For nurse practitioners · Utah

The plan requirement is repealed.

APRN licensure itself confers full practice and prescriptive authority — Utah Code § 58-31b-803 lets a licensed APRN prescribe or administer prescription drugs including Schedule II-V controlled substances, with no consultation-and-referral plan or physician relationship.

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Every state with a pathway

The moment

Independence attaches at licensure

Utah’s SB 36 — signed in March 2023, effective May 3, 2023 — repealed the consultation-and-referral plan that had tethered less-experienced NPs’ Schedule II–III prescribing to a physician. What remains is licensure itself: the statute now carries no consultation, hours, or physician requirement for nurse practitioners, Schedule II–V prescribing included. The one carve-out in the section applies to nurse anesthetists, not NPs.

The requirement

none — independence at licensure (consultation-and-referral plan repealed 2023)

The moment it attaches

automatic — at initial APRN licensure

The timeline

May 3, 2023 (SB 36, 2023 General Session)

The statute

Utah Code § 58-31b-803

The receipt

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

Utah's SB 36 — signed in March 2023, effective May 3, 2023 — repealed the consultation-and-referral-plan requirement that had tethered less-experienced NPs' Schedule II-III prescribing to a physician, making Utah widely counted as the 27th full-practice-authority state.

Utah Code § 58-31b-803

Scope and carve-outs

The grant and the strings, at equal weight

Full scope including Schedule II-V prescribing. Sole statutory carve-out is for APRN-CRNAs (nurse anesthetists), limited to five-day peri-procedural supplies excluding ketamine under § 58-31b-803(2); nurse practitioners are unaffected.

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 Utah’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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