The American Telemedicine Association (ATA) has released the latest edition of its telemedicine state-by-state score card reports. There’s good news and bad news. In the area of coverage and reimbursement, 11 states and the District of Columbia saw their grades improve since September 2014, when ATA released the first editions of these reports, and only two saw their grades decline. But in the area of physician practice standards and licensure, 11 states saw their grades lowered while just six improved. Nevada was the only state to improve in both categories.