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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Every state with a pathway

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

The receipt

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

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.

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 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.

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