Verified October 8, 2026 against the statutes and regulations cited below. Research, not legal advice. All states
What operators miss in Louisiana
- The statutory payment parity requirements cover physical and occupational therapy services, not telehealth generally.
- A telemedicine permit holder cannot supervise or collaborate with a PA or NP located in Louisiana; that requires a full Louisiana license.
- Malpractice suits over telehealth care may be filed in the parish where the patient lives or where the patient was located during the visit (La. R.S. 40:1223.5).
Does Louisiana have a telehealth registration for out-of-state clinicians?
A limited license to treat patients located in Louisiana by telemedicine. Holders may not open a Louisiana office, meet patients in the state, take calls in the state from patients, or supervise or collaborate with Louisiana allied providers.
- Name: Telemedicine permit (Louisiana State Board of Medical Examiners)
- Who can use it: Physicians (MD or DO) with an unrestricted license in another state
Citation: La. R.S. 37:1271; La. R.S. 40:1223.4(B)(3); La. Admin. Code tit. 46, pt. XLV, §§ 408, 7513
When can an out-of-state clinician treat Louisiana patients without a Louisiana license?
Medical practice act licensing requirements do not apply to consultation between a Louisiana-licensed physician and a physician licensed elsewhere. The Telehealth Access Act also requires boards to exempt peer-to-peer consultation from telehealth licensing.
- Exception for consultation with a licensed physician
Citation: La. R.S. 37:1291; La. R.S. 40:1223.4(B)(4)
Can a patient relationship start by telehealth in Louisiana?
A physician-patient relationship can be established by telemedicine, and the exam need not be in person if the technology gives the physician enough clinical information. Audio without video is allowed if, after reviewing the patient's records, the clinician can meet the in-person standard of care.
Citation: La. R.S. 40:1223.4(B)(5), (B)(7); La. Admin. Code tit. 46, pt. XLV, §§ 7503-7505
Does Louisiana require telehealth consent?
Before using telemedicine, a physician must give and document disclosures: name, Louisiana license number, specialty, follow-up and emergency care, records access, technology failure plan and privacy practices. Patients must be told they may decline telemedicine.
Citation: La. Admin. Code tit. 46, pt. XLV, §§ 7507, 7511
What limits does Louisiana put on prescribing by telehealth?
Board rules bar telemedicine for non-cancer chronic pain. Act 345 of 2026 stops the medical and nursing boards from prohibiting telehealth obesity and weight-management care when the visit is synchronous, overriding the older rule against telemedicine obesity treatment.
- Board rule requires at least one in-person visit within the past year before prescribing a controlled substance by telemedicine, unless the patient is being treated at a licensed, DEA-registered facility. The board can grant individual exceptions.
Citation: La. R.S. 40:1223.4(B)(6), (D) (Act 345 of 2026); La. R.S. 37:1271.1; La. Admin. Code tit. 46, pt. XLV, § 7513
Does Louisiana require its own controlled-substance registration?
Practitioners who prescribe controlled substances to Louisiana patients need a Louisiana CDS license in addition to DEA registration.
- Required, issued by Louisiana Board of Pharmacy (Controlled Dangerous Substance license)
Do private payers in Louisiana have to cover telehealth?
- Private-payer telehealth coverage law
- Parity with conditions
Citation: La. R.S. 22:1821(F); 22:1845.1; 22:1845.2
How does Louisiana treat the corporate practice of medicine?
Adding Louisiana to your telehealth practice?
A State Expansion Pack applies Louisiana's rules to your service line and lists what changes in your workflow before the first visit. We also file telehealth registrations for physicians, nurse practitioners and physician assistants.
Sources
- index; verbatim text of LAC 46:XLV.408, 7503-7513, R.S. 37:1271.1, 37:1291, 22:1845.1-.2
- registration, licensureExceptions, relationship, prescribing (R.S. 40:1223.4, full text read)
- registration (R.S. 37:1271 permits; 37:1276.1 telemedicine license repealed by Acts 2023, No. 322)
- prescribing (Act 345 of 2026 digest, adds R.S. 40:1223.4(D))
- stateControlledSubstanceRegistration
- consent, prescribing (LAC Title 46, Part XLV, Ch. 75)
