Elara Caring

Michigan: Restricted Practice, outside the Nurse Licensure Compact. Michigan NPs may prescribe nonscheduled prescription drugs on their own authority, but may prescribe controlled substances in schedules 2 to 5 only as a delegated act of a physician under the physician's written authorization.

Ohio: Reduced Practice, a Nurse Licensure Compact member. Ohio NPs must have a standard care arrangement with a collaborating physician.

Indiana: Reduced Practice, a Nurse Licensure Compact member. Indiana NPs must practice under a collaborative agreement with a physician.

Massachusetts: Full Practice, has enacted but not implemented the Nurse Licensure Compact. Massachusetts grants full practice authority to NPs once they attest to the Board of Registration in Nursing that they have completed at least two years of supervised practice; until then, a qualified healthcare professional, who may be a physician or an experienced NP, supervises their prescribing. NPs applying by reciprocity who have at least two years of NP practice outside Massachusetts, independent or supervised, may instead prescribe without supervision once they attest to that experience.

Missouri: Restricted Practice, a Nurse Licensure Compact member. Missouri requires NPs to have a collaborative practice arrangement with physician supervision.