The project team will lead an interdisciplinary working group of approximately 15 members to synthesize current perspectives on physician telehealth licensure and propose concrete, feasible policy recommendations. The initiative will focus on alternative policy solutions for reforming state-based medical licensure that promote national telehealth practices without undermining quality assurance, patient safety, and oversight of physician practices. This would explore legislative, regulatory, and voluntary alternatives to current state-based licensure regimes. Specific questions for consideration will include: What are the political barriers to licensure reform? Which stakeholders benefit from the status quo? Who are potential partners in a coalition for reform? What leadership options are available to Medicare in this space? What current legal frameworks could serve as models for reformed licensure?