NP · Utah

Supervision Agreement for Nurse Practitioners in Utah

No. Nurse Practitioners practice independently here. Utah does not require one.

Practice authorityIndependent practice
Written agreementNo agreement required
What Utah calls itNo instrument required
Governing boardUtah Board of Nursing and the Utah Board of Pharmacy
Research date2026-09-03 · clauses 2026-09-03

S.B. 36 (2023) eliminated the state-mandated physician contract as a condition of NP licensure — Utah became the 27th full-practice-authority state. NPs are not limited in any of the four elements of APRN practice (diagnose, treat, prescribe, refer) and need no collaborating-physician 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 supervising/collaborating physician relationship exists post-S.B. 36 — proximity is not applicable.

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

NPs prescribe Schedule II-V controlled substances under 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) — no collaborating-physician contract or agreement of any kind is required for NP licensure or practice in Utah.

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Professional Corporation (Title 16, Ch. 11) or Professional LLC (§ 48-3a-1106) — an NP may independently own a single-profession nursing PC/PLLC; non-licensees may not hold equity.

Full practice authority under S.B. 36 makes NP ownership straightforward relative to states requiring physician co-ownership.

Legal sources for these rules (3)

What a supervising physician costs here

Typical monthly cost in Utah

$500$600

Estimate for one Nurse Practitioner. 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.