Background: Before the COVID-19 pandemic, telemedicine for healthcare delivery was uncommon. Medicare restricted routine fee-for-service reimbursements for rural patients, with payments made under restricted circumstances. In response to the pandemic, the Department of HHS amended the Coronavirus Preparedness and Response Supplemental Appropriations Act to remove numerous restrictions on Medicare coverage of telemedicine services. Under this initiative, Medicare beneficiaries from any location could receive care in the comfort of their own homes. Purpose: The purpose of this study was to examine Medicare beneficiaries' use of telemedicine services during the COVID-19 pandemic (April 2020-February 2021) in New York State, Florida, California, Texas, West Virginia, and Arkansas, and to compare and evaluate utilization and trends using data from the Medicare Telemedicine Snapshot from the Centers for Medicare & Medicaid Services (CMS). Method: Utilizing a cross-sectional design, telemedicine visits across age groups, races/ethnic groups, and geographic locations were evaluated. Descriptive statistics and Chi-square tests were conducted. Results: Rural states (West Virginia, Arkansas) utilized Medicare telemedicine the least with California utilizing the most telehealth services. Those aged 65-74 used telehealth the most across all six states. West Virginia and Arkansas had the highest telehealth usage rates among those 65 and younger. Urban Medicare beneficiaries had significantly higher telehealth usage than their rural counterparts across six states. New York State offered more Medicare telehealth services than Arkansas and West Virginia, but California, Texas, and Florida provided more services. Females had greater utilization rates across all six states. Implications: These disparities create an opportunity for legislators to address how additional training, technology, and technical assistance can provide fairer access to phone and video telemedicine modalities beyond the pandemic. It is recommended that telehealth planning continue to develop to support greater care availability across the board. The regulation exemptions imposed during the COVID-19 pandemic helped boost the usage of telehealth services, as did public health and CDC guidelines promotion of virtual visits. Still, more emphasis must be placed on remote areas, age, gender, race, and ethnicity for telehealth services to provide more universal quality care. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]