Certified Nurse-Midwife Cheat Sheet for Pennsylvania
Requirements for Supervising Physician agreements in Pennsylvania, plus a free agreement builder tailored to Pennsylvania law.
Provider supervision requirements in Pennsylvania
Updated 2026-09-03
Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.
Pennsylvania has no independent-practice pathway for CRNPs — SB 25-style full-practice-authority bills have been introduced every session without passing. PA (physician assistant) reform via Acts 78/79 of 2021 removed prior Board pre-approval of written agreements and the flat 100%-countersignature rule after the first year, but a written agreement and supervision remain mandatory. PA is a CPOM state: only licensed physicians may own a medical professional corporation.
Certified Nurse-Midwife
A nurse-midwife may not engage in midwifery practice without a written Collaborative Agreement filed with the State Board of Medicine (49 Pa. Code Chapter 18, Subchapter A) — no experience- or hours-based pathway to independent practice was found.
Proximity
Available remotely (no on-site requirement)
The Collaborative Agreement must address the circumstances appropriate to the practice setting; no statewide mile/minute radius or on-site requirement is codified.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
May prescribe, dispense, order and administer medical devices, immunizing agents, and therapeutic, diagnostic and preventive measures consistent with AMCB certification and the collaborative agreement. Controlled-substance schedule limits are not spelled out.Practice ownership (CPOM)
Licensee-only ownership required — Same physician and licensee-only ownership regime as PAs and NPs; no CNM-specific provision
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
$550–$850/mo
Estimated CNM supervision cost in Pennsylvania
Available Supervising Physicians in Pennsylvania
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