Paloma Health Technologies Paloma TalentPaloma Cares

Nurse entrepreneurship Compare states

Compare states

Compare states for nurse-owned businesses

Seven questions for every state, each answer linked to its finding and labelled with its verification. AANP’s practice environment and the Nurse Licensure Compact are separate frameworks and sit in separate columns. Where a question was not researched, the cell says so and names who to confirm with.

Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.

Columns

Showing all 51 jurisdictions.

Nurse entrepreneurship and independent practice: 51 jurisdictions
StateNP practice environmentNurse Licensure CompactBoard position on elective IV hydrationStanding orders for elective IVHome-care license and individual exemptionRN PICC insertion positionLPN/LVN IV limits
AlabamaReduced practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNo state home health agency license ProvisionalNot yet researchedConfirm with the Alabama board of nursingPermitted with training, certification or supervision Verified
AlaskaFull practice VerifiedNot a compact state VerifiedUnder board review (including drafts), or guidance located but not read ProvisionalNot yet researchedConfirm with the Alaska board of nursingNot yet researchedConfirm with Alaska Department of Health, Health Facilities Licensing and CertificationNot yet researchedConfirm with the Alaska board of nursingNot yet researchedConfirm with the Alaska board of nursing
ArizonaFull practice VerifiedCompact member VerifiedPrescriber assessment and individualized order required ProvisionalNot a substitute for an individualized order ProvisionalNot yet researchedConfirm with Arizona Department of Health ServicesBoard document located, not read: not a basis to act ProvisionalNot yet researchedConfirm with the Arizona board of nursing
ArkansasReduced practice VerifiedCompact member VerifiedUnder board review (including drafts), or guidance located but not read VerifiedDraft, not adopted: would reject standing orders VerifiedNot yet researchedConfirm with Arkansas Department of HealthNot yet researchedConfirm with the Arkansas board of nursingDraft, not adopted: would permit with training and supervision Verified
CaliforniaRestricted practice VerifiedNot a compact state VerifiedPrescriber assessment and individualized order required VerifiedNot a substitute for an individualized order ProvisionalNo individual exemption in the definition read ProvisionalNot yet researchedConfirm with the California board of nursingNot yet researchedConfirm with the California board of nursing
ColoradoFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Colorado board of nursingIndividual nurse exempt while acting alone ProvisionalNot yet researchedConfirm with the Colorado board of nursingPermitted with training, certification or supervision Provisional
ConnecticutFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found VerifiedNot yet researchedConfirm with the Connecticut board of nursingNursing-only business outside the agency definition ProvisionalWithin RN scope only on the board’s conditions (education, competency, an order and policy) VerifiedNot yet researchedConfirm with the Connecticut board of nursing
DelawareFull practice VerifiedCompact member VerifiedNot yet researchedConfirm with the Delaware board of nursingNot yet researchedConfirm with the Delaware board of nursingNot yet researchedConfirm with Delaware Division of Health Care QualityNot yet researchedConfirm with the Delaware board of nursingNot yet researchedConfirm with the Delaware board of nursing
District of ColumbiaFull practice VerifiedNot a compact state VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the District of Columbia board of nursingNursing-only business outside the agency definition VerifiedNot yet researchedConfirm with the District of Columbia board of nursingNot yet researchedConfirm with the District of Columbia board of nursing
FloridaRestricted practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Florida board of nursingIndividual nurse exempt while acting alone VerifiedNo board position found VerifiedPermitted with training, certification or supervision Provisional
GeorgiaRestricted practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedIndividual nurse exempt while acting alone ProvisionalNot yet researchedConfirm with the Georgia board of nursingPermitted with training, certification or supervision Verified
HawaiiFull practice VerifiedNot a compact state VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Hawaii board of nursingNot yet researchedConfirm with Hawaii Department of Health, Office of Health Care AssuranceNot yet researchedConfirm with the Hawaii board of nursingNot yet researchedConfirm with the Hawaii board of nursing
IdahoFull practice VerifiedCompact member VerifiedUnder board review (including drafts), or guidance located but not read ProvisionalNot yet researchedConfirm with the Idaho board of nursingNo state home health agency license VerifiedNot yet researchedConfirm with the Idaho board of nursingNot yet researchedConfirm with the Idaho board of nursing
IllinoisReduced practice VerifiedNot a compact state VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Illinois board of nursingNursing-only business outside the agency definition ProvisionalNot yet researchedConfirm with the Illinois board of nursingNot yet researchedConfirm with the Illinois board of nursing
IndianaReduced practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Indiana board of nursingNot yet researchedConfirm with Indiana Department of HealthNot yet researchedConfirm with the Indiana board of nursingNot yet researchedConfirm with the Indiana board of nursing
IowaFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Iowa board of nursingNo state home health agency license DisputedNot yet researchedConfirm with the Iowa board of nursingNot yet researchedConfirm with the Iowa board of nursing
KansasFull practice VerifiedCompact member VerifiedPrescriber assessment and individualized order required ProvisionalNot yet researchedConfirm with the Kansas board of nursingNo individual exemption in the definition read VerifiedNot yet researchedConfirm with the Kansas board of nursingPermitted with training, certification or supervision Provisional
KentuckyReduced practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNot yet researchedConfirm with Kentucky Cabinet for Health and Family ServicesWithin RN scope only on the board’s conditions (education, competency, an order and policy) VerifiedPermitted with training, certification or supervision Verified
LouisianaReduced practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNot yet researchedConfirm with Louisiana Department of HealthNot yet researchedConfirm with the Louisiana board of nursingNot yet researchedConfirm with the Louisiana board of nursing
MaineFull practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected ProvisionalNot a substitute for an individualized order ProvisionalIndividual nurse exempt while acting alone VerifiedNot yet researchedConfirm with the Maine board of nursingNot yet researchedConfirm with the Maine board of nursing
MarylandFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Maryland board of nursingLicensed nurses, alone or as a same-license group, excluded VerifiedNot yet researchedConfirm with the Maryland board of nursingNot yet researchedConfirm with the Maryland board of nursing
MassachusettsFull practice VerifiedCompact enacted, not yet implemented VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Massachusetts board of nursingSources conflict DisputedWithin RN scope only on the board’s conditions (education, competency, an order and policy) VerifiedNot yet researchedConfirm with the Massachusetts board of nursing
MichiganRestricted practice VerifiedNot a compact state VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Michigan board of nursingNo state home health agency license VerifiedNot yet researchedConfirm with the Michigan board of nursingNot yet researchedConfirm with the Michigan board of nursing
MinnesotaFull practice VerifiedNot a compact state VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Minnesota board of nursingIndividual nurse exempt while acting alone VerifiedNot yet researchedConfirm with the Minnesota board of nursingNot yet researchedConfirm with the Minnesota board of nursing
MississippiReduced practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNot yet researchedConfirm with Mississippi State Department of HealthWithin RN scope only on the board’s conditions (education, competency, an order and policy) VerifiedPermitted with training, certification or supervision Verified
MissouriRestricted practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Missouri board of nursingNursing-only business outside the agency definition VerifiedNot yet researchedConfirm with the Missouri board of nursingPermitted with training, certification or supervision Provisional
MontanaFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Montana board of nursingNot yet researchedConfirm with Montana Department of Public Health and Human ServicesNot yet researchedConfirm with the Montana board of nursingNot yet researchedConfirm with the Montana board of nursing
NebraskaFull practice VerifiedCompact member VerifiedPrescriber assessment and individualized order required VerifiedNot yet researchedConfirm with the Nebraska board of nursingNo individual exemption in the definition read VerifiedNot yet researchedConfirm with the Nebraska board of nursingPermitted with training, certification or supervision Verified
NevadaFull practice VerifiedNot a compact state VerifiedPrescriber assessment and individualized order required VerifiedNot yet researchedConfirm with the Nevada board of nursingIndividual nurse exempt while acting alone ProvisionalWithin RN scope only on the board’s conditions (education, competency, an order and policy) VerifiedPermitted with training, certification or supervision Provisional
New HampshireFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the New Hampshire board of nursingNo individual exemption in the definition read ProvisionalWithin RN scope only on the board’s conditions (education, competency, an order and policy) VerifiedNot yet researchedConfirm with the New Hampshire board of nursing
New JerseyReduced practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the New Jersey board of nursingNot yet researchedConfirm with New Jersey Department of Health; Division of Consumer Affairs (health care service firms)Not yet researchedConfirm with the New Jersey board of nursingPermitted with training, certification or supervision Provisional
New MexicoFull practice VerifiedCompact member VerifiedPrescriber assessment and individualized order required VerifiedNot yet researchedConfirm with the New Mexico board of nursingNot yet researchedConfirm with New Mexico Health Care AuthorityNot yet researchedConfirm with the New Mexico board of nursingNot yet researchedConfirm with the New Mexico board of nursing
New YorkFull practice VerifiedNot a compact state VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedIndividual nurse exempt while acting alone VerifiedNot yet researchedConfirm with the New York board of nursingPermitted with training, certification or supervision Provisional
North CarolinaRestricted practice VerifiedCompact member VerifiedIndividualized order; written standing orders contemplated VerifiedOnly within a prescriber relationship or delegation VerifiedIndividual nurse exempt while acting alone VerifiedNot yet researchedConfirm with the North Carolina board of nursingPermitted with training, certification or supervision Verified
North DakotaFull practice VerifiedCompact member VerifiedPrescriber assessment and individualized order required VerifiedOnly within a prescriber relationship or delegation VerifiedNot yet researchedConfirm with North Dakota Department of Health and Human ServicesNot yet researchedConfirm with the North Dakota board of nursingPermitted with training, certification or supervision Verified
OhioReduced practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNo individual exemption in the definition read VerifiedNot yet researchedConfirm with the Ohio board of nursingPermitted with training, certification or supervision Verified
OklahomaRestricted practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNot yet researchedConfirm with Oklahoma State Department of HealthNot yet researchedConfirm with the Oklahoma board of nursingPermitted with training, certification or supervision Verified
OregonFull practice VerifiedNot a compact state VerifiedPrescriber assessment and individualized order required VerifiedNot yet researchedConfirm with the Oregon board of nursingNo individual exemption in the definition read ProvisionalNot yet researchedConfirm with the Oregon board of nursingPermitted with training, certification or supervision Verified
PennsylvaniaReduced practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Pennsylvania board of nursingNursing-only business outside the agency definition ProvisionalNot yet researchedConfirm with the Pennsylvania board of nursingPermitted with training, certification or supervision Provisional
Rhode IslandFull practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNo individual exemption in the definition read VerifiedNot yet researchedConfirm with the Rhode Island board of nursingOutside LPN/LVN scope for elective or retail IV Verified
South CarolinaRestricted practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNot yet researchedConfirm with South Carolina Department of Public HealthWithin RN scope only on the board’s conditions (education, competency, an order and policy) VerifiedOutside LPN/LVN scope for elective or retail IV Verified
South DakotaFull practice VerifiedCompact member VerifiedPrescriber assessment and individualized order required ProvisionalNot yet researchedConfirm with the South Dakota board of nursingNo state home health agency license VerifiedNot yet researchedConfirm with the South Dakota board of nursingPermitted with training, certification or supervision Provisional
TennesseeRestricted practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Tennessee board of nursingNot yet researchedConfirm with Tennessee Health Facilities CommissionNot yet researchedConfirm with the Tennessee board of nursingPermitted with training, certification or supervision Provisional
TexasRestricted practice VerifiedCompact member VerifiedState statute: physician orders or delegates (Tex. Occ. Code ch. 172) VerifiedOnly within a prescriber relationship or delegation VerifiedIndividual nurse exempt while acting alone VerifiedNo RN-specific statement; LVN insertion beyond scope VerifiedOutside LPN/LVN scope for elective or retail IV Verified
UtahFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Utah board of nursingNot yet researchedConfirm with Utah Division of Licensing and Background ChecksNot yet researchedConfirm with the Utah board of nursingNot yet researchedConfirm with the Utah board of nursing
VermontFull practice VerifiedCompact member VerifiedIndividualized prescriber exam and order; standing orders rejected VerifiedNot a substitute for an individualized order VerifiedNo state home health agency license VerifiedNot yet researchedConfirm with the Vermont board of nursingPermitted with training, certification or supervision Verified
VirginiaRestricted practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Virginia board of nursingIndividual nurse exempt while acting alone VerifiedNot yet researchedConfirm with the Virginia board of nursingNot yet researchedConfirm with the Virginia board of nursing
WashingtonFull practice VerifiedCompact member VerifiedUnder board review (including drafts), or guidance located but not read ProvisionalNot yet researchedConfirm with the Washington board of nursingNursing-only business outside the agency definition VerifiedNot yet researchedConfirm with the Washington board of nursingPermitted with training, certification or supervision Provisional
West VirginiaReduced practice VerifiedCompact member VerifiedUnder board review (including drafts), or guidance located but not read ProvisionalNot yet researchedConfirm with the West Virginia board of nursingNursing-only business outside the agency definition VerifiedNot yet researchedConfirm with the West Virginia board of nursingNot yet researchedConfirm with the West Virginia board of nursing
WisconsinReduced practice VerifiedCompact member VerifiedPrescriber assessment and individualized order required VerifiedOnly within a prescriber relationship or delegation VerifiedNot yet researchedConfirm with Wisconsin Department of Health ServicesNot yet researchedConfirm with the Wisconsin board of nursingPermitted with training, certification or supervision Verified
WyomingFull practice VerifiedCompact member VerifiedNo IV-specific board guidance found ProvisionalNot yet researchedConfirm with the Wyoming board of nursingNot yet researchedConfirm with Wyoming Department of HealthNot yet researchedConfirm with the Wyoming board of nursingNot yet researchedConfirm with the Wyoming board of nursing

Coverage

  • Board position on elective IV hydration: 50 of 51 researched; not yet researched: DE.
  • Standing orders for elective IV: 19 of 51 researched; not yet researched: AK, CO, CT, DE, DC, FL, HI, ID, IL, IN, IA, KS, MD, MA, MI, MN, MO, MT, NE, NV, NH, NJ, NM, OR, PA, SD, TN, UT, VA, WA, WV, WY.
  • Home-care license and individual exemption: 32 of 51 researched; not yet researched: AK, AZ, AR, DE, HI, IN, KY, LA, MS, MT, NJ, NM, ND, OK, SC, TN, UT, WI, WY.
  • RN PICC insertion position: 10 of 51 researched; not yet researched: AL, AK, AR, CA, CO, DE, DC, GA, HI, ID, IL, IN, IA, KS, LA, ME, MD, MI, MN, MO, MT, NE, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SD, TN, UT, VT, VA, WA, WV, WI, WY.
  • LPN/LVN IV limits: 27 of 51 researched; not yet researched: AK, AZ, CA, CT, DE, DC, HI, ID, IL, IN, IA, LA, ME, MD, MA, MI, MN, MT, NH, NM, UT, VA, WV, WY.
  • NP practice environment and Nurse Licensure Compact: all 51 read from AANP’s 05/2026 map and NCSBN’s August 2026 compact map.

Answer and verification are separate: “Not yet researched” is never “no”, and “No IV-specific board guidance found” records a search, never a permission. Editorial policy.