PMHNP · Louisiana
Supervision Agreement for Psychiatric Mental Health Nurse Practitioners in Louisiana
Yes, a written supervising-physician agreement is required. Louisiana does not name a specific instrument.
Louisiana's Nurse Practice Act and LSBN rules don't carve out a separate framework for psychiatric-mental-health NPs — PMHNPs follow the same Collaborative-Practice-Agreement regime as any other NP (see the general `np` entry). This entry exists for its own page/URL/calculator weight, not a legal distinction.
Independent practice requires: Same unconfirmed hours-based CPA exemption referenced in the general `np` entry (LA Admin. Code tit. 46 §7911.A.5) — Louisiana's APRN framework does not differentiate PMHNPs from other NP population foci..
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
Available remotely (no on-site requirement)
Same standard as general NPs — collaborating physician must be available by telephone or direct telecommunication when not physically present (LAC 46:XLV.7911).
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Annually
Same CPA clinical-practice-guideline annual review cadence as general NPs.
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
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, but a different real-world risk profile (reflected in calculatorWeights below, not in this rule itself).
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — Louisiana's Professional Corporation Law (La. R.S. 12:901 et seq.) does not distinguish PMHNPs from other NP population foci; not independently confirmed for APRN-specific entity structures in this research pass.
Legal sources for these rules (3)
- La. Rev. Stat. § 37:913 — Definitions (Advanced Practice Registered Nursing, Collaborative Practice Agreement)secondary
- La. Admin. Code tit. 46, Part XLV, §7911 — Eligibility; Required Components of Collaborative Practice Agreementsecondary
- Louisiana State Board of Nursing — Advanced Practice Registered Nurse licensure page
What a supervising physician costs here
Typical monthly cost in Louisiana
$500 – $800
Estimate for one Psychiatric Mental Health Nurse Practitioner. This state's rules add a restrictive-tier premium.
About Louisiana's rules
Louisiana remains a 'reduced practice' state for NPs — no SAVE Act-style full-practice-authority reform has passed. LA Admin. Code tit. 46 §7911.A.5 references an hours-based exemption from the CPA requirement for NP/CNM/CNS, but secondary sources give conflicting hour figures (1,000 vs. 2,080) and this pass could not confirm the exact threshold or resulting scope — verify directly with LSBN before relying on it.
Other clinicians in Louisiana: see the state overview.