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Illinois: Reduced Practice, outside the Nurse Licensure Compact. Illinois requires NPs to have a written collaborative agreement until they obtain full practice authority, except when they practice under clinical privileges in a hospital, hospital affiliate or ambulatory surgical treatment center. Full practice authority requires a notarized attestation of at least 4,000 hours of clinical experience after first attaining national certification and at least 250 hours of continuing education or training.

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.

Kansas: Full Practice, a Nurse Licensure Compact member. Kansas NPs have full independent practice authority.

Maine: Full Practice, a Nurse Licensure Compact member. Maine NPs may prescribe from licensure, including controlled substances in schedules II through V, but must practice for at least 24 months under the supervision of a licensed physician or a supervising NP, or be employed by a clinic or hospital whose medical director is a licensed physician, before practicing independently. A 2026 law replaces this requirement once the Board of Nursing adopts new practice standards by rule, so confirm the current requirement with the Board.

New Jersey: Reduced Practice, a Nurse Licensure Compact member. New Jersey generally requires NPs to have joint protocols with a collaborating physician in order to prescribe or order medications and devices. Under a 2026 law, NPs in a qualifying population focus with more than 5,000 hours of advanced practice who provide primary or behavioral health care, and do not provide general obstetrics or elective aesthetic or cosmetic services, may practice and prescribe without a joint protocol.