The document summarizes Howard Chapman's presentation on telehealth in Federally Qualified Health Centers (FQHCs). Motivating factors for Southwest Virginia Community Health Systems (SVCHS) to enter telemedicine included lack of specialty care access in rural areas. SVCHS partnered with UVA to provide telemedicine services through six sites. Successes included high utilization and access to 33 specialties. Reimbursement and licensure posed ongoing challenges.