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.
| State | NP practice environment | Nurse Licensure Compact | Board position on elective IV hydration | Standing orders for elective IV | Home-care license and individual exemption | RN PICC insertion position | LPN/LVN IV limits |
|---|---|---|---|---|---|---|---|
| Alabama | Reduced practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | No state home health agency license Provisional | Not yet researchedConfirm with the Alabama board of nursing | Permitted with training, certification or supervision Verified |
| Alaska | Full practice Verified | Not a compact state Verified | Under board review (including drafts), or guidance located but not read Provisional | Not yet researchedConfirm with the Alaska board of nursing | Not yet researchedConfirm with Alaska Department of Health, Health Facilities Licensing and Certification | Not yet researchedConfirm with the Alaska board of nursing | Not yet researchedConfirm with the Alaska board of nursing |
| Arizona | Full practice Verified | Compact member Verified | Prescriber assessment and individualized order required Provisional | Not a substitute for an individualized order Provisional | Not yet researchedConfirm with Arizona Department of Health Services | Board document located, not read: not a basis to act Provisional | Not yet researchedConfirm with the Arizona board of nursing |
| Arkansas | Reduced practice Verified | Compact member Verified | Under board review (including drafts), or guidance located but not read Verified | Draft, not adopted: would reject standing orders Verified | Not yet researchedConfirm with Arkansas Department of Health | Not yet researchedConfirm with the Arkansas board of nursing | Draft, not adopted: would permit with training and supervision Verified |
| California | Restricted practice Verified | Not a compact state Verified | Prescriber assessment and individualized order required Verified | Not a substitute for an individualized order Provisional | No individual exemption in the definition read Provisional | Not yet researchedConfirm with the California board of nursing | Not yet researchedConfirm with the California board of nursing |
| Colorado | Full practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Colorado board of nursing | Individual nurse exempt while acting alone Provisional | Not yet researchedConfirm with the Colorado board of nursing | Permitted with training, certification or supervision Provisional |
| Connecticut | Full practice Verified | Compact member Verified | No IV-specific board guidance found Verified | Not yet researchedConfirm with the Connecticut board of nursing | Nursing-only business outside the agency definition Provisional | Within RN scope only on the board’s conditions (education, competency, an order and policy) Verified | Not yet researchedConfirm with the Connecticut board of nursing |
| Delaware | Full practice Verified | Compact member Verified | Not yet researchedConfirm with the Delaware board of nursing | Not yet researchedConfirm with the Delaware board of nursing | Not yet researchedConfirm with Delaware Division of Health Care Quality | Not yet researchedConfirm with the Delaware board of nursing | Not yet researchedConfirm with the Delaware board of nursing |
| District of Columbia | Full practice Verified | Not a compact state Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the District of Columbia board of nursing | Nursing-only business outside the agency definition Verified | Not yet researchedConfirm with the District of Columbia board of nursing | Not yet researchedConfirm with the District of Columbia board of nursing |
| Florida | Restricted practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Florida board of nursing | Individual nurse exempt while acting alone Verified | No board position found Verified | Permitted with training, certification or supervision Provisional |
| Georgia | Restricted practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | Individual nurse exempt while acting alone Provisional | Not yet researchedConfirm with the Georgia board of nursing | Permitted with training, certification or supervision Verified |
| Hawaii | Full practice Verified | Not a compact state Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Hawaii board of nursing | Not yet researchedConfirm with Hawaii Department of Health, Office of Health Care Assurance | Not yet researchedConfirm with the Hawaii board of nursing | Not yet researchedConfirm with the Hawaii board of nursing |
| Idaho | Full practice Verified | Compact member Verified | Under board review (including drafts), or guidance located but not read Provisional | Not yet researchedConfirm with the Idaho board of nursing | No state home health agency license Verified | Not yet researchedConfirm with the Idaho board of nursing | Not yet researchedConfirm with the Idaho board of nursing |
| Illinois | Reduced practice Verified | Not a compact state Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Illinois board of nursing | Nursing-only business outside the agency definition Provisional | Not yet researchedConfirm with the Illinois board of nursing | Not yet researchedConfirm with the Illinois board of nursing |
| Indiana | Reduced practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Indiana board of nursing | Not yet researchedConfirm with Indiana Department of Health | Not yet researchedConfirm with the Indiana board of nursing | Not yet researchedConfirm with the Indiana board of nursing |
| Iowa | Full practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Iowa board of nursing | No state home health agency license Disputed | Not yet researchedConfirm with the Iowa board of nursing | Not yet researchedConfirm with the Iowa board of nursing |
| Kansas | Full practice Verified | Compact member Verified | Prescriber assessment and individualized order required Provisional | Not yet researchedConfirm with the Kansas board of nursing | No individual exemption in the definition read Verified | Not yet researchedConfirm with the Kansas board of nursing | Permitted with training, certification or supervision Provisional |
| Kentucky | Reduced practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | Not yet researchedConfirm with Kentucky Cabinet for Health and Family Services | Within RN scope only on the board’s conditions (education, competency, an order and policy) Verified | Permitted with training, certification or supervision Verified |
| Louisiana | Reduced practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | Not yet researchedConfirm with Louisiana Department of Health | Not yet researchedConfirm with the Louisiana board of nursing | Not yet researchedConfirm with the Louisiana board of nursing |
| Maine | Full practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Provisional | Not a substitute for an individualized order Provisional | Individual nurse exempt while acting alone Verified | Not yet researchedConfirm with the Maine board of nursing | Not yet researchedConfirm with the Maine board of nursing |
| Maryland | Full practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Maryland board of nursing | Licensed nurses, alone or as a same-license group, excluded Verified | Not yet researchedConfirm with the Maryland board of nursing | Not yet researchedConfirm with the Maryland board of nursing |
| Massachusetts | Full practice Verified | Compact enacted, not yet implemented Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Massachusetts board of nursing | Sources conflict Disputed | Within RN scope only on the board’s conditions (education, competency, an order and policy) Verified | Not yet researchedConfirm with the Massachusetts board of nursing |
| Michigan | Restricted practice Verified | Not a compact state Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Michigan board of nursing | No state home health agency license Verified | Not yet researchedConfirm with the Michigan board of nursing | Not yet researchedConfirm with the Michigan board of nursing |
| Minnesota | Full practice Verified | Not a compact state Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Minnesota board of nursing | Individual nurse exempt while acting alone Verified | Not yet researchedConfirm with the Minnesota board of nursing | Not yet researchedConfirm with the Minnesota board of nursing |
| Mississippi | Reduced practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | Not yet researchedConfirm with Mississippi State Department of Health | Within RN scope only on the board’s conditions (education, competency, an order and policy) Verified | Permitted with training, certification or supervision Verified |
| Missouri | Restricted practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Missouri board of nursing | Nursing-only business outside the agency definition Verified | Not yet researchedConfirm with the Missouri board of nursing | Permitted with training, certification or supervision Provisional |
| Montana | Full practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Montana board of nursing | Not yet researchedConfirm with Montana Department of Public Health and Human Services | Not yet researchedConfirm with the Montana board of nursing | Not yet researchedConfirm with the Montana board of nursing |
| Nebraska | Full practice Verified | Compact member Verified | Prescriber assessment and individualized order required Verified | Not yet researchedConfirm with the Nebraska board of nursing | No individual exemption in the definition read Verified | Not yet researchedConfirm with the Nebraska board of nursing | Permitted with training, certification or supervision Verified |
| Nevada | Full practice Verified | Not a compact state Verified | Prescriber assessment and individualized order required Verified | Not yet researchedConfirm with the Nevada board of nursing | Individual nurse exempt while acting alone Provisional | Within RN scope only on the board’s conditions (education, competency, an order and policy) Verified | Permitted with training, certification or supervision Provisional |
| New Hampshire | Full practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the New Hampshire board of nursing | No individual exemption in the definition read Provisional | Within RN scope only on the board’s conditions (education, competency, an order and policy) Verified | Not yet researchedConfirm with the New Hampshire board of nursing |
| New Jersey | Reduced practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the New Jersey board of nursing | Not 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 nursing | Permitted with training, certification or supervision Provisional |
| New Mexico | Full practice Verified | Compact member Verified | Prescriber assessment and individualized order required Verified | Not yet researchedConfirm with the New Mexico board of nursing | Not yet researchedConfirm with New Mexico Health Care Authority | Not yet researchedConfirm with the New Mexico board of nursing | Not yet researchedConfirm with the New Mexico board of nursing |
| New York | Full practice Verified | Not a compact state Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | Individual nurse exempt while acting alone Verified | Not yet researchedConfirm with the New York board of nursing | Permitted with training, certification or supervision Provisional |
| North Carolina | Restricted practice Verified | Compact member Verified | Individualized order; written standing orders contemplated Verified | Only within a prescriber relationship or delegation Verified | Individual nurse exempt while acting alone Verified | Not yet researchedConfirm with the North Carolina board of nursing | Permitted with training, certification or supervision Verified |
| North Dakota | Full practice Verified | Compact member Verified | Prescriber assessment and individualized order required Verified | Only within a prescriber relationship or delegation Verified | Not yet researchedConfirm with North Dakota Department of Health and Human Services | Not yet researchedConfirm with the North Dakota board of nursing | Permitted with training, certification or supervision Verified |
| Ohio | Reduced practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | No individual exemption in the definition read Verified | Not yet researchedConfirm with the Ohio board of nursing | Permitted with training, certification or supervision Verified |
| Oklahoma | Restricted practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | Not yet researchedConfirm with Oklahoma State Department of Health | Not yet researchedConfirm with the Oklahoma board of nursing | Permitted with training, certification or supervision Verified |
| Oregon | Full practice Verified | Not a compact state Verified | Prescriber assessment and individualized order required Verified | Not yet researchedConfirm with the Oregon board of nursing | No individual exemption in the definition read Provisional | Not yet researchedConfirm with the Oregon board of nursing | Permitted with training, certification or supervision Verified |
| Pennsylvania | Reduced practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Pennsylvania board of nursing | Nursing-only business outside the agency definition Provisional | Not yet researchedConfirm with the Pennsylvania board of nursing | Permitted with training, certification or supervision Provisional |
| Rhode Island | Full practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | No individual exemption in the definition read Verified | Not yet researchedConfirm with the Rhode Island board of nursing | Outside LPN/LVN scope for elective or retail IV Verified |
| South Carolina | Restricted practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | Not yet researchedConfirm with South Carolina Department of Public Health | Within RN scope only on the board’s conditions (education, competency, an order and policy) Verified | Outside LPN/LVN scope for elective or retail IV Verified |
| South Dakota | Full practice Verified | Compact member Verified | Prescriber assessment and individualized order required Provisional | Not yet researchedConfirm with the South Dakota board of nursing | No state home health agency license Verified | Not yet researchedConfirm with the South Dakota board of nursing | Permitted with training, certification or supervision Provisional |
| Tennessee | Restricted practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Tennessee board of nursing | Not yet researchedConfirm with Tennessee Health Facilities Commission | Not yet researchedConfirm with the Tennessee board of nursing | Permitted with training, certification or supervision Provisional |
| Texas | Restricted practice Verified | Compact member Verified | State statute: physician orders or delegates (Tex. Occ. Code ch. 172) Verified | Only within a prescriber relationship or delegation Verified | Individual nurse exempt while acting alone Verified | No RN-specific statement; LVN insertion beyond scope Verified | Outside LPN/LVN scope for elective or retail IV Verified |
| Utah | Full practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Utah board of nursing | Not yet researchedConfirm with Utah Division of Licensing and Background Checks | Not yet researchedConfirm with the Utah board of nursing | Not yet researchedConfirm with the Utah board of nursing |
| Vermont | Full practice Verified | Compact member Verified | Individualized prescriber exam and order; standing orders rejected Verified | Not a substitute for an individualized order Verified | No state home health agency license Verified | Not yet researchedConfirm with the Vermont board of nursing | Permitted with training, certification or supervision Verified |
| Virginia | Restricted practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Virginia board of nursing | Individual nurse exempt while acting alone Verified | Not yet researchedConfirm with the Virginia board of nursing | Not yet researchedConfirm with the Virginia board of nursing |
| Washington | Full practice Verified | Compact member Verified | Under board review (including drafts), or guidance located but not read Provisional | Not yet researchedConfirm with the Washington board of nursing | Nursing-only business outside the agency definition Verified | Not yet researchedConfirm with the Washington board of nursing | Permitted with training, certification or supervision Provisional |
| West Virginia | Reduced practice Verified | Compact member Verified | Under board review (including drafts), or guidance located but not read Provisional | Not yet researchedConfirm with the West Virginia board of nursing | Nursing-only business outside the agency definition Verified | Not yet researchedConfirm with the West Virginia board of nursing | Not yet researchedConfirm with the West Virginia board of nursing |
| Wisconsin | Reduced practice Verified | Compact member Verified | Prescriber assessment and individualized order required Verified | Only within a prescriber relationship or delegation Verified | Not yet researchedConfirm with Wisconsin Department of Health Services | Not yet researchedConfirm with the Wisconsin board of nursing | Permitted with training, certification or supervision Verified |
| Wyoming | Full practice Verified | Compact member Verified | No IV-specific board guidance found Provisional | Not yet researchedConfirm with the Wyoming board of nursing | Not yet researchedConfirm with Wyoming Department of Health | Not yet researchedConfirm with the Wyoming board of nursing | Not 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.