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Telemedicine

Medical Marijuana can be recommended via Telemedicine in some states

Medical Marijuana Program: Telemedicine 

Telemedicine protocols vary state-by-state.  Please consult with your state's health department for the exact rules governing the establishment of a doctor-patient relationship.   We have included the laws as they pertain to NYS which has one of the more restrictive policies. 


Of New York State's 90,000+ doctors, only just over 1000 are licensed to recommend Medical Marijuana. Telemedicine greatly expands patient access to those prescribers, especially in the under-served rural parts of the state. ©DrMedMar.com - 2017

New York State does not require an in-person physical examination, to establish a patient-physician relationship. Healthcare providers may not only establish patient relationships through telemedicine, but they may also prescribe non-controlled substances — prescribing “dangerous drugs or devices” via telemedicine, may only be permitted if an in-person examination is conducted first.

On March 13, 2015, the State of New York passed Senate Bill 2405, “The Telehealth Amendment Act", amending the public health law, the insurance law and the social services law, in relation to the delivery of telehealth services. As per the amendment, “telehealth” is defined as “the use of electronic information and communication technologies by telehealth providers, to deliver health care services, which shall include the assessment, diagnosis, consultation, treatment, education, care management and/or self-management, of a patient”. Telehealth does not include audio-only telephone communication, facsimile machines, or electronic messaging, unless used in conjunction with telemedicine, store-and-forward technology, and remote patient monitoring.

Using Medical Marijuana Telemedicine Services in New York

For the first time in history, qualified medical marijuana patients may now choose to see a marijuana doctor online, using medical marijuana telemedicine services for the purposes of obtaining a New York medical marijuana evaluation. 


Useful Resources for Doctors & Practice Administrators:



New Jersey Medical Marijuana Telemedicine Laws

New Jersey Medical Marijuana Program: Telemedicine

New Jersey legislature introduced Senate Bill 2337, on August 11, 2014, defining “telemedicine” to mean the "use of interactive audio, video, or other telecommunications or electronic technology, by a  licensed health care provider, to deliver a health care service to a patient geographically situated in a different location — the use of audio-only telephones, electronic mail, or facsimile transmissions between and provider and patient, are not included in the definition of “telemedicine”.

Unless specifically prohibited, deemed clinically prohibited, or limited by federal or State law, SB 2337 provides that, in-person contact between a health care provider and a patient, is not required for health care services performed via telemedicine

The state also requires that all health care practitioners providing telemedicine services, must first document and record a patient’s informed consent, prior to commencing service.

All out-of-state health care practitioners intending to provide telemedicine services, to patients geographically situated in the state of New Jersey, must first obtain a valid medical license, from the New Jersey Medical Board, prior to commencing service — however, physician-to-physician (P2P) exemptions apply.

To date, no parity laws have yet been enacted in New Jersey, that would require private payers to recognize and reimburse telemedicine services at the same rates as the equivalent health care service provided in-person — however, New Jersey Medicaid provides coverage for interactive audio-video services


Maryland Medical Marijuana Telemedicine Laws

Maryland Medical Marijuana Program: Telemedicine

To date, Maryland has yet to pass legislature enacting a telehealth/telemedicine policy — however, the State of Maryland defines telehealth as “the use of telecommunications and information technologies for the exchange of information from one site to another, for the provision of health care to an individual from a provider through hardwire or internet connection”. Telemedicine denotes the delivery of health care services by means of "interactive audio, video, or other telecommunications/electronic technology".

In 2012, Maryland legislature enacted parity laws, requiring Maryland Medicaid, state health employee plans, and private payers alike, to recognize and reimburse telemedicine services at the same rates as the equivalent health care service provided in-person.

All health care practitioners providing telemedicine services, are required to first establish a physician-patient relationship with a patient, prior to providing a diagnosis or treatment — however, telemedicine may be used to satisfy this requirement, as well as the requirement for an in-person examination.

All out-of-state health care practitioners intending to provide telemedicine services, to patients geographically situated in the state of Maryland, must first obtain a valid medical license, from the Maryland Medical Board, prior to commencing service — however, physician-to-physician (P2P) exemptions apply; and physician licensure reciprocity, extends to Maryland’s bordering states.

On February 02, 2016, Maryland introduced potential legislature that would allow the state to join the Interstate Medical Licensing Compact, expediting a pathway to licensure for qualified physicians, wishing to practice telemedicine in multiple states.

Florida Medical Marijuana Telemedicine Laws

Florida lawmakers have passed legislation that prevents doctors from using telemedicine to prescribe medical marijuana. 

 Florida lawmakers have passed legislation that prevents doctors from using telemedicine to issue a prescription for medical marijuana.

The rule requires that Sunshine State doctors who want to issue a medical marijuana prescription must first “(conduct) a physical examination while physically present in the same room as the patient and a full assessment of the medical history of the patient.”



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