State Board of Professional Counselors and Therapists - Temporary Telehealth Licenses - Establishment

HB 1474 allows out-of-state licensed professional counselors to provide temporary telehealth counseling services to specific students enrolled at Maryland colleges. It directly affects out-of-state counselors and students who are out-of-state residents living near a Maryland institution of higher education (not established Maryland residents). Key provisions require an existing therapeutic relationship between counselor and student, limit services to 5 days per month or 15 days annually, and exclude students with in-state health insurance plans restricting coverage to local providers. The bill takes effect October 1, 2025, and will be superseded if the Interstate Counseling Compact begins issuing cross-state licenses.