Telehealth compliance is a 50-state matrix — licensure, consent, prescribing, and payment rules vary — and product architecture must treat state as a
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Providers generally need licensure where the patient sits — platforms must know patient location and route to appropriately licensed clinicians; compact participation (IMLC and kin) widens pools without erasing the rule.
Informed-consent requirements, audio-only allowances, and originating-site rules differ by state — configuration per state, not hardcoded assumptions, is the architectural consequence.
Controlled-substance rules layer federal and state requirements with ongoing flux — prescribing workflows need state-aware guardrails and audit trails by design.
Rules change; the platform that encodes them as maintainable configuration with an update process survives — this primer orients engineering, and healthcare counsel owns current-state truth.
Skipping the discipline this article describes until an incident, audit, or stalled project forces it — every practice above is cheaper adopted early than retrofitted under pressure.
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