Table 1.

State Practice Agreements: COVID-19 Emergency Response

Scope of Practice Status	State	Waived/Suspended Requirements
Full practice authority	Alaska, Arizona, Colorado, Connecticut, Hawaii, Idaho, Iowa, Maine, Maryland, Minnesota, Montana, Nevada, New Hampshire, New Mexico, North Dakota, Oregon, Rhode Island, South Dakota, Vermont, Washington, Wyoming	Maine: Full licensing requirements for APRNs, RNs and LPNs (expired June 30, 21) Nebraska: Professional license renewal requirements deferred
Temporary waiver of select practice agreement requirements	Alabama	• Limit on number of NPs physician may supervise • Reporting/recordkeeping
	Arkansas	• Requirement to submit evidence of current collaborative practice for license renewal
	California	• Limit on number of NPs physician may supervise
	Indiana	• Requirement to maintain multiple practice agreements for additional practice locations
	Massachusetts	• Physician supervision for APRNs with 2 years’ experience
	Missouri	• Collaborating physician review of 10% of charts every 14 days • Collaborating physician continuous presence for at least one month and within 75 miles
	North Carolina	• Quality improvement process meetings • Supervisory arrangement updates when reassigned to new area of facility
	Pennsylvania	• APRN requirement to practice within specific clinical specialty • Requirement for prescriptive authority collaborative agreement
	South Carolina	• Written practice agreement with physician • Separate NP licensing between North Carolina and Georgia
	Texas	• Documentation requirement for supervisory arrangements
	West Virginia	• Collaborative agreement with physician for medication prescribing
Temporary suspension of all practice agreement requirements	Kentucky	• Practice agreement with physician to prescribe controlled substances
	Louisiana	• Collaborative practice agreement
	Wisconsin	• Practice agreement or collaborative relationship with physician or dentist
	New Jersey	• Physician chart review • Physician name on prescriptions • Physician authorization to dispense narcotic drugs
	New York	• Collaborative practice agreement
	Virginia	• Written practice agreement for NPs with more than two years’ experience
Executive order expired	Kansas	• Collaborative agreement requirement; some requirements for licensure; expired May 2020
	Tennessee	• Physician collaboration on prescriptions, physician chart review, supervising physician to visit remote sites every 30 days; expired May 2020
	Oklahoma	• Limit on number of NPs physician may supervise
	Michigan	• Supervision and delegation requirements; expired July 2021
Currently no action on this issue	Delaware, Florida, Georgia, Illinois, Mississippi, Ohio, Utah

Note: Adapted from https://www.aanp.org/advocacy/state/covid-19-state-emergency-response-temporarily-suspended-and-waived-practice-agreement-requirements. ©2021 by American Association of Nurse Practitioners

**Full practice authority as of January 1, 2021