One of the major innovations in EA practice (and healthcare in general) has been the explosive growth in telehealth and online health delivery platforms. Although gradually emergent over the past decade, use of these virtual mechanisms exploded during the COVID-19 pandemic. This increased use of telemedicine and mobile applications has generally been seen as a remedy to improve the accessibility and reach of health services. In the United States, aspects of medical and mental health delivery have been regulated by over 50 independent jurisdictions. As a result, they are characterized by considerable geographic variation with respect to insurance coverage, access to/cost of care, health status, and standards of professional practice. With the onset of the pandemic, the demand for telehealth services was so acute that it forced the easing of previously restrictive requirements. This easing allowed mental health clinicians in many areas to practice teletherapy across state lines, regardless of where the client and provider were physically located. This previously guarded professional service delivery apparatus has become an evolving issue in the US health care system, with many lobbying for less restrictive regulation of telehealth across jurisdictional boundaries.