PA · Nebraska
Supervision Agreement for Physician Assistants in Nebraska
Yes, a written supervising-physician agreement is required. Nebraska calls it a Written Collaborative Agreement.
No independent-practice pathway exists for PAs in Nebraska — an active, board-filed supervision agreement with a supervising physician is required for as long as the PA practices (Medicine and Surgery Practice Act, Neb. Rev. Stat. §§ 38-2047, 38-2050).
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)
Statute defines supervision as 'the ready availability of the supervising physician for consultation and collaboration' — no on-site or mile/minute radius standard is codified (§ 38-2047).
Supervision ratio
Up to 4 at a time
A supervising physician may supervise no more than 4 PAs at any one time; the Board of Medicine and Surgery may waive this limit on application (§ 38-2050).
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
May prescribe Schedule II–V controlled substances under the collaborative agreement with a federal DEA registration (§ 38-2055; Uniform Controlled Substances Act, § 28-405). No schedule-specific day-supply limit was found in this research pass — unlike several other researched states, which cap Schedule II at a fixed number of days.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Nebraska has historically been unusually permissive toward corporate practice (Nebraska Supreme Court, 1905), but Neb. Rev. Stat. § 21-190 limits a professional limited liability company to rendering 'only one specific kind of professional service' — read by secondary sources as barring a single entity from being co-owned by a physician and a PA across different licensed disciplines.
Whether a PA can independently own a single-discipline PA-only entity under § 21-190 (as opposed to needing physician ownership) was not confirmed — treat as an open item.
Legal sources for these rules (5)
- Neb. Rev. Stat. § 38-2047 — Physician Assistants; Services Performed; Supervision Requirementssecondary
- Neb. Rev. Stat. § 38-2050 — Physician Assistants; Supervision; Supervising Physician; Requirements; Agreementsecondary
- Neb. Rev. Stat. § 38-2055 — Physician Assistant Prescriptive Authority
- Nebraska DHHS — 2024 Statutes Relating to Physician Assistant
- Neb. Rev. Stat. § 21-190 — Professional Limited Liability Companies (single-discipline restriction)
What a supervising physician costs here
Typical monthly cost in Nebraska
$500 – $600
Estimate for one Physician Assistant. This state's proximity rules add a small premium.
About Nebraska's rules
LB 107 (2015) replaced ongoing APRN physician collaboration with a one-time 2,000-hour transition-to-practice period for nurse practitioners; whether CRNAs and CNSs follow the identical threshold (vs. a different or no threshold) could not be fully confirmed against primary statute text in this pass — verify before relying on those two entries. CNMs remain the most restricted category, unaffected by that reform.
Other clinicians in Nebraska: see the state overview.