Physician duties · CNM · Louisiana
Signing for a Certified Nurse-Midwife in Louisiana: what the physician takes on
The agreement is mandatory for the clinician, which makes its duties mandatory for you. Louisiana does not name a specific instrument.
Louisiana has not enacted an NC/2023-style independent-midwifery-practice reform — CNMs practice under the same LSBN-approved Collaborative Practice Agreement framework as other APRNs, subject to the same unconfirmed hours-based exemption noted for NPs.
Independent practice requires: Same unconfirmed hours-based CPA exemption referenced in the general `np` entry (LA Admin. Code tit. 46 §7911.A.5, which secondary sources describe as also covering CNMs) — exact hour threshold and resulting scope not confirmed in this research pass..
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Available remotely (no on-site requirement)
No codified mile/minute radius or on-site standard; collaborating physician must be available by telephone or direct telecommunication when not physically present (LAC 46:XLV.7911).
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Annually
Same CPA clinical-practice-guideline annual review cadence as general NPs.
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
The CPA must be reviewed and approved by LSBN before the CNM may exercise prescriptive authority (R.S. 37:913, LAC 46:XLV.7911); specific drug types/categories/schedules must be enumerated in the agreement.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Corporation/LLC under La. R.S. 12:901 et seq. — same general nursing-services-entity framework as the `np` entry; not independently confirmed for APRN-specific entity structures in this research pass.
Legal sources for these rules (3)
- La. Rev. Stat. § 37:913 — Definitions (Advanced Practice Registered Nursing, Collaborative Practice Agreement)secondary
- La. Admin. Code tit. 46, Part XLV, §7911 — Eligibility; Required Components of Collaborative Practice Agreementsecondary
- Louisiana State Board of Nursing — Advanced Practice Registered Nurse licensure page
What physicians charge for this role
Typical monthly compensation in Louisiana
$500 – $600
Estimate for one Certified Nurse-Midwife. This state's proximity rules add a small premium.
About Louisiana's rules
Louisiana remains a 'reduced practice' state for NPs — no SAVE Act-style full-practice-authority reform has passed. LA Admin. Code tit. 46 §7911.A.5 references an hours-based exemption from the CPA requirement for NP/CNM/CNS, but secondary sources give conflicting hour figures (1,000 vs. 2,080) and this pass could not confirm the exact threshold or resulting scope — verify directly with LSBN before relying on it.
Other clinicians in Louisiana: see the state overview.