Practice Agreement · NP
Nebraska Transition-to-Practice Arrangement for Nurse Practitioners
Required. The Transition-to-Practice Arrangement is the written instrument Nebraska law names for a Nurse Practitioner working with a physician. Below: the board that governs it, what it must contain, and the terms it has to carry.
LB 107 (2015) replaced an ongoing collaborating-physician relationship with this one-time 2,000-hour threshold (§ 38-2317). The supervising provider during transition may be a physician or another NP with ≥10,000 hours of NP practice. After the threshold, no ongoing agreement is required.
Independent practice requires: ≥2,000 hours of practice under a transition-to-practice, collaborative, integrated, or independent-practice arrangement (or combination), completed in Nebraska or another state.
What a Nebraska Transition-to-Practice Arrangement must contain
Governed by the Nebraska Board of Nursing and the Nebraska State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Unless the Nurse Practitioner has completed two thousand (2,000) hours of practice under a transition-to-practice arrangement, the Nurse Practitioner shall practice under such an arrangement with the Physician, as provided under Neb. Rev. Stat. § 38-2317. Once the Nurse Practitioner completes those hours, no ongoing arrangement is required for independent practice or prescribing.
Source: Neb. Rev. Stat. § 38-2317
The transition-to-practice arrangement is not itself filed with the Nebraska Board of Nursing; only evidence of the completed hours, and, where the supervising provider is another Nurse Practitioner, an attestation of that supervision, is submitted with the Nurse Practitioner's licensure application.
- The Transition-to-Practice Arrangement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- Neb. Rev. Stat. § 38-2317statute
Nurse Practitioner transition-to-practice arrangement required until 2,000 practice hours are completed.
- Neb. Rev. Stat. § 38-2050statute
Requires a written collaborative agreement between a Physician Assistant and a collaborating physician.
- Neb. Rev. Stat. § 38-2867.03statute
Authorizes a pharmacist to enter into a written practice agreement with a prescribing practitioner to provide pharmaceutical care under written protocols.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.
Proximity
during the 2,000-hour transition-to-practice period: Available remotely (no on-site requirement)
Supervising provider must be 'readily available for consultation and direction' — no on-site or mile/minute radius standard is codified.
after completing the 2,000-hour threshold: No proximity requirement
No ongoing proximity/availability requirement once independent.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Requires a federal DEA registration; Nebraska does not issue a separate state controlled-substance registration.
Written agreement
Required
Required only during the pre-threshold transition-to-practice period — an NP who has completed 2,000 qualifying hours needs no ongoing agreement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional limited liability company under Neb. Rev. Stat. § 21-190 — an NP may independently own a single-discipline nursing-services PLLC; § 21-190 bars multi-discipline ownership (e.g., a physician and NP co-owning one entity across disciplines).
Legal sources for these rules (4)
- Neb. Rev. Stat. § 38-2317 — Nurse Practitioner; Licensure; Requirementssecondary
- Nebraska LB 107 (2015) — Advanced Practice Registered Nurse reformsecondary
- Nebraska DHHS — Statutes Relating to Nurse Practitioner Practice Act
- Neb. Rev. Stat. § 21-190 — Professional Limited Liability Companies (single-discipline restriction)
About Nebraska's rules
LB 107 (2015) replaced ongoing APRN physician collaboration with a one-time 2,000-hour transition-to-practice period for nurse practitioners; whether CRNAs and CNSs follow the identical threshold (vs. a different or no threshold) could not be fully confirmed against primary statute text in this pass — verify before relying on those two entries. CNMs remain the most restricted category, unaffected by that reform.
Other clinicians in Nebraska: see the state overview.