PMHNP · District of Columbia
Supervision Agreement for Psychiatric Mental Health Nurse Practitioners in District of Columbia
No. Psychiatric Mental Health Nurse Practitioners practice independently here. District of Columbia does not require one.
DC's Nurse Practice Act does not carve out a separate framework for psychiatric-mental-health NPs — PMHNPs are covered by the same HORA 2024 repeal of § 3-1206.03 as any other NP. This entry exists for its own page/URL/weight, not a legal distinction from `np`.
What the supervision must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
Same standard as general NPs — no proximity requirement post-HORA 2024.
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
Same statutory framework as general NPs. PMHNP prescribing in practice skews toward Schedule II stimulants and Schedule IV benzodiazepines/hypnotics more heavily than general primary-care NP prescribing — not a different legal limit, reflected in calculatorWeights below rather than in this rule.
Written agreement
Not required
Unconditional, same as general NP — HORA 2024 applies to all APRN categories.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — no confirmed independent-ownership statute; treat as an open item.
Legal sources for these rules (2)
- D.C. Code § 3-1206.03 [Repealed by D.C. Law 25-191]
- D.C. Code § 3-1206.07a — Certified Nurse Practitioner scope of practice
What a supervising physician costs here
Typical monthly cost in District of Columbia
$500 – $600
Estimate for one Psychiatric Mental Health Nurse Practitioner. Standard-tier state.
About District of Columbia's rules
The Health Occupations Revision Amendment Act of 2024 repealed D.C. Code § 3-1206.03, eliminating the collaboration mandate for all APRN categories (NP/PMHNP/CRNA/CNM/CNS) — DC is now a full-practice-authority jurisdiction for APRNs. PAs are NOT covered by that reform and still require a Board of Medicine Delegation Agreement regardless of experience; no autonomous-PA pathway was found in DC as of this pass.
Other clinicians in District of Columbia: see the state overview.