Within hours of one another, the federal government sent two powerful signals that telemedicine is here to stay, but permanency may not be as easy as expected. President Trump issued the "Executive Order on Improving Rural and Telehealth Access," declaring: “the expansion of telehealth services is likely to be a more permanent feature of the healthcare delivery system.” The Centers for Medicare & Medicaid Services (CMS) subsequently released the 2021 Medicare Physician Fee Schedule (PFS) Proposed Rule featuring a section: “Telehealth and Other Services Involving Communications Technology.”