CNM · Minnesota
Supervision Agreement for Certified Nurse-Midwives in Minnesota
No. Certified Nurse-Midwives practice independently here. Minnesota does not require one.
CNM is one of Minnesota's four APRN roles (§ 148.171, subd. 10), not a separate license. Research could not confirm whether CNMs were ever covered by the now-repealed 2,080-hour rule (its text named only 'nurse practitioner or clinical nurse specialist') — moot as of August 1, 2026 either way, since that gate no longer exists for any APRN role.
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
Not codified — left to the agreement
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 general APRN prescribing statute (§ 148.235, subd. 7a-7b) as other APRN roles.
Written agreement
Not required
Unconditional as of this writing — see independentPractice.notes on the unresolved historical question of whether CNM was ever covered by the repealed rule.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — 'registered nursing' § 319B.02, subd. 19 eligible-owner category covers CNM licensure too.
Legal sources for these rules (2)
What a supervising physician costs here
Typical monthly cost in Minnesota
$500 – $600
Estimate for one Certified Nurse-Midwife. Standard-tier state.
About Minnesota's rules
H.F. 1794 repealed the NP/CNS 2,080-hour postgraduate collaborative-agreement rule (Minn. Stat. § 148.211, subd. 1c) effective August 1, 2026 — already in force. PA remains CONDITIONAL under a separate, still-active 2,080-hour rule (§ 147A.02(c)); 2025 reform bills (H.F. 89/S.F. 1083) to loosen it are pending, not confirmed enacted.
Other clinicians in Minnesota: see the state overview.