1. A. A telehealth practitioner shall be held to the same standards of practice and documentation as those applicable in in-person health care settings.
2. B. A telehealth practitioner may not treat a patient or prescribe medication based solely on a static online questionnaire.

3. C. A telehealth practitioner may not prescribe an opiate described in the list of Schedule II substances under Criminal Law Article, §5-403, Annotated Code of Maryland for the treatment of pain through telehealth unless:

   1. (1) The patient is in a health care facility as defined in Health-General Article, §19-114(d)(1), Annotated Code of Maryland;
   2. (2) The Governor has declared a state of emergency due to a catastrophic health emergency; or
   3. (3) There is an established bona fide practitioner-patient relationship in which the telehealth practitioner has ongoing responsibility for the assessment, care, and treatment of the patient and the telehealth practitioner, or another health care practitioner in the same group practice, as defined in Health Occupations Article, §1-301, Annotated Code of Maryland, previously conducted an in-person assessment of the patient.
4. D. A telehealth practitioner shall comply with all State and federal laws and regulations related to dispensing including the prohibition on mail order dispensing.

Authority: Health Occupations Article, §§1-213, 1-606, 1-1003, 1-1006, 14-205, Annotated Code of Maryland

Effective date: December 28, 2009 (36:26 Md. R. 1995)

Regulations .01—.07, Telemedicine, repealed and new Regulations .01—.07, Telehealth, adopted effective August 12, 2019 (46:16 Md. R. 688)

Regulation .02B amended effective September 15, 2025 (52:18 Md. R. 923)

Regulation .03 amended effective September 15, 2025 (52:18 Md. R. 923)

Regulation .04 amended effective September 15, 2025 (52:18 Md. R. 923)

Regulation .05 amended effective September 15, 2025 (52:18 Md. R. 923)

Regulation .06 B, C amended effective September 15, 2025 (52:18 Md. R. 923)

Regulation .06C amended effective January 19, 2026 (53:1 Md. R. 21)

Regulation .06D adopted effective September 15, 2025 (52:18 Md. R. 923)