Lyra Health

Alabama: Reduced Practice, a Nurse Licensure Compact member. Alabama requires NPs to practice under a collaborative practice agreement with a physician. For NPs with less than two years (4,000 hours) of collaborative practice experience since initial certification or in the collaborating physician's specialty, the collaborating physician or an approved covering physician must be present for at least 10 percent of scheduled hours, although certain settings and limited protocols are exempt.

Minnesota: Full Practice, outside the Nurse Licensure Compact. Minnesota NPs must first practice at least 2,080 hours under a collaborative agreement with a physician or with an advanced practice registered nurse who has at least three years of practice, and NPs who provide services other than primary care or mental health services must complete those hours in a setting where advanced practice registered nurses and physicians work together. After that, they may practice independently.

Oklahoma: Restricted Practice, a Nurse Licensure Compact member. Oklahoma NPs who prescribe must have a written supervision agreement with a supervising physician until the Board of Nursing grants them independent prescriptive authority. NPs who have completed 6,240 clinical practice hours with prescriptive authority supervised by a physician may apply for that independent authority.

Pennsylvania: Reduced Practice, a Nurse Licensure Compact member. Pennsylvania requires a collaborative agreement for NP practice.