Teladoc Inc., a telemedicine provider, has served notice it does not want to be reined in by rules changes proposed by the Mississippi Board of Medical Licensure.

The provider opposes the proposed requirement of a videoconferencing before medication is prescribed and a contract is signed between a telemedicine physician and a primary care physician.

Teladoc Inc. contends those changes are unnecessary and will drive up the cost of medical delivery.

Teladoc operates in 49 states and charges $40 a month for the service. It has been in Mississippi for about eight years, has 68,000 members in the state and saved $2.6 million for employers in the past 14 months, according to the company.

Because the board did not include an economic impact statement with its proposed changes, Teladoc succeeded in getting the board to agree to a stay of implementation after the agency filed the rules changes with the Mississippi secretary of state’s office in March.

Teladoc succeeded in getting a temporary restraining order and preliminary injunction in May, in the U.S. District Court for Western Texas, Austin Division, preventing the Texas Medical Board from amending its rules to require a physical examination before a prescription could be made.

The company argued that the requirements and others violated antitrust law and the Commerce Clause of the U.S. Constitution.

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