The article analyzes the historical background of the formation of legal regulation of the use of telemedicine technologies in Russia. It is concluded that changes in the legal framework are preceded by a conceptual justification of the introduction of telemedicine technologies in strategic planning documents. The transition of states to the sixth technological order marks the widespread introduction of innovative technologies in various spheres of life, including healthcare, where the use of information and telecommunications technologies helps to reduce economic costs and ensure the availability and effectiveness of medical care provided remotely.