US governors of Washington, Oregon, Colorado, and Nevada announced that their states will work together on telehealth issues. The states will identify best practices that support telehealth services for their residents, support continued application and availability of telehealth, and ensure that inequalities faced by tribal communities are addressed. The states will implement state-driven telehealth policies while adhering to seven overarching principles. The principles include access, confidentiality, equity, standard of care, and more.