CNM · Utah
Supervision Agreement for Certified Nurse-Midwives in Utah
No. Certified Nurse-Midwives practice independently here. Utah does not require one.
S.B. 36 (2023) eliminated the collaborating-physician contract requirement for CNMs along with other APRN roles — nurse-midwives licensed under § 58-31b (not Utah's separate direct-entry/lay midwife statute, Title 58 Ch. 44a) practice independently with no agreement.
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
No collaborating-physician relationship required post-S.B. 36.
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
CNMs prescribe within their own Utah Controlled Substance License and DEA registration with no agreement-based gating post-S.B. 36.
Written agreement
Not required
Unconditional since S.B. 36 (2023). Note this entry covers Utah's Certified Nurse-Midwife (APRN, § 58-31b) — not the separately-licensed direct-entry midwife under Title 58, Ch. 44a, which is out of scope for this matrix.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Corporation (Title 16, Ch. 11) or Professional LLC (§ 48-3a-1106) — a CNM may independently own a single-profession nursing PC/PLLC; non-licensees may not hold equity.
Legal sources for these rules (2)
What a supervising physician costs here
Typical monthly cost in Utah
$500 – $600
Estimate for one Certified Nurse-Midwife. Standard-tier state.
About Utah's rules
S.B. 36 (2023) eliminated the physician-collaboration/contract requirement for ALL APRN roles (NP, CRNA, CNM, CNS), not just NPs — Utah is a full-independence state across the APRN scope. PAs remain on a separate, hours-tiered collaboration model (Utah Code § 58-70a-307) with no numeric ratio cap or chart-review percentage codified.
Other clinicians in Utah: see the state overview.