Practice Agreement · NP
Nurse Practitioner Practice Agreement in Utah
Utah law does not require a Nurse Practitioner to hold a named agreement with a physician. Practices still use one to define the working relationship; here is what it covers and what the state does require.
S.B. 36 (2023) eliminated the state-mandated physician contract as a condition of NP licensure — Utah became the 27th full-practice-authority state. NPs are not limited in any of the four elements of APRN practice (diagnose, treat, prescribe, refer) and need no collaborating-physician agreement.
What a Nurse Practitioner practice agreement covers in Utah
Governed by the Utah Board of Nursing and the Utah Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Utah does not require the Nurse Practitioner to enter into a supervision or collaboration agreement with a physician for licensure, scope of practice, or prescribing, including controlled substances, following Senate Bill 36 (2023), which eliminated the former mandatory consultation and referral plan under Utah Code § 58-31b-101 et seq. The Nurse Practitioner practices under the Nurse Practitioner's own license, consistent with Utah Code § 58-31b-803.
This Agreement's terms regarding the Nurse Practitioner accordingly serve to define the working relationship, referral pathways, and any Medical Director oversight between the Parties, and are not themselves required by Utah law as a condition of the Nurse Practitioner's authority to practice.
- The agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- Utah Code § 58-17b-102statute
Defines "collaborative pharmacy practice" and "collaborative pharmacy practice agreement" and includes collaborative pharmacy practice, drug therapy management, and therapy initiation within the practice of pharmacy.
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
No proximity requirement
No supervising/collaborating physician relationship exists post-S.B. 36 — proximity is not applicable.
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
NPs prescribe Schedule II-V controlled substances under their own Utah Controlled Substance License and DEA registration, with no agreement-based gating post-S.B. 36.
Written agreement
Not required
Unconditional since S.B. 36 (2023) — no collaborating-physician contract or agreement of any kind is required for NP licensure or practice in Utah.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Corporation (Title 16, Ch. 11) or Professional LLC (§ 48-3a-1106) — an NP may independently own a single-profession nursing PC/PLLC; non-licensees may not hold equity.
Full practice authority under S.B. 36 makes NP ownership straightforward relative to states requiring physician co-ownership.
About Utah's rules
S.B. 36 (2023) eliminated the physician-collaboration/contract requirement for ALL APRN roles (NP, CRNA, CNM, CNS), not just NPs — Utah is a full-independence state across the APRN scope. PAs remain on a separate, hours-tiered collaboration model (Utah Code § 58-70a-307) with no numeric ratio cap or chart-review percentage codified.
Other clinicians in Utah: see the state overview.