MedElite

New York: Full Practice, outside the Nurse Licensure Compact. NPs in New York with 3,600 hours of practice or fewer must practice in collaboration with a physician under a written practice agreement and written practice protocols. NPs with more than 3,600 hours of practice are currently exempt from those requirements.

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.

Texas: Restricted Practice, a Nurse Licensure Compact member. Texas requires NPs to have a prescriptive authority agreement with a supervising physician.

Vermont: Full Practice, a Nurse Licensure Compact member. Vermont NPs have independent practice authority once they complete the transition to practice. Until they have 24 months and 2,400 hours of licensed active advanced nursing practice in their role and population focus, they must have a collaborative provider agreement with a Vermont licensed physician or advanced practice registered nurse and may not engage in solo practice.

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.