Telehealth Tuesday: Compliance & Privacy Beyond HIPAA – Navigating Telehealth Across State Lines

As telehealth continues to unlock new ways to deliver care, many providers are expanding to serve patients across locations, sometimes across state borders. But with this opportunity comes a complex landscape of compliance and regulatory requirements that go beyond HIPAA alone.

Whether you’re considering hybrid care models, multi-state licensure, or remote patient workflows, it’s crucial to understand the rules that govern telehealth wherever care is delivered.

Licensing & Cross-State Care: Where Your Patient Is Matters

Telehealth rules vary significantly by state, and providers are generally required to be licensed in the state where the patient is physically located during the appointment. Some states allow temporary or expedited telehealth practice, others do not. Compacts, such as the Interstate Medical Licensure Compact, can help streamline licensing, but requirements differ by profession and location.

If your care model reaches multiple states, build a compliance roadmap upfront to avoid costly missteps.

Data Privacy & Storage Requirements Beyond HIPAA

HIPAA sets the foundation for patient data protection, but many states impose stricter regulations for:

  • Data residency and how long records must be stored
  • Patient rights and access to telehealth documentation
  • Third-party vendor security certifications

Behavioral health, adolescent care, and specialty services often have additional privacy restrictions you must account for when using telehealth technology.

SecureVideo is built for HIPAA-compliant care and supports BAAs for every customer, ensuring protected communication and secure storage.

Informed Consent: Not One Size Fits All

Some states mandate telehealth-specific informed consent, requiring you to:

  • Explain risks and limitations of virtual care
  • Document consent clearly before starting care
  • Provide alternatives when telehealth may not be appropriate

These requirements can vary not just by state, but also by specialty.

With SecureVideo, providers can easily collect, store, and manage consents electronically, helping keep documentation organized and accessible.

Hybrid Care Workflows: Keeping Policies Consistent

As more organizations deliver a mix of virtual and in-person services, maintaining consistent security controls is key. Encryption, access management, and audit readiness should apply equally to all care environments.

SecureVideo’s platform standardizes privacy, secure connections, and audit trails, whether care is remote, onsite, or both.

Stay Confident and Compliant with SecureVideo

Telehealth opens doors, but compliance should always guide expansion. By proactively addressing licensure, privacy laws, and consent obligations, providers can safely grow their reach while maintaining the highest standard of patient care.

SecureVideo is here to support organizations navigating multi-state and hybrid care models, with tools and guidance designed for privacy, security, and regulatory confidence. See a demo of our platform to learn more.