For nurse practitioners · Maine

The 24 months still stand — with a sunset written.

A certified nurse practitioner must first complete a supervised transition — 24 months under a licensed physician or supervising NP, or employment in a clinic/hospital with a physician medical director — a gate that PL 2025, c. 540 keeps in force until the Board of Nursing adopts replacement mentorship-based practice standards.

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The moment

The transition, and the moment it ends

Maine’s gate is still up. A certified nurse practitioner completes 24 months of supervised practice — under a physician or a supervising NP, or in a clinic or hospital with a physician medical director — before practicing independently.

In February 2026 the legislature unanimously passed emergency law LD 961 to sunset that rule, but the sunset is conditional: it takes effect only when the Board of Nursing adopts replacement mentorship-based practice standards, and as of August 2026 no such standards have been adopted. Until the board acts, the 24-month requirement operates exactly as before.

The transition

24 months of supervised practice (remains until board-adopted practice standards replace it)

The moment it ends

submission of written evidence to the board upon completion of the required clinical experience

The timeline

24-month rule long-standing; PL 2025, c. 540 (LD 961) emergency-enacted and signed February 17, 2026

The statute

32 M.R.S. § 2102(2-A); § 2205-B(4-A) (as amended/enacted by PL 2025, c. 540)

The receipt

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

In February 2026 Maine unanimously passed emergency law LD 961 (PL c. 540) to sunset the 24-month physician-supervision rule — but only once the Board of Nursing adopts new NP-mentorship practice standards, which it was barred from adopting before May 1, 2026.

32 M.R.S. § 2102(2-A); § 2205-B(4-A) (as amended/enacted by PL 2025, c. 540)

Scope and carve-outs

The grant and the strings, at equal weight

After the transition, full APRN scope; the supervision gate applies only to certified nurse practitioners — Maine's other three APRN categories (CNM, CNS, CRNA) have never been subject to it.

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

During the transition, someone signs — and the signature is a cost line, in money or in kind. Independence retires it. What Gale adds is built to stay just as legible.

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 Maine’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Questions with citable answers
Not yet, in effect. LD 961 (PL 2025, c. 540) was emergency-enacted in February 2026, but it sunsets the 24-month rule only once the Board of Nursing adopts new mentorship-based practice standards — and the board, which could not adopt them before May 1, 2026, has not adopted them as of August 2026. The 24-month gate still operates.
Probably not entirely. The same law directs the board to adopt standards addressing length of practice and mentorship time, so some transition requirement is likely to persist in the replacement rules. What changes is the shape — mentorship-based standards instead of the current supervision requirement.
No — only to certified nurse practitioners. Maine’s other three APRN categories (CNM, CNS, CRNA) have never been subject to it.
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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