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HB 1483

Clinical Professional Counseling - Out-of-State Providers - Use of Telehealth for Continuity of Care

2026 Regular Session Introduced by Tiffany Alston and 18 co-sponsors

HB 1483 permits unlicensed out-of-state counselors to provide telehealth to existing Maryland patients for continuity, bypassing state licensing requirements.

Approved by the Governor - Chapter 242
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Bill Summary · HB 1483

Legislative bill overview

HB 1483 would allow out-of-state clinical professional counselors to provide telehealth services to existing Maryland patients to maintain continuity of care, even without Maryland licensure. The bill appears designed to address situations where patients have established therapeutic relationships with out-of-state providers and want to continue treatment via telehealth without interruption.

Why is this important

This affects mental health access during transitions—such as when patients move or providers relocate—potentially reducing gaps in ongoing psychological treatment. However, it also raises questions about regulatory oversight and consumer protection standards in mental health services.

Potential points of contention

  • Licensing and accountability: Out-of-state providers would operate outside Maryland's regulatory framework, potentially limiting the state's ability to investigate complaints, enforce standards, or protect patients through Maryland's licensing board
  • Scope and limitations: The bill's language around what constitutes "continuity of care" and how long such arrangements can continue is unclear, which could enable indefinite unlicensed practice
  • Consumer protection parity: Maryland residents using in-state providers would have different regulatory protections than those using out-of-state telehealth providers, creating inconsistent standards

Compiled from official sources — confirm details with the bill’s official record.

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