CNM · Vermont
Supervision Agreement for Certified Nurse-Midwives in Vermont
Yes, a written supervising-physician agreement is required. Vermont does not name a specific instrument.
Same uniform APRN transition-to-practice threshold as NP/CRNA/CNS (26 V.S.A. § 1614). This entry covers the Certified Nurse-Midwife APRN role; Vermont separately licenses non-nurse direct-entry midwives under a different chapter, out of scope here.
Independent practice requires: ≥2 years and ≥2,400 hours of practice under a collaborative agreement (≥1,600 hours over ≥12 months if adding a second APRN certification).
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
below the 2,400-hour/2-year transition-to-practice threshold: Available remotely (no on-site requirement)
No codified mile/minute radius; collaborating provider may be a physician or another qualified APRN of the same role.
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
No CNM-specific schedule restriction found beyond the general collaborative-agreement requirement below the transition threshold.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Corporation under 11 V.S.A. ch. 4 — see the `np` entry's note on H.583's new majority-licensee ownership/governance conditions.
Legal sources for these rules (1)
What a supervising physician costs here
Typical monthly cost in Vermont
$500 – $600
Estimate for one Certified Nurse-Midwife. Standard-tier state.
About Vermont's rules
H.583 (signed June 15, 2026, eff. July 1, 2026) newly restricts private-equity/hedge-fund control and requires majority physician ownership/governance of medical practices — a major shift from Vermont's historically permissive, no-common-law-CPOM stance. All 4 APRN roles (NP, CRNA, CNM, CNS/PMHNP) share one 2,400-hour/2-year transition-to-practice threshold (26 V.S.A. § 1614) — treat as newly in effect and monitor implementing guidance.
Other clinicians in Vermont: see the state overview.