Unchaining Nurse Practitioners

Nebraska and Minnesota have recently joined the ranks of other states in allowing nurse-led outpatient clinics. Nebraska’s law became effective March 20th and Minnesota’s law is effective April 6th. Nurse-led clinics allow nurse practitioners to operate without a physician’s oversight and thus the issue has been hotly contested by physician’s lobbies for years.

There are now over 250 nurse-led clinics across the country, with some two-thirds of those clinics being affiliated with universities. The states that currently grant full independent practice rights to nurse practitioners are:

  • Alaska
  • Arizona
  • Colorado
  • Connecticut
  • District of Columbia
  • Hawaii
  • Idaho
  • Iowa
  • Maine
  • Minnesota
  • Montana
  • Nebraska
  • New Hampshire
  • New Mexico
  • North Dakota
  • Oregon
  • Rhode Island
  • Vermont
  • Washington
  • Wyoming

Approximately 16,000 nurse practitioners graduate each year in the U.S. Many are looking to nurse practitioners (and their expanded role) to help fill the shortage of physicians and the expanded health coverage under the Affordable Care Act.


Contact ABISA, a consultancy specializing in solo and small group practice management. Visit us at ABISALLC.com.

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