Registered Nurse 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.

Registered Nurse

Independent practice

RNs (general licensure, not an APRN) are not subject to physician-supervision or collaborative-agreement requirements in Vermont; the Nurse Practice Act (26 V.S.A. ch. 28) defines RN practice without a physician-oversight condition.


Proximity

Not codified — left to the practice agreement

Chart review

Not codified — left to the practice agreement

Prescriptive authority

Covered by practice agreement · no controlled-substance authority

RNs do not have independent prescriptive authority in Vermont; they administer medications only as ordered by an authorized prescriber.

Practice ownership (CPOM)

Non-licensee ownership permitted — General RN licensure does not require a healing-arts PC — non-clinical businesses an RN might own (staffing agency, home health agency) fall under general corporation/LLC law and carry no ownership restriction. H.583's new majority-licensee requirements target 'medical practices' employing physicians, not general RN-run businesses.

Supervision ratio

Not codified — left to the practice agreement

Meeting cadence

Not codified — left to the practice agreement

Written agreement

Not required

Unconditional — general RN licensure is never subject to physician supervision or a collaborative agreement, unlike the APRN/PA categories above.

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