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Telehealth utilization has exploded over the past six months marking a paradigm shift in health care delivery. In April, 43 percent of Medicare primary care visits were provided via telehealth compared to only 0.1 percent in February.

This increase in utilization is driven by the COVID-19 pandemic and the regulatory flexibilities provided by the Centers for Medicare & Medicaid Services (CMS). However, states and state medical boards, as the primary regulatory bodies for physicians and other health care providers, still can create a myriad of state licensure rules and regulations that family medicine physicians must address.

Small and solo practices have been reporting their difficulties in complying with multiple state rules. In an effort to better gauge member interest in this issue and to determine member priorities, we have provided several survey questions below. Your responses will help ACOFP develop policy principles and inform our outreach to policymakers.

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* 1. Have you or your practice provided telehealth services (including remote monitoring) across state lines?

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* 2. If so, were you able to obtain the necessary state license(s)?

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* 3. Which answer best describes the administrative burden associated with obtaining the license(s)?

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* 4. In general, would you consider this an issue for family physicians?

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* 5. Which option best captures your preferred policy for this issue?

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