CNM · all jurisdictions
What supervising or collaborating with a Certified Nurse-Midwife requires of you, state by state
Sort by any column to find the states with the lightest and heaviest physician obligations.
Independent practice25 jurisdictions
Conditional independence15 jurisdictions
Supervision required12 jurisdictions
| Alabama | Supervision required | Required | 9 (combined) | On-site presence required | By agreement · Quarterly | Not codified | Yes | — |
| Alaska | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Arizona | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Arkansas | Conditional independence | Not required | No cap | Available remotely | Not codified | As needed | Yes | — |
| California | Conditional independence | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Colorado | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Connecticut | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Delaware | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| District of Columbia | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Florida | Conditional independence | Required | No cap | No proximity requirement | Not codified | As needed | Yes | — |
| Georgia | Supervision required | Required | 8 (combined) | Within 50 miles | 10% · Annually | Not codified | Yes | — |
| Hawaii | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Idaho | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Illinois | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Indiana | Supervision required | Required | No cap | No proximity requirement | 5% · As needed | Every 6 months | Yes | — |
| Iowa | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Kansas | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Kentucky | Conditional independence | Required | No cap | No proximity requirement | Not codified | Not codified | No | — |
| Louisiana | Conditional independence | Required | No cap | Available remotely | Not codified | Annually | Yes | — |
| Maine | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Maryland | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Massachusetts | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Michigan | Supervision required | Required | No cap | Available remotely | Not codified | Annually | Yes | — |
| Minnesota | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| Mississippi | Supervision required | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Missouri | Supervision required | Required | 6 (combined) | Available remotely | 10% · As needed | As needed | Yes | — |
| Montana | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Nebraska | Supervision required | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Nevada | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| New Hampshire | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| New Jersey | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| New Mexico | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| New York | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| North Carolina | Conditional independence | Required | No cap | Available remotely | Not codified | As needed | Yes | — |
| North Dakota | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| Ohio | Conditional independence | Required | 5 (combined) | No proximity requirement | Not codified | Annually | Yes | — |
| Oklahoma | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Oregon | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Pennsylvania | Supervision required | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Puerto Rico | Supervision required | Required | No cap | Not specified | Not codified | Not codified | No | — |
| Rhode Island | Independent practice | Not required | No cap | Not specified | Not codified | Not codified | Yes | — |
| South Carolina | Supervision required | Required | 6 (combined) | Available remotely | Not codified | Not codified | Yes | — |
| South Dakota | Conditional independence | Required | No cap | Not specified | Not codified | Not codified | Yes | — |
| Tennessee | Supervision required | Required | No cap | On-site presence required | 20% · Monthly | Not codified | Yes | — |
| Texas | Supervision required | Required | 7 (combined) | No proximity requirement | Not codified | Monthly | Yes | — |
| Utah | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Vermont | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Virginia | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Washington | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| West Virginia | Conditional independence | Required | No cap | Available remotely | Not codified | Not codified | Yes | — |
| Wisconsin | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
| Wyoming | Independent practice | Not required | No cap | No proximity requirement | Not codified | Not codified | Yes | — |
Cells show the first rule on file; a state whose rule branches on a condition shows the branches on its own page. Pathways to independent practice for Certified Nurse-Midwives