A national licensure system could be implemented at the state or national level and would involve the issuance of a license based on a standardized set of criteria for the practice of health care throughout the U.S. Administration of this system at the national level could be left to a national professional organization. Central administration might raise concerns over state revenue loss, the legal authority of the states, the mechanism for financing the system, and the logistics of where and how confidential licensing data would be collected, processed, and stored. Disciplinary actions would continue to be carried out at the state level subject to the national standards. If implemented at the state or local level these issues could be simplified, since states could retain control. In either case, these national standards would require states to agree on a common set of standards that encompass everything from qualifications to discipline.

Pretend you are a member of Congress, what statement would you use to supporting the model proposed for cross-jurisdictional licensure of a telemed and/or telehealth initiative.

• Which model do you support?
• What are the benefits of the model?
• What are the likely barriersandcounterarguments?
• Would this model work for other health care disciplines