NP Independent Practice States

  1. 0
    Hi all.

    I am in the NP program and getting ready to move as a new NP. I currently live in an independent practice state and would like to move to another state that allows NPs independent practice. I have looked for a definitive list of which states are independent, heavily regulated, moderately regulated, and minimally regulated. I found one list but it was published in 2007 and I'm wondering if there have been any changes. Does anybody have a complete list of states?



    Thanks,

    Sarah
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  3. 18 Comments so far...

  4. 3
    Quote from pokey_2010
    Hi all.

    I am in the NP program and getting ready to move as a new NP. I currently live in an independent practice state and would like to move to another state that allows NPs independent practice. I have looked for a definitive list of which states are independent, heavily regulated, moderately regulated, and minimally regulated. I found one list but it was published in 2007 and I'm wondering if there have been any changes. Does anybody have a complete list of states?



    Thanks,

    Sarah
    Hawaii just went independent. Others are New Mexico, Arizona, Alaska, District of Columbia, Idaho, Montana, New Hampshire, Oregon, Rhode Island, Washington, Wyoming. That's all I know of.
    shel_wny, WyndDrivenRain, and traumaRUs like this.
  5. 0
    Texas is one of the "heavily regulated". The Texas Association of Family Physicians prides itself on defeating every measure taken to the legislature regarding APRNs. Texas is probably going to be in the dark ages for some time to come.
  6. 1
    Quote from CRF250Xpert
    Texas is one of the "heavily regulated". The Texas Association of Family Physicians prides itself on defeating every measure taken to the legislature regarding APRNs. Texas is probably going to be in the dark ages for some time to come.

    Which is why, as a Texan, I'm right next door in New Mexico.
    txspadequeenRN likes this.
  7. 1
    Maine is independent after 24 months of supervised practice.
    AtomicWoman likes this.
  8. 1
    Vermont also has independent practice if you have been an NP for 2 years or more. Just passed the new legislation about a month ago!!!
    AtomicWoman likes this.
  9. 0
    Allright! That's great!
  10. 0
    Quote from Callan Janowiec
    Vermont also has independent practice if you have been an NP for 2 years or more. Just passed the new legislation about a month ago!!!
    This is great to hear. Does this supervised practice (which should absolutely happen anyway, legislation or not) have to happen in vermont? or could you have done 2 years in another state and move to Vermont and open your own clinic?
  11. 0
    I am curious if there has been discussion as to moving legislation forward nationally on this by means of the commerce clause in the U.S. constitution? I am a new APRN, and also an attorney, and this seems to be an avenue worth exploring as the Commerce Clause protects the rights of people in the U.S. to move freely from one state to another without encumbrances. I imagine it has been discussed but just curious how it might impact the discussion.
  12. 1
    Quote from Zarretla
    I am curious if there has been discussion as to moving legislation forward nationally on this by means of the commerce clause in the U.S. constitution? I am a new APRN, and also an attorney, and this seems to be an avenue worth exploring as the Commerce Clause protects the rights of people in the U.S. to move freely from one state to another without encumbrances. I imagine it has been discussed but just curious how it might impact the discussion.
    If the commerce clause doesn't restrict the ability of states to continue to license and regulate the practice of RNs, physicians, attorneys, plumbers, electricians, etc., within their own borders, I don't see how an argument could be made that NPs are some special case.
    Last edit by elkpark on Apr 23, '13
    AtomicWoman likes this.


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