The Collaboration Ledger · 2026-W37
Illinois pharmacists: no written agreement on file, and Michigan names its NP instrument
Illinois drops the written-agreement requirement for pharmacists in our matrix, and Michigan, Missouri and Wisconsin now carry the exact statutory names of the instrument you sign. Plus: the three states where an NP's collaborating physician must be physically nearby.
Moved in our research
Changes we made to the matrix this week.
Illinois: pharmacists no longer recorded as needing a written agreement
Our research changed whether a written agreement is required for pharmacists in Illinois from yes to no. If you practice in Illinois, this is the field that governs whether a signed physician instrument sits behind your patient-care activities.
Source: Our research
Michigan: the nurse practitioner instrument is now recorded as a Delegation Agreement
We added "Delegation Agreement" as the statutory name for the nurse practitioner instrument in Michigan, where no name was recorded before. That is the term to look for on the document your collaborating physician signs.
Source: Our research
Michigan: pharmacists also work under a named Delegation Agreement
We now record "Delegation Agreement" as the statutory name for the pharmacist instrument in Michigan, and we corrected the physician assistant instrument's name to "Written Practice Agreement."
Sources: Our research, Our research
Missouri: pharmacists practice under a Written Protocol, recorded as a delegation instrument
Missouri previously carried no collaborative practice instrument for pharmacists in our data. We now record a "Written Protocol," filed as a delegation-type agreement, for pharmacists in the state.
Sources: Our research, Our research, Our research, Our research, Our research, Our research
Missouri: nurse practitioner instrument name tightened to Collaborative Practice Arrangement
We dropped the parenthetical abbreviation from the Missouri nurse practitioner instrument, which we now record as "Collaborative Practice Arrangement."
Source: Our research
Utah: the hour threshold for PA independence now points to the written-agreement note
The Utah physician assistant condition for independence still reads at 10,000 hours of post-graduate clinical experience; we rewrote the pointer so the two lower tiers are found in the note under Written agreement on the state page.
Source: Our research
Strictest and loosest: where the physician must be, for nurse practitioners
3 jurisdictions codify a physical-presence or radius rule; 44 accept remote availability or set no rule.
Alabama: on-site presence required
Georgia: within a set radius of 50 miles
Tennessee: on-site presence required
Alaska: no proximity requirement
Arizona: no proximity requirement
Arkansas: available remotely
California: available remotely
Every outside claim carries the source it was read from this week. Our own research dates are on each state page. Published 2026-09-07.