CNS · all jurisdictions
Clinical Nurse Specialist supervision requirements, state by state
All 52 jurisdictions on one page. Sort by any column, then open a state for the full rules and their sources.
Independent practice24 jurisdictions
Conditional independence16 jurisdictions
Supervision required12 jurisdictions
| Alabama | Supervision required | Required | No cap | Not specified | Not codified | Not codified | No | — |
| Alaska | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Arizona | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| Arkansas | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| California | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| Colorado | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Connecticut | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Delaware | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| District of Columbia | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Florida | Supervision required | Required | No cap | No proximity requirement | Not codified | As needed | Yes | — |
| Georgia | Supervision required | Required | 8 (combined) | Within 50 miles | 10% · Annually | Not codified | Yes | — |
| Hawaii | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Idaho | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Illinois | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Indiana | Supervision required | Required | No cap | No proximity requirement | 5% · As needed | Every 6 months | Yes | — |
| Iowa | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Kansas | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Kentucky | Conditional independence | Required | No cap | No proximity requirement | Not codified | Not codified | No | — |
| Louisiana | Conditional independence | Required | No cap | Available remotely | Not codified | Annually | Yes | — |
| Maine | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Maryland | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Massachusetts | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| Michigan | Supervision required | Required | No cap | Available remotely | Not codified | Annually | Yes | — |
| Minnesota | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| Mississippi | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| Missouri | Supervision required | Required | 6 (combined) | Available remotely | 10% · As needed | As needed | Yes | — |
| Montana | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| Nebraska | Conditional independence | Required | No cap | Not specified | Not codified | Not codified | No | — |
| Nevada | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| New Hampshire | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| New Jersey | Conditional independence | Required | No cap | Available remotely | Not codified | Annually | Yes | — |
| New Mexico | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| New York | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| North Carolina | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| North Dakota | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| Ohio | Conditional independence | Required | 5 (combined) | No proximity requirement | Not codified | Annually | Yes | — |
| Oklahoma | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Oregon | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Pennsylvania | Supervision required | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| Puerto Rico | Supervision required | Required | No cap | Not specified | Not codified | Not codified | No | — |
| Rhode Island | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| South Carolina | Supervision required | Required | 6 (combined) | Available remotely | Not codified | Not codified | Yes | — |
| South Dakota | Supervision required | Not required | No cap | Not specified | Not codified | Not codified | No | — |
| Tennessee | Supervision required | Required | No cap | Not specified | Not codified | Not codified | No | — |
| Texas | Supervision required | Not required | 7 (combined) | No proximity requirement | Not codified | Monthly | Yes | — |
| Utah | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Vermont | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Virginia | Conditional independence | Not required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Washington | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| West Virginia | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Wisconsin | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Wyoming | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
Cells show the first rule on file; a state whose rule branches on a condition shows the branches on its own page. Pathways to independent practice for Clinical Nurse Specialists