Telehealth Laws by State 2026

States with Payment and Service Parity

Some states require both service parity and payment parity for telehealth. This means insurers must cover telehealth services when equivalent in-person care is covered and reimburse providers at the same or similar rate.

States in this category include Arizona, California, Connecticut, Delaware, District of Columbia, Georgia, Hawaii, Illinois, Iowa, Kentucky, Maryland, Massachusetts, Minnesota, Nebraska, Nevada, New Mexico, New York, Oklahoma, Oregon, Rhode Island, Utah, Vermont, Virginia, Washington, and West Virginia.

States with Service Parity Only

Some states require insurers to cover telehealth services when equivalent in-person care is covered but do not mandate equal reimbursement rates. This means telehealth visits may be covered, but payment levels can vary.

States in this category include Alaska, Arkansas, Colorado, Florida, Indiana, Kansas, Maine, Michigan, Mississippi, Missouri, Montana, New Hampshire, New Jersey, North Dakota, Ohio, South Dakota, Tennessee, and Texas.

States with Payment Parity Only

A small number of states require payment parity for telehealth without explicitly mandating full service parity. This means providers must be reimbursed at similar rates to in-person care, though coverage rules may vary.

States in this category currently include only Louisiana.

States with No Telehealth Parity Law

Some states do not have telehealth parity laws in place, meaning insurers are not required to cover telehealth services or reimburse them at rates comparable to in-person care.

States in this category include Alabama, Idaho, North Carolina, Pennsylvania, South Carolina, Wisconsin, and Wyoming.