States Graded on Telemedicine Policy

WASHINGTON – Monday, September 8, 2014 - The American Telemedicine Association (ATA) today released two critical state policy reports which identify gaps in coverage and reimbursement, and in physician practice standards and licensure. These first-of-their-kind reports identify and compare state policies on a report card, assigning each state grades ranging from A-to-F based on telemedicine reimbursement and physician practice standards.  ATA has captured the complex policy landscape of 50 states with differing telemedicine policies, and translated the data into an easy-to-use format.

“We hope these reports serve a dual purpose: to showcase the states that are doing an excellent job when it comes to telemedicine, and to serve as a wake-up call to those who are failing to extend quality and affordable care to the residents of their state,” said Jonathan Linkous, CEO of ATA. “We hope that states will respond by streamlining policies to improve medical practice rules, licensure, healthcare quality, and reduce costs through accelerated telemedicine adoption.”

50 State Telemedicine Gaps Analysis – Coverage & Reimbursement

The first report reviewed and compared telemedicine coverage and reimbursement standards for every state in the U.S. based on 13 indicators related to coverage and reimbursement.  The analysis revealed that decades of evidence-based research highlighting positive clinical outcomes and increasing telemedicine utilization has been met by a mix of reactions from those who develop state-based policy.  With regard to payment and service delivery options that enable telemedicine adoption, seven states received the highest possible composite score suggesting a supportive policy landscape that accommodates telemedicine adoption. Those states with the highest scores include: Maryland, Maine, Mississippi, New Hampshire, New Mexico, Tennessee, and Virginia.  States receiving the lowest possible composite score include: Connecticut, Iowa and Rhode Island.

50 State Telemedicine Gaps Analysis – Physician Practice Standards & Licensure

The second report reviewed and compared physician practice standards and licensure for telemedicine for every state in the U.S.  The review of state laws and medical board standards regarding telemedicine revealed twenty-three states and D.C. received the highest possible composite score suggesting a supportive policy landscape that accommodates telemedicine adoption and usage. These states include: Colorado, Connecticut, District of Columbia, Delaware, Idaho, Illinois, Indiana, Kansas, Maine, Maryland, Minnesota,  Montana, New Hampshire, New Jersey, New Mexico, New York, Ohio, Oregon, South Carolina, Tennessee,  Utah, West Virginia, and Wisconsin 

 Alabama received a C, the lowest composite score of all the states.

Both reports, including research methodology and state-specific report cards, may be downloaded here.

About the American Telemedicine Association

The American Telemedicine Association is the leading international resource and advocate promoting the use of advanced remote medical technologies. ATA and its diverse membership work to fully integrate telemedicine into healthcare systems to improve quality, equity and affordability of healthcare throughout the world. Established in 1993, ATA is headquartered in Washington, DC. For more information visit