Veterans Health Administration

Wisconsin: Reduced Practice, a Nurse Licensure Compact member. Wisconsin NPs must practice in collaboration with a physician or dentist until the Board of Nursing verifies that they qualify for independent practice. Qualifying requires, among other things, 3,840 clinical hours in their role while working with a physician or dentist and at least 24 months since they began that practice.

California: Restricted Practice, outside the Nurse Licensure Compact. California NPs generally practice under standardized procedures developed collaboratively with physicians and furnish drugs and devices under physician supervision. NPs who complete a transition to practice in California of three full-time equivalent years or 4,600 hours can be certified to practice without standardized procedures in a group setting with a physician, and usually after at least three more years in good standing, in an independent setting.

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.

Nebraska: Full Practice, a Nurse Licensure Compact member. Nebraska NPs have full practice authority after a transition period.

Utah: Full Practice, a Nurse Licensure Compact member. Utah grants full practice authority to NPs.