Louisiana Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Louisiana collaborating physician requirements apply to a permanent restricted-practice market with one of the most board-intensive approval structures in the country. Louisiana does not grant nurse practitioners full practice authority. Every APRN who engages in acts of medical diagnosis, prescription, or management must practice under a Louisiana State Board of Nursing-approved Collaborative Practice Agreement with […]

Illinois Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Illinois collaborating physician requirements apply to a large and active transitional-practice market. Illinois is not a permanent restricted-practice state. The Nurse Practice Act was amended in 2017 through Public Act 100-0513 to create a full practice authority pathway for nurse practitioners, clinical nurse specialists, and certified nurse midwives. Once an APRN completes 4,000 hours of […]

North Carolina Collaborating Physician Requirements & Compliance Rules (2026 Guide)

North Carolina collaborating physician requirements apply to a large and active restricted-practice market. North Carolina does not grant nurse practitioners full practice authority. Every NP in the state who performs acts of medical diagnosis, develops a plan of care, or prescribes medications must practice under a collaborative practice agreement with a primary supervising physician. That […]

Tennessee Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Tennessee collaborating physician requirements apply to a restricted-practice state with some of the most operationally specific ongoing oversight obligations in the country. Tennessee does not grant nurse practitioners full practice authority. Every APRN who performs acts of medical diagnosis, develops a medical plan of care, or prescribes medications must hold a certificate of fitness issued […]

Arkansas Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Arkansas collaborating physician requirements apply to a reduced-practice state that is actively evolving. Arkansas is not a permanent restricted-practice state. Act 412 of 2021 established a defined pathway for certified nurse practitioners and clinical nurse specialists to apply for full independent practice after accumulating 6,240 hours of documented practice under a collaborative practice agreement. Until […]

Mississippi Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Mississippi collaborating physician requirements apply to a restricted-practice state with some of the most specific geographic and oversight obligations in the country. Mississippi does not grant nurse practitioners full practice authority. There is no independence pathway, no experience threshold that removes the physician requirement, and no transition period leading to autonomous APRN practice. A full […]

Utah Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Utah collaborating physician requirements differ significantly from most other states because of a landmark change that took effect in 2023. Utah is a full practice authority state for nurse practitioners. Senate Bill 36, signed by Governor Spencer Cox on March 16, 2023, eliminated the state-mandated contract with a physician that NPs previously required as a […]

Virginia Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Virginia collaborating physician requirements apply to a market in active transition. Virginia is a transitional practice state for nurse practitioners, meaning physician collaboration is required for NPs who have not yet accumulated sufficient clinical experience to qualify for autonomous practice. NPs with fewer than three years of full-time clinical experience must practice under a written […]

Ohio Collaborating Physician Requirements & Compliance Rules (2026 Guide)

Ohio collaborating physician requirements apply to a large and active healthcare market with permanent physician oversight obligations for nurse practitioners. Ohio is a restricted-practice state for APRNs. The Standard Care Arrangement requirement does not expire after accumulating experience hours, and there is no pathway to independent APRN practice regardless of years in the field. Every […]

New York Collaborating Physician Requirements & Compliance Rules (2026 Guide)

New York collaborating physician requirements apply to a large and active market with more than 34,000 licensed nurse practitioners as of 2024. New York is a transitional practice state, meaning the physician collaboration requirement is tied to the NP’s hours of experience rather than being a permanent, career-long obligation. NPs with fewer than 3,600 hours […]

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