For nurse practitioners · Delaware

The transition Delaware deleted.

Since August 4, 2021, the Board of Nursing grants full-practice and prescriptive authority upon issuance of the APRN license itself — the former 2-year/4,000-hour collaborative-agreement transition and independent-practice application were repealed outright.

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Every state with a pathway

The moment

Independence attaches at licensure

Delaware used to run one of the nation’s longest transitions — two years and a minimum of 4,000 hours under a collaborative agreement, plus committee approval. HB 141 deleted it outright: since August 4, 2021, full practice and prescriptive authority attach when the APRN license is issued, with nothing left to serve out.

One honest footnote from the statute’s own frame: state law no longer requires a collaborative agreement, but an employer or health system may still privately require one.

The requirement

none since Aug. 4, 2021 (formerly 2 years and a minimum of 4,000 full-time hours under a collaborative agreement, plus committee/board approval)

The moment it attaches

Issuance of the APRN license — full practice and prescriptive authority attach automatically at licensure

The timeline

HB 141 (151st General Assembly) signed and effective Aug. 4, 2021

The statute

24 Del. C. §1935(a)(1); former §1936 (collaborative agreements) repealed by 83 Del. Laws, c. 111

The receipt

Other platforms would show a testimonial here. Gale has no Delaware NPs to quote, and we do not invent people — so here is the dated, sourced fact instead.

Delaware jumped from one of the nation's longest TTPs — 2 years and 4,000 collaborative hours — straight to immediate full practice authority when HB 141 took effect on Aug. 4, 2021, deleting the collaborative-agreement statute entirely.

24 Del. C. §1935(a)(1); former §1936 (collaborative agreements) repealed by 83 Del. Laws, c. 111

Scope and carve-outs

The grant and the strings, at equal weight

Full scope: full-practice authority to evaluate, diagnose, order and interpret tests, and initiate and manage treatments including prescribing, under exclusive licensure authority. No state-law transition carve-outs; employers and health-care organizations may still privately require collaborative agreements.

What Gale runs

The inventory, split honestly. Nothing dark is dressed as live.

In the product today

  • Scheduling and the calendar.
  • Notes, with a scribe that drafts during the visit — you stay the final editor of every note.
  • Telehealth where the chart lives.
  • The patient record — see a sample chart, no signup.
  • Superbills for the patient who wants to claim out-of-network benefits.
  • The Fee Schedule — the one Gale document that states the fee.
  • Your practice page, in the public directory compiled from the NPPES registry.

Opening with the founding cohort

  • Concierge memberships — a monthly plan your practice sells on its own terms. Not sellable yet: enrollment fails closed behind a legal switch until counsel clears it. No countdown — when it clears, it clears.
  • The loop tracker — every referral, lab, and question a visible loop with an owner, a state, and a promised window. Closing one requires an outcome note; nothing silently expires.
  • The guided founding sequence — practice setup walked step by step with the first cohort: entity, posted prices, the practice page, the first visit.
The economics

No physician attached means no standing invoice between you and your own practice — the economics of independence here are unusually legible. What Gale adds is built to read the same way.

Gale’s side of the ledger is deliberately short. The software is free, and Gale earns one flat all-in fee on a transaction — charged only when your practice is actually paid, never as a subscription, never with per-feature line items, never a spread on your rate. The number itself lives in exactly one document, on purpose, so it can never quietly say two different things in two places: the Fee Schedule states it.
The playbook

The deepest state cluster we have built is California’s — eight guides on the 103/104 ladder, cited to the statute and the board’s own filings. They are California’s rules, not Delaware’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Where to start

Your page may already exist

Gale publishes a public directory compiled from the NPPES registry. Find your listing, claim it, and see how you rank for your own name — that page is the front door your independent practice will be found through.

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