Reforming Physician Licensure in the United States to Improve Access to Telehealth: State, Regional, and Federal Initiatives.
digital health law
physician licensure
telehealth
Journal
The Milbank quarterly
ISSN: 1468-0009
Titre abrégé: Milbank Q
Pays: United States
ID NLM: 8607003
Informations de publication
Date de publication:
19 Aug 2024
19 Aug 2024
Historique:
revised:
15
07
2024
received:
12
03
2024
accepted:
02
08
2024
medline:
19
8
2024
pubmed:
19
8
2024
entrez:
19
8
2024
Statut:
aheadofprint
Résumé
Policy Points The reinstitution of pre-COVID-19 pandemic licensure regulations has impeded interstate telehealth. This has disproportionately impacted patients who live near a state border; geographically mobile patients, such as college students; and patients with rare diseases who may need care from a specialist outside their state. Several promising and feasible reforms are available, at both state and federal levels, to facilitate interstate telehealth. For example, states can offer exemptions to licensure requirements for certain types of telehealth such as follow-up care or create licensure registries that impose little reduced paperwork and fees on physicians. On the federal level, congressional interventions that mimic the Department of Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act of 2018 can waive provider licensing and geographic restrictions to telehealth within certain federal programs such as Medicare. Any discussion of medical licensure reform, however, must also consider the current political climate, one in which states are taking divergent stances on sensitive topics such as reproductive care, gender-affirming care, and substance use treatments.
Identifiants
pubmed: 39158210
doi: 10.1111/1468-0009.12713
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Commonwealth Fund
Informations de copyright
© 2024 Milbank Memorial Fund.
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