An Act to Permit Telehealth Services Across State Lines Following
Maine Legislature, Session 132, LD 0742
Committee: Health Coverage, Insurance and Financial Services
Sponsors: FREDETTE
Amends: 32 MRSA §69, 32 MRSA §566, 32 MRSA §567, 32 MRSA §1533, 32 MRSA §2266, 32 MRSA §2267, 32 MRSA §2276-A, 32 MRSA §2600-A, 32 MRSA §2600-B, 32 MRSA §3120, 32 MRSA §3300-A, 32 MRSA §3300-B, 32 MRSA §3661, 32 MRSA §3662, 32 MRSA §3850-E, 32 MRSA §3850-F, 32 MRSA §4879, 32 MRSA §6231, 32 MRSA §6232, 32 MRSA §7071, 32 MRSA §7072, 32 MRSA §9714, 32 MRSA §9863, 32 MRSA §9916, 32 MRSA §12611, 32 MRSA §12612, 32 MRSA §13848, 32 MRSA §13849, 32 MRSA §13868, 32 MRSA §14363, 32 MRSA §17401, 32 MRSA §17402, 32 MRSA §19601, 32 MRSA §19602

Legislative Document
No. 742
H.P. 484
House of Representatives, February 25, 2025
An Act to Permit Telehealth Services Across State Lines Following 
Referral from a Primary Care Provider Based in the State
Reference to the Committee on Health Coverage, Insurance and Financial Services 
suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative FREDETTE of Newport.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  32 MRSA §69, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 2.  32 MRSA §69, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 3.  32 MRSA §566, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 4.  32 MRSA §567, as enacted by PL 2021, c. 291, Pt. B, §2, is repealed and 
the following enacted in its place:
§567.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 5.  32 MRSA §1533, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 6.  32 MRSA §1533, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 7.  32 MRSA §2266, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 8.  32 MRSA §2267, as enacted by PL 2021, c. 291, Pt. B, §4, is repealed and 
the following enacted in its place:
§2267.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 9.  32 MRSA §2276-A, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 10.  32 MRSA §2276-A, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 11.  32 MRSA §2600-AA, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 12.  32 MRSA §2600-BB, as enacted by PL 2021, c. 291, Pt. B, §7, is repealed 
and the following enacted in its place:
§2600-BB.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 13.  32 MRSA §3120, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 14.  32 MRSA §3120, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 15.  32 MRSA §3300-AA, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 16.  32 MRSA §3300-BB, as enacted by PL 2021, c. 291, Pt. B, §9, is repealed 
and the following enacted in its place:
§3300-BB.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 17.  32 MRSA §3661, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 18.  32 MRSA §3662, as enacted by PL 2021, c. 291, Pt. B, §10, is repealed 
and the following enacted in its place:
§3662.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 19.  32 MRSA §3850-E, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 20.  32 MRSA §3850-F, as enacted by PL 2021, c. 291, Pt. B, §11 and 
reallocated by RR 2021, c. 1, Pt. A, §29, is repealed and the following enacted in its place:
§3850-F.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 21.  32 MRSA §4879, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 22.  32 MRSA §4879, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 23.  32 MRSA §6231, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 24.  32 MRSA §6232, as enacted by PL 2021, c. 291, Pt. B, §13, is repealed 
and the following enacted in its place:
§6232.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 25.  32 MRSA §7071, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 26.  32 MRSA §7072, as enacted by PL 2021, c. 291, Pt. B, §14, is repealed 
and the following enacted in its place:
§7072.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.   Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 27.  32 MRSA §9714, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 28.  32 MRSA §9714, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 29.  32 MRSA §9863, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 30.  32 MRSA §9863, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 31.  32 MRSA §9916, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 32.  32 MRSA §9916, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 33.  32 MRSA §12611, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 34.  32 MRSA §12612, as enacted by PL 2021, c. 291, Pt. B, §18, is repealed 
and the following enacted in its place:
§12612.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 35.  32 MRSA §13848, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 36.  32 MRSA §13849, as enacted by PL 2021, c. 291, Pt. B, §19, is repealed 
and the following enacted in its place:
§13849.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 37.  32 MRSA §13868, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 38.  32 MRSA §13868, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 39.  32 MRSA §14363, sub-§1, ¶A-1 is enacted to read:
A-1.  "Primary care provider" means a physician licensed under chapter 46 or 48, 
advanced practice registered nurse approved pursuant to section 2201-A or physician 
assistant licensed under section 2594-E or 3270-E who provides preventive care 
services to a patient and coordinates and oversees a patient's access to health care 
services, including specialty health care services.
Sec. 40.  32 MRSA §14363, sub-§2-A is enacted to read:
2-A.  Telehealth services upon referral of primary care provider; person not 
licensed in this State.  Notwithstanding any provision of this section or any other provision 
of law to the contrary, a person not licensed under this chapter may provide telehealth 
services to a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 41.  32 MRSA §17401, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 42.  32 MRSA §17402, as enacted by PL 2021, c. 291, Pt. B, §22, is repealed 
and the following enacted in its place:
§17402.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
Sec. 43.  32 MRSA §19601, sub-§1-A is enacted to read:
1-A.  Primary care provider.  "Primary care provider" means a physician licensed 
under chapter 46 or 48, advanced practice registered nurse approved pursuant to section 
2201-A or physician assistant licensed under section 2594-E or 3270-E who provides 
preventive care services to a patient and coordinates and oversees a patient's access to 
health care services, including specialty health care services.
Sec. 44.  32 MRSA §19602, as enacted by PL 2023, c. 580, §8, is repealed and the 
following enacted in its place:
§19602.  Telehealth services permitted
1.  Persons licensed in this State; telehealth services permitted.  A person licensed 
under this chapter may provide telehealth services as long as the licensee acts within the 
scope of practice of the licensee's license, in accordance with any requirements and 
restrictions imposed by this subchapter and in accordance with standards of practice.
2.  Telehealth services upon referral of primary care provider; person not licensed 
in this State.  Notwithstanding any provision of this section or any other provision of law 
to the contrary, a person not licensed under this chapter may provide telehealth services to 
a patient located in this State if:
A.  The patient has received a referral from a primary care provider licensed in this 
State and the primary care provider has obtained and documented the patient's written 
informed consent to receive telehealth services;
B.  The person is fully licensed without restriction in the state from which the person 
provides telehealth services, including any licensing or certification requirements to 
provide telehealth services in that state;
C.  The person has not had a license revoked or restricted in any state or jurisdiction;
D.  The person complies with the provisions of this section regarding telehealth 
services and any rules adopted pursuant to this section in the same manner as a person 
licensed under this chapter; and
E.  Prior to the provision of telehealth services, the person discloses to the patient the 
person's qualifications, proof of licensure and contact information.
SUMMARY
This bill permits health care providers licensed in another state to provide telehealth 
services to a patient in this State as long as the patient is referred for those services by a 
primary care provider licensed in this State and the primary care provider has obtained and 
documented the patient's written informed consent to receive telehealth services. The out-
of-state provider must comply with the provisions of state law and rules regarding 
telehealth services and, prior to the provision of telehealth services, must disclose to the 
patient the provider's qualifications, proof of licensure and contact information.