For nurse practitioners · New Hampshire

Plenary is the statute’s own word.

RSA 326-B:11 grants APRNs practice authority in their own right — advanced assessment, diagnosis, and 'plenary authority' to prescribe — with no physician supervision or collaboration agreement.

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The moment

Independence attaches at licensure

New Hampshire grants APRNs practice authority in their own right — advanced assessment, diagnosis, and what RSA 326-B:11 calls plenary authority to prescribe. The physician-oversight ties came out in the chapter’s late-2000s overhaul, and the duty that remains is clinical, not structural: consult, collaborate, or refer when the patient’s condition calls for it.

The requirement

none — independence at licensure

The moment it attaches

automatic — attaches at initial APRN licensure

The timeline

APRN chapter recodified 2005; remaining physician-oversight ties removed by 2008-2009 amendments

The statute

N.H. RSA 326-B:11

Worth knowing

New Hampshire's statute reaches for the word 'plenary' — RSA 326-B:11 gives APRNs 'plenary authority to possess, compound, prescribe, administer, and dispense' drugs, language dating from the chapter's late-2000s overhaul.

N.H. RSA 326-B:11

Scope and carve-outs

The grant and the strings, at equal weight

Full scope: advanced assessment, diagnosing, prescribing, administering and dispensing controlled (including Schedule II-IV via telemedicine, with at least annual in-person or clinically appropriate follow-up) and non-controlled drugs. Statutory duty to consult, collaborate, or refer is triggered by clinical need, not by a mandatory physician relationship.

The watch

Pending in New Hampshire

Statutes move, boards write rules, sunsets arrive. This watch is checked against primary sources on a standing cadence — last verified 5 November 2026 — and every item links the source it was read from.

Rulemaking in progress

New Hampshire is readopting Nur 400, its renewal, continuing-competency and delegation rules for all nurses including APRNs.

NH Office of Legislative Services / OPLC, Rulemaking Notice 2026-68 (Nur 400)

Landed recently (1)

Recently effective

New Hampshire APRNs may now certify childhood immunization medical exemptions and lasting medical necessity for disability vehicle-equipment waivers.

New Hampshire General Court, SB 453 final version (Chapter 253, 2026 Session)

Every jurisdiction, every item — The Watch →.

What Gale runs

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

In the product today

  • Chat runs the practice — say what you need in your own words, and Gale books it, finds the guide, or opens the screen already filled in.
  • 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.
  • Your credentials in one place — every license, DEA registration, board certification and plan enrollment you already hold, with reminders at 90, 60 and 30 days before one expires. Gale checks your NPI against the national registry and marks what it checked. It does not file applications; a credentialing service can.
  • Referrals from colleagues through your own link, acknowledged and booked in one place, and a view of which referral sources send you patients and which have gone quiet.
  • Practice notes on your public page, and your own notes on Gale’s health articles in the content library — credited to you, and nothing is public until you publish it.
  • An activity and access log that records who opened, changed or exported a patient’s chart, and when.
  • Connect Claude to set up your services, rates and hours by talking to it. It cannot open a patient record, move money or sign anything.
  • Tasks for you and your team, each with a due date, a priority and, if you choose, the patient it is about.
  • Supervision for the notes you co-sign: send a progress note back with a comment, or sign it yourself. Gale never signs for anyone.
  • A notifications inbox with the messages Gale sends you, each in full, and the unread ones marked.

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 it is turned on. No countdown — when it opens, it opens.
  • 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.
  • Currents — the regulatory watch for your state and the latest evidence for your specialty, dated, sourced, and re-verified on a standing cadence. Quiet weeks say so.

Built, rolling out

  • Insurance billing — a billing console, coding you review and attest, and every claim followed from draft to paid. Claims are filed to payers through Stedi, Gale’s signed clearinghouse, once insurance is on for your practice.
  • Outreach — check-ins for patients who have drifted, drafted overnight for you to approve. Nothing is sent until you approve it.
  • Your panel, sorted so the patients who are due or slipping out of care come first — a sort order, not a prediction — with show rates and between-visit activity counted beside it.
  • Practice health — whether notes get signed and Good Faith Estimates go out on time.
  • Guidance monitoring — the between-visit guidance a patient chooses to share with you, with anything off track listed first. It fills as patients share.
  • Workbooks — your charts, claims, referral pipeline, compliance records and clinician roster as tables you can edit. New accounts start on a sample practice.
  • A desktop bridge and scheduled agents, for work that runs while you are away. A scheduled agent can never send a message, move money or sign anything.
  • Analytics for the date range you pick — income, balances, claims, appointments and notes, and each report as a download. The money figures come from the same test system as billing.
  • Visit requests — the kind of visit a patient asks for, with a suggested length, checked off once the time is booked. For now a request is kept only in the browser it was sent from.
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 a fee on a card payment it takes or a flat fee on a claim your practice collects on its own — never as a subscription, never with per-feature line items, never a spread on your rate. The numbers themselves live 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 New Hampshire’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.

Find your page — we rank for your name →Browse the provider hub