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Federal vs State Authority Federal Government: Sets minimum standards for telehealth Regulates interstate commerce Oversees FDA (medication approval) Manages DEA (controlled substances) HIPAA privacy requirements State Governments: License healthcare providers Regulate medical practice License pharmacies Set telehealth practice standards Control what can be prescribed remotely States have primary authority over medical practice, including telehealth

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2017, doi: 10.1016/j.jshs.2015.12.003