Your State Went Full Practice: What to File to End the Agreement

Does full practice authority end the agreement on its own?

Almost never on the day the law takes effect. In the states that have opened a route out of the agreement, the route is a filing, and the filing carries conditions: practice hours, continuing education, sometimes graduate coursework. A statute changes what the board may grant. In the ordinary case, the agreement you signed still governs your prescribing until the board has your paperwork and has acted on it.

Illinois wrote the shape plainly. An APRN certified as a nurse practitioner, nurse midwife or clinical nurse specialist reaches full practice authority by filing a notarized attestation with the Illinois Department of Financial and Professional Regulation, certifying continuing education and clinical hours accrued after first attaining national certification 1Ref 1Illinois General Assembly (2024).225 ILCS 65/65-43, Nurse Practice Act, Sec. 65-43. Full practice authority..The Illinois route to full practice authority by notarized attestation filed with the Department, the at-least-250 continuing education hours and at-least-4,000 clinical hours accrued after national certification, the Schedule II narcotic consultation relationship recorded in the Prescription Monitoring Program with at-least-monthly discussion of an opioid patient, and the section's scheduled repeal date.. The hours sit in the statute itself, so the text a board employee checks is the text you can read tonight.

Your own state may have built none of that. Before it is a form, the category a state sits in is a definition. The American Association of Nurse Practitioners defines full practice as evaluating, diagnosing and prescribing under the exclusive licensure authority of the state board of nursing, and reduced practice as state law requiring a career-long regulated collaborative agreement with another health provider in order for the NP to provide patient care 2Ref 2American Association of Nurse Practitioners (2026).State Practice Environment.The national classification definitions only: full practice as evaluating, diagnosing and prescribing under the exclusive licensure authority of the state board of nursing, reduced practice as state law requiring a career-long regulated collaborative agreement, and the page's Updated 05/2026 stamp.. The classification tells you which conversation you are in. Your board's application page tells you which transaction to complete, and the two are updated on different clocks.

But a state passing full practice authority and your board accepting your attestation this month are two different events.

What your board wants filed, and where it goes

Three shapes recur, and each is a different transaction. Some states take an attestation into the board's own records. Some take a registration application with eligibility questions printed on it. Some take a form that never reaches the state at all and lives at the practice location until somebody asks for it. Reading which one your state uses is the first thing to settle.

New York is the one that surprises people. Form NP-CR is not mailed anywhere: the nurse practitioner keeps it at the practice location and provides it to the New York State Education Department upon request 4Ref 4New York State Education Department, Office of the Professions (2017).Nurse Practitioner Form NP-CR, Collaborative Relationships Attestation Form.The New York collaborative relationships route above 3,600 hours of qualifying practice experience, that Form NP-CR is kept at the practice location and provided to the State Education Department upon request rather than filed, the required relationships with qualified New York-licensed physicians or a licensed hospital, and the clause under which an unresolved dispute resolves in the physician's favor.. Nothing arrives from Albany confirming the change, so the copy in your own file is the record.

Those numbers belong to those three states and to nobody else. Run the arithmetic against your own record before opening any application, because each threshold is counted from a date the board picks.

What stays after the agreement goes

Physician involvement often survives, in named and narrower forms. Illinois keeps a consultation relationship for one class of prescribing after full practice authority is granted. New York swaps the written practice agreement for collaborative relationships, and physicians stay in the picture. Both survive because they were written as separate requirements, and neither is repealed by the filing that ends the agreement itself.

In Illinois, an APRN with full practice authority may prescribe Schedule II narcotic drugs such as opioids only in a consultation relationship with a physician. That relationship is recorded in the Prescription Monitoring Program website rather than filed with the Department, and the statute has the APRN and the physician discussing any opioid patient's condition at least monthly 1Ref 1Illinois General Assembly (2024).225 ILCS 65/65-43, Nurse Practice Act, Sec. 65-43. Full practice authority..The Illinois route to full practice authority by notarized attestation filed with the Department, the at-least-250 continuing education hours and at-least-4,000 clinical hours accrued after national certification, the Schedule II narcotic consultation relationship recorded in the Prescription Monitoring Program with at-least-monthly discussion of an opioid patient, and the section's scheduled repeal date.. The carve-out lands hardest on prescribers whose panel is largely controlled substances, so PMHNP practice authority is worth reading against the controlled-substance subsection before the headline.

New York's attestation carries its own residue. Signing Form NP-CR means attesting to collaborative relationships with one or more qualified New York-licensed physicians or a licensed hospital, and it includes an acknowledgment that where reasonable efforts to resolve a dispute with a collaborating physician are not successful, the recommendation of the physician prevails 4Ref 4New York State Education Department, Office of the Professions (2017).Nurse Practitioner Form NP-CR, Collaborative Relationships Attestation Form.The New York collaborative relationships route above 3,600 hours of qualifying practice experience, that Form NP-CR is kept at the practice location and provided to the State Education Department upon request rather than filed, the required relationships with qualified New York-licensed physicians or a licensed hospital, and the clause under which an unresolved dispute resolves in the physician's favor.. Read that clause twice before assuming the written agreement was the last physician-facing obligation attached to the licence.

Ending the old agreement is a separate transaction

Claiming the new authority and closing the old paperwork are two filings, and boards track them separately. Pennsylvania publishes the ending as its own named transaction for certified registered nurse practitioners, Change of Prescriptive Authority Collaborative Agreement: Termination, listed alongside the initial application and the change application 5Ref 5Pennsylvania Department of State, Bureau of Professional and Occupational Affairs, State Board of Nursing (2026).Application Information (State Board of Nursing).That Pennsylvania lists Change of Prescriptive Authority Collaborative Agreement: Termination as its own named board transaction for CRNPs, distinct from the initial application and the change application, and that a board application information page names its transactions by title.. Complete the first without the second and an agreement stays on the board's record that nobody has closed.

Controlled substances are usually their own licence line as well. An Illinois APRN with full practice authority who prescribes, stores or dispenses Schedule II through V controlled substances must obtain a full practice authority APRN controlled substances registration, prefix 377, and a separate registration is required for each practice location where controlled substances are stored or dispensed 6Ref 6Illinois Department of Financial and Professional Regulation, Division of Professional Regulation (2026).Qualifications for Licensure: Full Practice Authority APRN Controlled Substances (377).The separate full practice authority APRN controlled substances registration (prefix 377) for an Illinois APRN who prescribes, stores or dispenses Schedule II through V controlled substances, the requirement of a separate registration for each practice location where controlled substances are stored or dispensed, and the sheet's 03/2026 effective date.. That qualifications sheet is effective 03/2026 by its own footer, a stamp worth checking before relying on last year's printout.

The agreement is also a private contract between two people, and the board filing does not read it for you. What it says about notice, about records and about who keeps the charts binds the parties who signed it, so the required clauses in a collaborative agreement are worth rereading before a termination goes anywhere. Where the notice wording is ambiguous, a short call with a health-law attorney is cheaper than guessing.

Credentialing files and payer enrollment records are a common place for a collaborating physician's name to linger after the board record is clean. No board page cited here describes how those updates propagate, so treat them as separate housekeeping: pull your own applications and see where the name still appears.

If your state never opened a route, the agreement stays

Then the agreement is the licence to practice, and the work is filing it correctly. Georgia's mechanism is the protocol agreement rather than an attestation: an APRN practices under a nurse protocol agreement registered with the Georgia Composite Medical Board, it carries a $150 non-refundable filing fee, and the online application is submitted by the delegating physician 7Ref 7Georgia Composite Medical Board (2026).APRN Protocol Registration.Georgia's nurse protocol agreement registration: the $150 non-refundable filing fee, that the online application is submitted by the delegating physician, and the board's stated current average processing time of 30 business days depending on the agreement's complexity, read 2026-09-01..

Timing is the operational half. The board's page, read on September 1, 2026, states that it is currently experiencing processing times averaging 30 business days, depending on the complexity of the agreement 7Ref 7Georgia Composite Medical Board (2026).APRN Protocol Registration.Georgia's nurse protocol agreement registration: the $150 non-refundable filing fee, that the online application is submitted by the delegating physician, and the board's stated current average processing time of 30 business days depending on the agreement's complexity, read 2026-09-01.. That is a stated current average and it moves with volume, so build the lead time into a start date.

AANP's classification is the fastest way to know which conversation you are in, and its definition of reduced practice, quoted above, is state law requiring a career-long regulated collaborative agreement with another health provider in order for the NP to provide patient care 2Ref 2American Association of Nurse Practitioners (2026).State Practice Environment.The national classification definitions only: full practice as evaluating, diagnosing and prescribing under the exclusive licensure authority of the state board of nursing, reduced practice as state law requiring a career-long regulated collaborative agreement, and the page's Updated 05/2026 stamp.. The page carried an Updated 05/2026 stamp when it was read. The map starts the lookup. The filing mechanics are on your board's page.

How to settle it for your own state in one sitting

Four documents answer this, and all four are public. Start with the nurse practice act section that grants or withholds the authority; Illinois publishes its own as 225 ILCS 65/65-43, with a scheduled repeal date printed alongside it 1Ref 1Illinois General Assembly (2024).225 ILCS 65/65-43, Nurse Practice Act, Sec. 65-43. Full practice authority..The Illinois route to full practice authority by notarized attestation filed with the Department, the at-least-250 continuing education hours and at-least-4,000 clinical hours accrued after national certification, the Schedule II narcotic consultation relationship recorded in the Prescription Monitoring Program with at-least-monthly discussion of an opioid patient, and the section's scheduled repeal date.. Then read the board's application information page, which names the transactions by title, the way Pennsylvania names its termination filing 5Ref 5Pennsylvania Department of State, Bureau of Professional and Occupational Affairs, State Board of Nursing (2026).Application Information (State Board of Nursing).That Pennsylvania lists Change of Prescriptive Authority Collaborative Agreement: Termination as its own named board transaction for CRNPs, distinct from the initial application and the change application, and that a board application information page names its transactions by title.. Controlled substance registration is usually a third document.

1. Find the section of your nurse practice act that names full practice authority, or establish that no such section exists. Note its effective date and any repeal date printed alongside it. 2. Open your board's application information page and read the transaction titles. Ending an agreement often appears as a line of its own, as it does in Pennsylvania 5Ref 5Pennsylvania Department of State, Bureau of Professional and Occupational Affairs, State Board of Nursing (2026).Application Information (State Board of Nursing).That Pennsylvania lists Change of Prescriptive Authority Collaborative Agreement: Termination as its own named board transaction for CRNPs, distinct from the initial application and the change application, and that a board application information page names its transactions by title.. 3. Run the eligibility arithmetic against your own record before opening the application. Florida asks the hours, the graduate coursework and the discipline history on the registration form itself, DH-MQA 5050 3Ref 3Florida Board of Nursing, Florida Department of Health (2020).Autonomous Advanced Practice Registered Nurse Registration (DH-MQA 5050).The Florida autonomous APRN registration application and its eligibility questions: at least 3,000 clinical practice hours under the supervision of an allopathic or osteopathic physician within the past five years, which may include clinical instructional hours, three graduate semester hours each in differential diagnosis and pharmacology within the last five years, and the five-year discipline question printed on the same form.. 4. Find the controlled substances page separately, and check whether a registration attaches to each practice location, as the Illinois 377 registration does 6Ref 6Illinois Department of Financial and Professional Regulation, Division of Professional Regulation (2026).Qualifications for Licensure: Full Practice Authority APRN Controlled Substances (377).The separate full practice authority APRN controlled substances registration (prefix 377) for an Illinois APRN who prescribes, stores or dispenses Schedule II through V controlled substances, the requirement of a separate registration for each practice location where controlled substances are stored or dispensed, and the sheet's 03/2026 effective date.. 5. Read the residual physician provisions last, because they determine whether anything in your week changes 1Ref 1Illinois General Assembly (2024).225 ILCS 65/65-43, Nurse Practice Act, Sec. 65-43. Full practice authority..The Illinois route to full practice authority by notarized attestation filed with the Department, the at-least-250 continuing education hours and at-least-4,000 clinical hours accrued after national certification, the Schedule II narcotic consultation relationship recorded in the Prescription Monitoring Program with at-least-monthly discussion of an opioid patient, and the section's scheduled repeal date..

Two adjacent questions sit outside this page: practice ownership before full licensure, and whether your state requires a collaborative agreement or protocol in the first place. Both change what a termination filing means, and both are read off the same two pages you have just opened.