A person may not engage in the practice of medicine across state lines, claim qualification to engage in the practice of medicine across state lines or use any title, word or abbreviation to indicate or to induce another to believe that the person is licensed to engage in the practice of medicine across state lines unless the person is licensed in accordance with ORS 677.139 (License to practice medicine across state lines).
ORS 677.135 (“Practice of medicine across state lines” defined for ORS 677.135 to 677.141) to 677.141 (Responsibilities) do not apply to a physician or physician assistant engaging in the practice of medicine across state lines in an emergency, as defined by rule of the Oregon Medical Board.
ORS 677.135 (“Practice of medicine across state lines” defined for ORS 677.135 to 677.141) to 677.141 (Responsibilities) do not apply to a licensed physician or physician assistant located outside this state who:
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- Consults with another physician or physician assistant licensed to practice medicine in this state; and
- Does not undertake the primary responsibility for diagnosing or rendering treatment to a patient within this state.
ORS 677.135 (“Practice of medicine across state lines” defined for ORS 677.135 to 677.141) to 677.141 (Responsibilities) do not apply to a licensed physician or physician assistant located outside this state who has an established physician-patient relationship with a person who is in Oregon temporarily and who requires the direct medical treatment by that physician or physician assistant.
SOURCE: OR Revised Statutes Annotated Sec. 677.137 (Accessed Dec. 2024).
Upon application, the Oregon Medical Board may issue to an out-of-state physician or physician assistant a license for the practice of medicine across state lines if the physician or physician assistant holds a full, unrestricted license to practice medicine in any other state of the United States, has not been the recipient of a professional sanction by any other state of the United States and otherwise meets the standards for Oregon licensure under this chapter.
In the event that an out-of-state physician or physician assistant has been the recipient of a professional sanction by any other state of the United States, the board may issue a license for the practice of medicine across state lines if the board finds that the sanction does not indicate that the physician or physician assistant is a potential threat to the public interest, health, welfare and safety.
A physician or physician assistant shall apply on a form provided by the board, accompanied by nonrefundable fees for the application and the license in amounts determined by rule of the board. The board shall adopt necessary and proper rules to govern the renewal of licenses issued under this section.
A license for the practice of medicine across state lines is not a limited license for purposes of ORS 677.132 (Limited license).
A license for the practice of medicine across state lines does not permit a physician or physician assistant to practice medicine in this state except when engaging in the practice of medicine across state lines.
SOURCE: OR Revised Statutes Annotated Sec. 677.139. (Accessed Dec. 2024).
A telemedicine licensee is subject to all the provisions of the Medical Practice Act (ORS Chapter 677), and to all the administrative rules of the Oregon Medical Board.
A telemedicine licensee has the same duties and responsibilities and is subject to the same penalties and sanctions as any other physician or physician associate licensed under ORS Chapter 677, including but not limited to the following:
- The telemedicine licensee must establish an appropriate provider-patient relationship;
- The telemedicine licensee must make a judgment based on some type of objective criteria upon which to diagnose, treat, correct, or prescribe;
- The telemedicine licensee must engage in all necessary practices that are in the best interest of the patient; and
- The telemedicine licensee must provide for an acceptable continuity of care for patients, including follow-up care, information, and documentation of care provided to the patient or suitably identified care providers of the patient.
SOURCE: OR Admin. Rules, 847-025-0000. (Accessed Dec. 2024).
“The practice of medicine across state lines” means:
The rendering directly to a person of a written or otherwise documented medical opinion concerning the diagnosis or treatment of that person located within Oregon for the purpose of patient care by a physician, physician assistant, or physician associate located outside Oregon as a result of the transmission of individual patient data by telemedicine as defined in Oregon Laws 2022, chapter 45, section 14, from within Oregon to that physician, the physician’s agent, physician assistant, or physician associate outside Oregon; or
The rendering of medical treatment directly to a person located within Oregon by a physician, physician assistant, or physician associate located outside Oregon as a result of the outward transmission of individual patient data by telemedicine as defined in Oregon Laws 2022, chapter 45, section 14, from within this state to that physician, the physician’s agent, a physician assistant, or physician associate outside the state.
SOURCE: OR Admin. Rules, 847-025-0010. (Accessed Dec. 2024).
A license to practice across state lines is not required of a physician, physician assistant, or physician associate:
- Engaging in the practice of medicine across state lines in an emergency; or
- Located outside this state who consults with another physician or physician associate licensed to practice medicine in this state, and who does not undertake the primary responsibility for diagnosing or rendering treatment to a patient in Oregon;
- Located outside the state and who has an established provider-patient relationship with a patient who is in Oregon temporarily for the purpose of business, education, vacation, or work and who requires the direct medical treatment by that physician, physician assistant, or physician associate.
- Located outside the state and who has an established provider-patient relationship with a patient located in Oregon who requires temporary or intermittent follow-up care.
A physician, physician assistant, or physician associate who is located outside this state and practices medicine as described in section (1) of this rule is subject to ORS chapter 677 and rules adopted pursuant to ORS chapter 677, including but not limited to the disciplinary authority of the Board, while or as a result of practicing medicine as described in section (1) of this rule.
SOURCE: OR Admin. Rules, 847-025-0020. (Accessed Dec. 2024).
A license for the practice of medicine across state lines does not permit a telemedicine licensee to practice medicine in the state of Oregon except when engaging in the practice of medicine across state lines.
A license to practice medicine across state lines is not a limited license per ORS 677.132 or ORS 677.535.
A telemedicine licensee must not:
- Act as a dispensing physician as described in ORS 677.010(5) or dispensing physician associate as described in ORS 677.511;
- Prescribe controlled substances for the management of chronic pain to a person located in Oregon;
- Provide written documentation for purposes of ORS 475C.783;
- Employ a physician associate as defined in ORS 677.495 to treat a person located within Oregon;
- Assert a lien for services under ORS 87.555;
- Act as a supervising physician of an Oregon-certified First Responder or Emergency Medical Technician as defined in ORS 682.245;
- Be eligible for any tax credit provided by ORS 316.076;
- Participate in the Rural Health Services Program under 442.550 to 442.570; or
- Prescribe medication based only on a sale or form over the Internet, unless an appropriate provider-patient relationship is established and the standard of care described in ORS 677.095 and 677.265 is met.
SOURCE: OR Admin. Rules, 847-025-0030. (Accessed Dec. 2024).
To qualify for a license to practice medicine across state lines:
- An applicant must hold a full, unrestricted license to practice medicine in another state, must not have been the recipient of a previous disciplinary or other action by any other state or jurisdiction and must otherwise meet the standards of licensure under ORS chapter 677.
- An applicant who meets the qualifications for a license to practice medicine across state lines with the exception of being the recipient of previous disciplinary or other action by another state or jurisdiction may be issued a license for the practice of medicine across state lines if the Board finds that the previous disciplinary or other action does not indicate that the applicant is a potential threat to the public interest, health, welfare and safety of the citizens of the state of Oregon.
- An applicant does not qualify for a license to practice medicine across state lines if the applicant is the subject of a pending investigation by a state medical board or another state or federal agency.
SOURCE: OR Admin. Rules, 847-025-0040. (Accessed Dec. 2024).
Oregon medical board requires a ‘Telemedicine Active’ license to practice medicine across state lines.
SOURCE: OR Practice of Medicine Across State Lines (Telemedicine) Practice Description Form. Revised 6/2024, (Accessed Dec. 2024).
Do I need an Active Oregon license if I am an Out-of-State-Physician providing service for Oregon patients with no patient contact (i.e., Teleradiology, Telemedicine, Pathologist, Telemonitoring)?
See requirements below:
- Pathology: NO
- Teleradiology: NO
- Telemedicine: YES
- Telemonitoring: YES
SOURCE: OR Medical Board. Application Process. FAQs. (Accessed Dec. 2024).
An active or telehealth licensed doctor of optometry in Oregon who volunteers to provide professional services to a charitable nonprofit corporation may request the additional practice location license required for that location from the Board at no charge.
SOURCE: OR Admin Rules, 852-050-0021. (Accessed Dec. 2024).
Each active and telehealth licensee must notify the Board in writing of each place of practice before engaging in practice at that location. If the licensee is practicing in a mobile facility or with a portable unit, the licensee must report the Base of Operations and specific locations of such practice to the Board in compliance with this rule. Telehealth licensees must notify the Board of any distant site locations including websites, applications and other virtual sites or online platforms.
SOURCE: OR Admin Rules, 852-050-0016, (Accessed Dec. 2024).
A license for the practice of medicine across state lines does not permit a telemedicine licensee to practice medicine in the state of Oregon except when engaging in the practice of medicine across state lines.
SOURCE: OR Admin Rules, 847-025-0030. (Accessed Dec. 2024).
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