The Signing Physician · 2026-W38
Vermont NPs: one condition stands between your signature and their independence
This week's pathway is Vermont, where a single experience threshold ends the collaborating physician's obligation for a nurse practitioner. Here is what that condition asks, and where the same math lives in every other state.
Pathway of the week: Vermont
Conditional independence means nurse practitioners in Vermont can drop the physician agreement once they meet the state's conditions.
Vermont: the conditions for nurse practitioners
1 condition before independent practice. For you as the collaborating physician, the agreement is a finite duty in Vermont: it runs until the NP clears the state's threshold, then lifts.
≥2 years and ≥2,400 hours of practice under a collaborative agreement (≥1,600 hours over ≥12 months if adding a second APRN certification)
That is the hour count you are being asked to carry and, in practice, to attest to.
Every state's pathway for nurse practitioners
Compare how long the obligation lasts before it ends, state by state.
Every outside claim carries the source it was read from this week. Our own research dates are on each state page. Published 2026-09-14.