30-state regulatory compliance matrix
| State | CPOM | NP authority | GFE rule | MD retainer | Compact | Key metros |
|---|---|---|---|---|---|---|
| California | Strict CPOM | Full after transition hours | Synchronous expected | $1,200–$2,200 | No | Los Angeles, San Diego, SF Bay Area |
| Texas | Strict CPOM | Restricted | Synchronous expected | $1,200–$2,000 | Yes | Austin, Dallas, Houston, San Antonio |
| Florida | Permissive | Full after transition hours | Prescriber order + GFE | $800–$1,500 | Yes | Miami, Orlando, Tampa, Palm Beach |
| New York | Strict CPOM | Full after transition hours | Synchronous expected | $1,400–$2,500 | No | Manhattan, Brooklyn, The Hamptons |
| Nevada | Moderate CPOM | Full practice authority | Prescriber order + GFE | $1,000–$1,800 | No | Las Vegas, Reno |
| Arizona | Permissive | Full practice authority | Prescriber order + GFE | $800–$1,500 | Yes | Scottsdale, Phoenix, Tucson |
| Colorado | Strict CPOM | Full practice authority | Prescriber order + GFE | $1,100–$1,900 | Yes | Denver, Aspen, Vail, Boulder |
| Illinois | Strict CPOM | Full after transition hours | Synchronous expected | $1,200–$2,000 | No | Chicago, Naperville, Evanston |
| Georgia | Moderate CPOM | Restricted | Prescriber order + GFE | $1,000–$1,800 | Yes | Atlanta, Savannah |
| North Carolina | Moderate CPOM | Restricted | Synchronous expected | $1,000–$1,800 | Yes | Charlotte, Raleigh-Durham |
| Tennessee | Moderate CPOM | Restricted | Prescriber order + GFE | $1,000–$1,800 | Yes | Nashville, Memphis, Knoxville |
| Utah | Permissive | Full after transition hours | Prescriber order + GFE | $800–$1,500 | Yes | Salt Lake City, Park City |
| Washington | Moderate CPOM | Full practice authority | Prescriber order + GFE | $1,100–$1,900 | Yes | Seattle, Bellevue |
| Massachusetts | Moderate CPOM | Full after transition hours | Prescriber order + GFE | $1,200–$2,100 | Pending | Boston, Cambridge |
| Pennsylvania | Permissive | Reduced | Prescriber order + GFE | $900–$1,600 | Yes | Philadelphia, Pittsburgh |
| Ohio | Permissive | Reduced | Prescriber order + GFE | $900–$1,600 | Yes | Columbus, Cleveland, Cincinnati |
| Michigan | Strict CPOM | Restricted | Prescriber order + GFE | $1,100–$1,900 | No | Detroit, Grand Rapids, Ann Arbor |
| Virginia | Permissive | Full after transition hours | Prescriber order + GFE | $900–$1,600 | Yes | Northern Virginia, Richmond, Virginia Beach |
| New Jersey | Strict CPOM | Reduced | Synchronous expected | $1,300–$2,300 | Yes | Jersey City, Hoboken, Jersey Shore |
| Maryland | Moderate CPOM | Full practice authority | Prescriber order + GFE | $1,000–$1,800 | Yes | Baltimore, Bethesda, Annapolis |
| Minnesota | Moderate CPOM | Full after transition hours | Prescriber order + GFE | $1,000–$1,800 | No | Minneapolis, St. Paul |
| Missouri | Permissive | Restricted | Prescriber order + GFE | $800–$1,500 | Yes | St. Louis, Kansas City, Branson / Ozarks |
| Indiana | Permissive | Reduced | Prescriber order + GFE | $800–$1,500 | Yes | Indianapolis, Carmel / Fishers |
| Wisconsin | Moderate CPOM | Full after transition hours | Prescriber order + GFE | $900–$1,600 | Yes | Milwaukee, Madison |
| Oregon | Strict CPOM | Full practice authority | Prescriber order + GFE | $1,200–$2,000 | No | Portland, Bend |
| South Carolina | Moderate CPOM | Restricted | Synchronous expected | $900–$1,600 | Yes | Charleston, Hilton Head, Greenville |
| Alabama | Moderate CPOM | Reduced | Synchronous expected | $900–$1,600 | Yes | Birmingham, Huntsville, Gulf Shores |
| Louisiana | Moderate CPOM | Reduced | Prescriber order + GFE | $900–$1,600 | Yes | New Orleans, Baton Rouge |
| Kentucky | Moderate CPOM | Reduced | Synchronous expected | $900–$1,600 | Yes | Louisville, Lexington |
| Oklahoma | Permissive | Full after transition hours | Prescriber order + GFE | $800–$1,500 | Yes | Oklahoma City, Tulsa |
No state matches that filter.
How to read the matrix
| Field | Meaning |
|---|---|
| CPOM | How strictly the Corporate Practice of Medicine doctrine limits ownership of a medical practice by non-physicians. Strict usually means a Friendly PC + MSO. |
| NP authority | Full: NPs practice and prescribe without physician agreements. Transition: full after a set number of supervised hours. Reduced / restricted: collaborative or supervisory agreement required. |
| GFE rule | “Synchronous expected” marks states whose boards have signalled a live prescriber evaluation before new patients or Rx drips. |
| MD retainer | Typical monthly supervising physician fee for an IV menu in that state. |
| Compact | Nurse Licensure Compact membership for multistate RN licences. |
Verify before you launch. Boards publish new position statements and legislatures amend scope laws every session. Each state page names the boards and statutes involved so you can confirm current text with them and with healthcare counsel.
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See what your state means for your practice
The provider calculator loads each state’s CPOM tier, NP authority, GFE expectations and pharmacy enforcement into an entity recommendation and P&L.
Frequently asked questions
Which states have the strictest corporate practice of medicine rules?
Among our 30 priority states, California, Texas, New York, New Jersey, Illinois, Colorado, Oregon and Michigan apply CPOM most strictly; an IV practice there usually runs as a physician-owned Friendly PC with a separate MSO.
In which states can a nurse practitioner own an IV clinic?
NPs with full practice authority, for example in Arizona, Colorado, Maryland, Nevada, Oregon and Washington, can usually own and direct a clinical practice within their scope. Several others grant full authority after transition hours.
Do mobile IV nurses need a license in every state they work in?
An RN needs a license valid where the patient is. A multistate Nurse Licensure Compact license covers compact states, but it does not change each state’s delegation, standing-order or corporate rules.
Which states require a live exam before an IV drip?
All states require a prescriber order. Boards in states such as Alabama, North Carolina, South Carolina and Kentucky have issued guidance that expects a real patient evaluation before elective IV hydration, and several large states treat synchronous exams as the standard for new patients.