In April 2015, the Texas Medical Board issued a rule that made Texas the most restrictive state in the country for the regulation of telemedicine. In response, Teladoc, a major telemedicine firm based in Dallas, filed a federal lawsuit against TMB. This came on the heels of a SCOTUS ruling in North Carolina Board of Dental Examiners v. FTC that will likely have major implications for the future of telemedicine regulation in Texas and across the country.