In the past five years, there has been growing acceptance of telepsychiatry as a valid and even essential method for providing mental health care. Particularly in states that have few psychiatrists (such as Minnesota, Montana) and in regions that are remote (northern California, west Texas, upstate New York), telepsychiatry has allowed for mental health care to reach patient populations that previously had no access to care. In addition, telepsychiatry gained more acceptance as being a necessary tool for providing mental health care to special populations, such as prison inmates. Nevertheless, prior to the Covid-19 pandemic, a certain bias against telemedicine and telepsychiatry persisted on the part of providers, insurance companies, and regulators.