NRS chapter 598

TESSIC HEALTH IN NEVADA

How Tessic Health's providers cover Nevada

In Nevada the brand keeps the storefront and Tessic Health's clinicians keep the prescribing pad, with a clinician-owned practice between them. Each step below follows from a statute or board rule cited above.

  1. 01

    Licensed through either door

    Clinicians seeing a patient located here hold a license from the relevant state board, taken either through the compact route or as the special purpose license written for physicians practicing from another state.

  2. 02

    Consent captured before the first controlled Rx

    The intake for any controlled-substance request records the risk assessment, the alternatives considered and the patient's informed consent before the first prescription is written, in the form the pharmacy chapter asks for.

  3. 03

    The ninety-day review is scheduled

    Continuous controlled-substance therapy triggers a booked treatment-plan review before day ninety, in person or by telehealth, rather than a refill that quietly runs past the statutory limit.

  4. 04

    Examinations kept inside six months

    Prescribing protocols check the date of the last examination against the six-month window before a controlled substance is issued, and route the patient to a fresh encounter when the window has closed.

  5. 05

    No automated behavioral health

    Brands operating here route every behavioral health interaction to a licensed clinician, and automated tools are used for scheduling and administration rather than for assessment or therapy.

COMMON QUESTIONS

Questions about telehealth in Nevada

  • For ordinary care, yes where it is clinically appropriate: NRS 629.515 lets telehealth establish the relationship. For a controlled substance the practitioner needs an examination inside the previous six months and the consent and risk assessment NRS 639.23911 requires.

  • Not necessarily. NRS 630.261 lets the Board of Medical Examiners issue a special purpose license to a physician licensed in another state for telehealth work. The compact route to a full license is also available.

  • Four things: a bona fide relationship, an assessment of the risk of abuse, a documented reason for choosing that drug over alternatives, and the patient's informed consent. NRS 639.23911 sets all four out.

  • NRS 639.23913 requires the practitioner to meet the patient, in person or by telehealth, and review the treatment plan before continuous controlled-substance prescribing carries on past that point. The review goes into the record.

  • No. AB 406 bars an artificial intelligence system from providing behavioral or mental health care, or from representing that it can. Automated tools can schedule and triage administratively, but the clinical work stays with a licensed person.

  • No. This is a full practice authority state. NRS 632.237 asks for two years or two thousand hours of experience, or a physician protocol, only in connection with prescribing Schedule II drugs.

SOURCES

Rules checked September 2026 · 28 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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