New Rules Allow Texas Physicians to Provide Services in other States

June 12, 2020

As a result of the COVID-19 healthcare emergency, many states have lifted or otherwise amended their restrictions on out-of-state physicians practicing medicine within their state. Below is a list with each state, its regulations, current as of May 29, 2020, and its impact on Texas physicians. However, these regulations and their allowances are changing rapidly.

StateCan Texas Licensed Physicians Practice in This State During the COVID-19 Pandemic?Additional Information
AlabamaYesPhysicians with full and unrestricted medical licenses may apply for and receive temporary emergency licenses to practice in Alabama during the declared COVID-19 health emergency. Fees for temporary emergency licenses have been waived. A temporary emergency license will expire on July 21, 2020, or when the Alabama Governor proclaims the termination of the state’s public health emergency, whichever is sooner.
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AlaskaYesAlaska’s Senate Bill 241 permits licensing boards in Alaska to grant licenses on an expedited basis to individuals who hold a corresponding license in good standing in another jurisdiction to the extent necessary to respond to the COVID-19 public health disaster emergency.  A license expedited under this section will expire on the earlier of November 15, 2020, or the date the governor determines that the public health disaster emergency no longer exists.  These courtesy licenses are available and authorize the holder to practice medicine, osteopathy, or podiatry for limited purposes. A courtesy license does not authorize the holder to perform medical services outside the scope of the courtesy license.  
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ArizonaYesDuring the COVID-19 State of Emergency, MDs licensed in another state are eligible to apply for temporary licensure in Arizona using the emergency temporary licensure application.
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ArkansasYesThe Arkansas State Medical Board voted to grant a Border State Emergency Temporary License to physicians that are currently practicing in any of the six bordering states and also holds an active and unrestricted medical license in that state with the understanding that this is for telemedicine only for already established Arkansas patients.  The emergency license will be valid for 60 days from the date of issue, or until the public health emergency declaration has been lifted, whichever is first.
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CaliforniaYesFor the duration of the COVID-19 emergency, out-of-state personnel, including medical personnel, entering California to assist in preparing for, responding to, mitigating the effects of, and recovering from COVID-19 shall be permitted to provide services in the same manner as prescribed in Government Code Section 179.5 with respect to licensing and certification.  Permission is subject to the approval of the Director of the Emergency Medical Services Authority.
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ColoradoYesPhysicians licensed and lawfully practicing medicine in another state or territory of the U.S. without restrictions or conditions may lawfully practice without a current Colorado license.
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ConnecticutYesPersons who are appropriately licensed, certified, or registered in another state or territory of the U.S. or the District of Columbia may render temporary assistance in Connecticut within the scope of the profession for which a provider is licensed, provided certain provisions are adhered to.  The temporary suspension was ordered for a period of 60 consecutive days.
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DelawareYesOut-of-state health care providers, including physicians, pharmacists, respiratory therapists, physician assistants, paramedics, emergency medical technicians, practical nurses, professional nurses, advanced practice registered nurses, and nursing assistants with an active license or certification in good standing in any U.S. jurisdiction are hereby authorized to provide healthcare services in Delaware.
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District of ColumbiaYesAny healthcare provider who is licensed in his/her home jurisdiction in his/her field of expertise who is providing healthcare to District residents shall be deemed a temporary agent of the District of Columbia if the healthcare provider is only providing healthcare services to individuals at a licensed healthcare facility located in the District of Columbia or the healthcare provider has an existing relationship with a patient who has returned to the District of Columbia and continuity of healthcare services are provided via telehealth.
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FloridaYesHealth care professionals holding a valid, unrestricted, and unencumbered license in any state, territory, and/or district may render such services in Florida during a period not to exceed 30 days unless extended by order of the State Surgeon General, if such health care practitioner does not represent or hold themselves out as a health care practitioner licensed to practice in Florida.
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GeorgiaYesThe Georgia Composite Medical Board (“GCMB”) may approve and issue “emergency practice permits” to physicians who wish to practice medicine during the public health emergency response to COVID-19, upon the GCMB’s approval of an application for the emergency practice permit, proof of current and unrestricted licensure in another state, copy of a valid government-issued photo ID, and a current National Practitioner’s Data Bank report.
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HawaiiYesOut-of-state physicians and osteopathic physicians with a current and active license may practice in Hawaii without a license, provided that they have never had their license revoked or suspended and are hired by a state or county agency or facility, or by a hospital, including related clinics and rehabilitation hospitals, nursing home, hospice, pharmacy, or clinical laboratory.
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IdahoYesDuring the COVID-19 public health state of emergency, MDs and DOs holding a license in good standing from another state or country are permitted to treat patients in Idaho without an Idaho license. This is permitted until the Idaho Governor declares that the COVID-19 public health emergency is over. Out-of-state practitioners treating Idaho patients are encouraged to notify the Idaho Board of Medicine of their intent to practice in Idaho.
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IllinoisYesThe Illinois Department of Financial and Professional Regulation issued a Proclamation which suspends permanent licensure requirements of physicians who are licensed in another state, are in good standing, and working under the direction of IEMA and IDPH in response to the COVID-19 public health emergency.
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IndianaYesThe requirement that a health care provider hold an Indiana license is suspended if he or she: (1) has an equivalent license from another State, and (2) is not suspended or barred from practice in that State or any State.
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IowaYesA physician may practice medicine/telemedicine in Iowa without an Iowa medical license on a temporary basis to aid in the COVID-19 emergency, if a physician holds at least one active medical license in another U.S. jurisdiction, and all medical licenses held by a physician in other U.S. jurisdictions are in good standing, without restrictions or conditions.
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KansasYesPersons currently  holding  a  valid,  full,  active  and  unencumbered  license  in  another  state may apply for a temporary licensure to engage in the practice of their profession for healthcare services relating to COVID-19 response efforts and/or mitigating any effect of COVID-19.  The temporary license will cancel in 90 days, if not renewed, or 30 days after the declared Kansas state of emergency ends, whichever is sooner.
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KentuckyYesMedical and osteopathic physicians not already licensed to practice in Kentucky may register to practice within Kentucky during the COVID-19 state of emergency if they complete and submit the Emergency System Application for Health Practitioner. No fee is required for this type of registration.
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LouisianaYesAn individual physician who holds a full, unlimited, and unrestricted license to practice medicine in another U.S. state, territory, or district and who has unrestricted hospital credentials and privileges in any U.S. state, territory, or district, may practice medicine at a hospital that is licensed by the Louisiana Department of Health upon certain terms and conditions being met.
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Maine YesA physician who is licensed in good standing in another state and who has no disciplinary or adverse action in the past 10 years involving loss of license, probation, restriction or limitation, and who seeks immediate licensure to assist in the health care response to COVID-19, shall be issued an emergency Maine license that shall remain valid during the COVID-19 state of emergency. Such provision of services may be in-person in Maine or across state lines into Maine using telemedicine or telehealth.  License application fees are waived.
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MarylandYesThe Maryland Department of Health Board of Physicians suspended the requirement in Health Occ. Section 14-301 and the related allied health statutes that a license be required to practice in Maryland for physicians who hold valid, unexpired licenses issued by another state while working at a health care facility under certain conditions. An out-of-state health care provider may, at a Maryland health care facility, engage in the activities authorized under the license during the state of emergency without applying for and obtaining a Maryland license if employment is necessary to meet required staffing ratios or otherwise ensure the continued and safe delivery of health care services.
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MassachusettsYesThe Board of Registration in Medicine established an Emergency Temporary License Application for out-of-state physicians to assist in meeting the increased demand for physician services in Massachusetts.  To qualify, a physician must hold an active full, unlimited and unrestricted medical license in good standing in another U.S. state, territory, or district. 
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MichiganYesHealth care professionals licensed and in good standing in any state or territory in the U.S. may practice in Michigan without criminal, civil, or administrative penalty related to lack of licensure. 
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MinnesotaYesOut-of-State healthcare professionals who hold an active, relevant license, certificate, or other permit in good standing issued by a state or the District of Columbia may render aid in Minnesota during the COVID-19 emergency.
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MississippiYesThe Mississippi Board of Medicine waived any and all Mississippi licensing requirements for out-of-state physicians whose specialty services are determined to be necessary by MSDH, provided the out of state physician holds an unrestricted license to practice medicine in the state in which the physician practices and currently is not the subject of an investigation or disciplinary proceeding.
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MissouriYesThe Missouri Governor approved a waiver granting full reciprocity to physicians and surgeons from other states who wish to assist Missourians during the COVID-19 pandemic.
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MontanaYesAs authorized by 10-3-118 MCA, and Governor Steve Bullock’s directive, the Montana Department of Labor & Industry has implemented a COVID-19 Emergency Healthcare Registration for out-of-state healthcare licensees requesting to actively work in Montana for a defined period of time. The registration is only valid until the current emergency directives are rescinded.  Strict compliance with ARM Section 24.101.417 is waived for the purposes of licensing health care professionals for the duration of the emergency so that health care facilities may bring in additional paid staff to Montana as soon as needed and possible. ARM Section 24.101.417 permits a professional to practice in Montana when a state of emergency or disaster is in effect.  The professional must, among other requirements, hold an active, unrestricted license in another state.
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NebraskaYesNebraska statutory provisions regarding credentialing and implementing regulations were temporarily suspended to permit individuals who are properly and lawfully licensed to engage in, among other practices, medicine and surgery in a U.S. state or territory, to work in Nebraska during the state of emergency so long as they are in good standing and free from disciplinary action in the states where they are licensed.
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NevadaYesCertain professional licensing provisions were waived during the declared COVID-19 emergency for qualified providers of medical services who currently hold a valid license in good standing in another state.
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New HampshireYesAny out-of-state personnel, including medical personnel, entering New Hampshire to assist in preparing for, responding to, mitigating the effects of, and recovering from COVID-19 shall be permitted to provide services in the same manner as prescribed in RSA 21-P:41 and any other applicable statutory authority with respect to licensing and certification regarding mutual aid during emergencies for a period of time not to exceed the duration of the COVID-19 emergency.
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New JerseyYesNew Jersey Attorney General Gurbir S. Grewal and the New Jersey Division of Consumer Affairs announced that New Jersey will waive a host of regulatory requirements for healthcare professionals licensed in other jurisdictions to become licensed in New Jersey and offer services to New Jersey residents, including telemedicine and telehealth services during the COVID-19 public health emergency.
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New MexicoYesThe New Mexico Department of Health and the New Mexico Department of Homeland Security and Emergency Management shall credential out-of-state professionals who can render aid and necessary services during the pendency of the New Mexico Governor’s Executive Order 2020-004.
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New YorkYesThrough June 20, 2020, physicians licensed and in current good standing in any state in the U.S. may practice medicine in New York State without civil or criminal penalty related to lack of licensure.
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North CarolinaYesThe North Carolina Governor, with the concurrence of the North Carolina Council of State, temporarily waived North Carolina licensure requirements for health care and behavioral health care personnel who are licensed in another state, territory, or the District of Columbia to provide health care services within the State of North Carolina. 
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North DakotaYesThe Governor of North Dakota suspended licensure requirements for health care and behavioral health professionals.
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OhioLikely yesThe State Medical Board of Ohio authorized board staff to work with the State Emergency Management Agency, or other governmental entities as identified, to effectuate Ohio licensure eligibility for out-of-state doctors who are called upon to respond to the COVID-19 emergency in Ohio. 
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OklahomaYesAny medical professional who holds a license, certificate, or other permit issued by any state that is a party to the Emergency Management Compact evidencing the meeting of qualifications for the practice of certain medical services, subject to certain conditions, shall be deemed licensed to practice in Oklahoma so long as the Oklahoma Governor’s Executive Order 2020-07 is in effect.
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OregonYesIn the event of an emergency declared by the Governor of Oregon, the Oregon Medical Board shall allow physicians licensed in another state to provide medical care in Oregon under special provisions during the period of declared emergency and subject to such limitations and conditions as the Oregon Governor may prescribe.
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PennsylvaniaYesThe Pennsylvania Governor granted the Pennsylvania Department of State’s request for a suspension to allow expedited temporary licensure to practitioners in other states to provide services to Pennsylvanians, for the duration of the COVID-19 emergency.  The Pennsylvania Osteopathic Board does not have a statutory provision for the issuance of temporary licenses, but out-of-state licensees can apply for an unrestricted license.
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Rhode IslandYesBeginning March 18, 2020, out-of-state licensees need only submit a completed application form and a statement verifying the license status from their home state to receive a 90-day license to practice in Rhode Island. This temporary license can be renewed one time.
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South CarolinaYesThe South Carolina State Board of Medical Examiners waived any and all South Carolina licensing requirements for physicians licensed in good standing in another state and whose services are determined to be necessary by South Carolina Department of Health and Environmental Control.
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South DakotaYesFull recognition will be granted to the licenses held by a professional by any compact member state, in accordance with the Uniform Emergency Management Assistance Compact should those facilities require additional professionals to meet patient demand during the COVID-19 emergency, whether in-person or by remote means.
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TennesseeYesThe relevant provisions of Tennessee Code Annotated, Titles 63 and 68, and related rules were suspended to the extent necessary to give the Tennessee Commissioner of Health the discretion to allow a health care professional who is licensed in another state, and who would otherwise be subject to licensing requirements under Title 63 or Title 68, to engage in the practice of such individual’s profession in Tennessee, if such individual is a health care professional who is assisting in the medical response to COVID-19.
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UtahYesA physician who is licensed and lawfully practicing medicine in another U.S. state or territory without restrictions or conditions may practice in Utah for the duration of the declared COVID-19 emergency by obtaining a Utah Department of Commerce Division of Occupational and Professional Licensing Time-limited Emergency License.
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VermontYesPhysicians licensed in at least one U.S. jurisdiction and who are in good standing in all jurisdictions where they are licensed may be eligible to practice in Vermont by “deemed licensure” or emergency licensure.
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VirginiaYesIn response to the Virginia Governor’s declared state of emergency regarding COVID-19, and as authorized by Executive Order 42, a license issued to a health care practitioner by another state, and in good standing with such state, shall be deemed to be an active license issued by Virginia to provide health care or professional services as a health care practitioner of the same type for which such license is issued in another state, provided such health care practitioner is engaged by a hospital, licensed nursing facility, or dialysis facility in Virginia for the purpose of assisting that facility with public health and medical disaster response operations.
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WashingtonYesUnder RCW 70.15.050, while an emergency proclamation of the Washington Governor is in effect, a volunteer health practitioner who is licensed in another state may practice in Washington without obtaining a Washington license if he or she is in good standing in all states of licensure and is registered in the volunteer health practitioner system. These emergency volunteers will help meet emerging demands for health practitioners in areas impacted by COVID-19.
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West VirginiaYesFor the duration of the COVID-19 State of Emergency, the requirement that any medical provider “hold an active, unexpired license” issued by the Board of Medicine was suspended. There is an exception of those with pending complaints, investigations, consent orders, board orders, or pending disciplinary proceedings.  Additionally, the requirement that any person to practice or offer to practice medicine or surgery as an osteopathic physician or surgeon “hold an active, unexpired license” issued by the Board of Osteopathic Medicine was suspended. There is an exception of those with pending complaints, investigations, consent orders, board orders, or pending disciplinary proceedings.
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WisconsinYesAny health care provider with a valid and current license issued by another state may practice under that license and within the scope of that license in Wisconsin without first obtaining a temporary or permanent license from the Wisconsin Department of Safety and Professional Services, so long as certain conditions are adhered to.
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WyomingYesPhysicians not licensed in Wyoming may qualify to work in Wyoming during the declared COVID-19 public health emergency through the “consultation exemption.” A current, full and unrestricted licensure in at least one U.S. jurisdiction or country is required.  The exemption is not automatic, requires approval of the Wyoming Board of Medicine and the Wyoming State Health Officer, and only applies to the following specialties: Family Medicine, Pediatrics, Internal Medicine, Obstetrics/Gynecology, Emergency Medicine, Intensivist, Hospitalist, Pulmonology, Epidemiology, and Infectious Disease.
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