In Maryland, regulations required outpatient mental health clinics to employ a medical director who was a psychiatrist, who was required to be on-site for at least 20 hours per week.
We passed several laws since 2019 changing the requirement in several ways: allowing psych NPs to serve as medical directors and allowing medical directors to provide their supervision via telehealth. Here's the statutory change on the telehealth portion:
Our efforts met with opposition from psychiatrists and from the state, but the documented shortage of psychiatrists is so acute that we had several rural clinics in danger in shutting down because of the inability to find a psychiatrist at any cost. Happy to discuss further!