Missouri’s new governor, Eric Greitens, recently announced deep budget cuts to higher education, social services and transportation. Among the cuts were two that will directly impact telehealth in Missouri. The governor withheld $121,250 from the budget of Missouri Telehealth Network, money that was planned for use in Show-Me ECHO, Missouri’s telementoring program for primary care providers. Additionally, $146,168 was withheld from the Department of Social Services funding that will delay Missouri’s planned expansion of telehealth reimbursement under Mo HealthNet. When released, the regulatory changes will allow schools to serve as originating telehealth sites.