The article is devoted to the study of individual problems of the relatively new phenomenon of legal reality of telemedicine. Conducting an assessment of foreign practices, the author comes to the conclusion that telemedicine is only being introduced into practical healthcare in Russia. The complexity of this phenomenon allows us to talk about the features of regulatory regulators used to implement the mechanism of telemedicine services. The author notes that Telemedicine in the modern sense in Russia is positioned as one of the ways of providing medical care. Attention is drawn to the absence of a legal definition of telemedicine, the legislator, using a narrow approach, refers to the definition of telemedicine services. The heterogeneity of the problems that develop in the process of using telemedicine services allows the author to highlight the most significant ones that require legislative elaboration. The issues of the dynamics of telemedicine services in the pandemic period are touched upon. Possible ways of solving legislative barriers are proposed.