Abstract: The Veterans Health Administration (VA) celebrated 20 years of telehealth services this April. Built with careful consideration over many years and tested during the pandemic, VA’s telehealth enterprise has proven to be robust, with approximately 40% of Veterans now receiving some kind of their VA care by telehealth. VA, a health system with almost 30% of its patients living in rural or highly rural areas, was uniquely positioned to benefit from resource-sharing on a national level. As technology platforms evolved and proliferated and use cases matured, VA also began to grasp a range of related barriers—from the authority to provide care by telehealth and the infrastructure actually needed to optimize and maximize the delivery of telehealth services, to knowing how best to prepare Veterans and their family members to use the technology. In 2019, VA formalized a blueprint for enterprise telehealth services: specific tactics to build VA’s digital front door for Veterans and a roadmap for the development and dissemination of virtual care tools. This blueprint included key proposed policies designed for optimal clinical resource sharing via telehealth, including such goals as a new regional approach to credentialing and privileging to enable workforce oversight, a telework policy, and further efforts to bridge the digital divide that prioritized equity and access.