Mountain West
Field Note Insights

As we move into mid-2026, the regulatory environment for telehealth in the Rocky Mountains and Great Plains has shifted from a state of emergency reaction to a period of institutional stability. While federal extensions have provided a temporary window of transition, regional state legislatures are increasingly taking direct control over how virtual care is delivered, reimbursed, and licensed. 1. The Federal Regulatory Floor (2026–2027) Current federal law acts as the foundat