CNM Independent Prescribing Map

NCSBN’s APRN Campaign for Consensus: State Progress toward Uniformity

Independent Prescribing - CNM

Can CNMs prescribe independently?

Independent: No requirement for a written collaborative agreement, no supervision, no conditions for practice, may follow a statutorily required period of practice under a collaborative/supervisory agreement.

Not Independent: A written agreement exists that specifies scope of practice and medical acts allowed with or without a general supervision requirement by a MD, DO, DDS, podiatrist or APRN; or direct supervision required in the presence of a licensed, MD, DO, DDS, podiatrist or APRN with or without a written practice agreement, or other conditions to practice.

Prescriptive Authority: An APRN is authorized to prescribe pharmacologic and non-pharmacologic therapies beyond the perioperative and periprocedural periods.

Updated as of 5/22/2023. Maps will be periodically updated as APRN laws change.