For nurse practitioners · New York

Independent past 3,600 hours — through 2030.

NPs who have practiced more than 3,600 qualifying hours are exempt from the written practice agreement and written protocol requirements and may practice independently.

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Every state with a pathway

The moment

The transition, and the moment it ends

New York’s threshold is more than 3,600 qualifying hours of NP practice. Past it, you are exempt from the written practice agreement and written protocol requirements — automatically, with no attestation or state filing under the current text.

The current text has an expiry date, and this page says so plainly: the independence law nearly lapsed in mid-2026, was extended in the final days of May 2026, and is now marked effective until July 1, 2030 — when an attestation-of-collaborative-relationships regime springs back unless the legislature acts again.

The transition

More than 3,600 hours of qualifying NP practice

The moment it ends

Automatic once the 3,600-hour threshold is reached; under the current (pre-2030) text no attestation or state filing is required. An attestation-of-collaborative-relationships regime returns July 1, 2030

The timeline

3,600-hour pathway created by the 2014 NP Modernization Act (effective Jan. 1, 2015); the April 2022 budget dropped the attestation; extended in late May 2026 and now marked 'Effective until July 1, 2030,' when the attestation version springs back

The statute

NY Education Law §6902(3)

The receipt

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

New York's NP independence law nearly lapsed in 2026: set to sunset July 1, 2026, it was extended to July 1, 2030 by legislation passed in the final days of May 2026, and the statute's current text carries the marker 'Effective until July 1, 2030.'

NY Education Law §6902(3)

Scope and carve-outs

The grant and the strings, at equal weight

Full scope, including prescribing, with no controlled-substance carve-outs tied to independence; qualifying hours may be earned in New York, another state, the VA, the U.S. armed forces, or the U.S. Public Health Service.

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 New York’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
Unless the legislature extends the law again or makes it permanent, the statute reverts to its prior form: NPs past the hours threshold would once more maintain collaborative relationships and file an attestation with the state. The extension passed in May 2026 runs to July 1, 2030; permanent full-practice bills had not been enacted as of mid-2026.
Qualifying practice may be earned in New York, another state, the VA, the U.S. armed forces, or the U.S. Public Health Service.
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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