The Specialty Alliance (GI Alliance)

Connecticut: Full Practice, a Nurse Licensure Compact member. Connecticut requires NPs to practice in collaboration with a physician for at least three years and 2,000 hours before practicing independently. After meeting that requirement, an NP must give written notice to the Department of Public Health before practicing without a collaborative agreement.

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

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.

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.

Arizona: Full Practice, a Nurse Licensure Compact member. Arizona grants full practice authority to NPs. After certification by the Board of Nursing, they can diagnose and treat patients, and prescribe once the Board grants prescribing and dispensing authority, all without physician supervision, a collaborative agreement or a transition period.