Clinical Nurse Specialist Cheat Sheet for Vermont
Requirements for Supervising Physician agreements in Vermont, plus a free agreement builder tailored to Vermont law.
Provider supervision requirements in Vermont
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.
H.583 (signed June 15, 2026, eff. July 1, 2026) newly restricts private-equity/hedge-fund control and requires majority physician ownership/governance of medical practices — a major shift from Vermont's historically permissive, no-common-law-CPOM stance. All 4 APRN roles (NP, CRNA, CNM, CNS/PMHNP) share one 2,400-hour/2-year transition-to-practice threshold (26 V.S.A. § 1614) — treat as newly in effect and monitor implementing guidance.
Clinical Nurse Specialist
Independent practice requires: ≥2 years and ≥2,400 hours of practice under a collaborative agreement (≥1,600 hours over ≥12 months if adding a second APRN certification)
Same uniform APRN transition-to-practice threshold as NP/CRNA/CNM (26 V.S.A. § 1614) — Vermont's CNS entries include the psychiatric-mental-health specialty tracked separately as `pmhnp` above; this entry covers non-psychiatric CNS population foci.
Proximity
below the 2,400-hour/2-year transition-to-practice threshold: Available remotely (no on-site requirement)
No codified mile/minute radius; collaborating provider may be a physician or another qualified APRN of the same role.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · controlled substances permitted
No CNS-specific schedule restriction found beyond the general collaborative-agreement requirement below the transition threshold.Practice ownership (CPOM)
Licensee-only ownership required — Professional Corporation under 11 V.S.A. ch. 4 — see the `np` entry's note on H.583's new majority-licensee ownership/governance conditions.
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
Legal sources
$500–$700/mo
Estimated CNS supervision cost in Vermont
Available Supervising Physicians in Vermont
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