Through state laws and regulations, some states limit how a Nurse Practitioner (NP) can interact and deliver care for patients. The limitations are what defines the scope of practice. We understand that keeping up with the changes can be challenging, so we created this page to give an overview of scope of practice information for Nurse Practitioners.

Our Locum Tenens division, Medestar, created a handy state-by-state guide to review the laws. This is especially useful for nurse practitioners who are looking to relocate for jobs and need to know the laws in their new state.

California Scope of Practice

The sunshine state is not so warm to the idea of Nurse Practitioners having full scope of practice. California has some of the most restrictive laws.

  • Restricted practice authority; must have policies in place that follow standards of the state Medical Board 
  • May prescribe drugs and devices provided it is authorized through the protocols in the collaborative agreement; Schedule II-III require physician involvement and care plan
  • NPs are recognized in state policy as primary care providers
  • Regulatory Structure: Restricted Practice
  • Regulatory Agency: Board of Registered Nursing
  • Licensure Requirements: RN license and a graduate degree.
  • Nurse Practice Act

Texas Scope of Practice

If your job search sends to you to the Lonestar state, your partnership with the physicians in your practice will be important. Texas like California has restricted practice authority.

  • Restricted practice authority; written protocol required with a physician
  • NP may prescribe as outlined in the written protocol
  • NPs are recognized in state policy as primary care providers
  • Regulatory Agency: Board of Nursing
  • Licensure Requirements: RN license, graduate degree, and national certification.
  • Nurse Practice Act

Want to learn about more states?

Visit Medestar’s Full NP Scope of Practice guide here.