State flag Nebraska Scope of Practice Policy: State Profile

Under Nebraska scope of practice law, dental hygienists may perform most of their services under the general supervision of a licensed dentist, meaning the dentist authorizes the procedure but need not be present during its performance. A dental hygienist may monitor nitrous oxide and, after proper training, administer local anesthesia under indirect supervision, meaning the… More »

Nebraska SOP Legislation

Retrieving legislative data...

Retrieving legislative data...
Licensed Professional Counselor Ability to Diagnose

A licensed professional counselor’s diagnostic ability is not outlined in statute. Neb. Rev. Stat. §38-2118

Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, seven NPs in Nebraska have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or appropriate experience an NP in independent practice can receive a federal waiver to dispense buprenorphine-containing products. An NP who is practicing under a transition-to-practice agreement may be able to receive a federal waiver with proper training or experience and as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Neb. Rev. Stat. §38-2315 and Neb. Rev. Stat. §38-2322

Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 9 PAs in Nebraska have received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in Nebraska may prescribe controlled substances as delegated by a supervising physician. With proper training or appropriate experience a PA in Nebraska can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Neb. Rev. Stat. §38-2055

Peer Support Specialist Certification or Credentialing Authority

The certification standards and procedures for peer support and wellness specialists are developed and administered by the state’s Department of Health and Human Services.

Practice Authority

To practice as a nurse practitioner, an individual who holds or has held a license as a nurse practitioner in Nebraska or in another state shall submit to the Division of Public Health of the Department of Health and Human Services a transition-to-practice agreement or evidence of completion of 2,000 hours of practice as a nurse practitioner that have been completed under a transition-to-practice agreement, under a collaborative agreement, under an integrated practice agreement, through independent practice, or under any combination of such agreements and practice. Neb. Rev. Stat. §38-2322

Prescriptive Authority

An NP may prescribe medications that fall within the NP’s scope of practice. Neb. Rev. Stat. §38-2315

Nurse Practitioner as a Primary Care Provider

NPs are not explicitly recognized in state policy as primary care providers.

Dental Hygienists with Direct Access

The Department of Health may authorize an unsupervised dental hygienist to provide services in a public health setting or a health care or related facility without a collaborative agreement. The dental hygienists must meet experience requirements and have professional liability insurance. Neb. Rev. Stat. §38-1130

Dental Hygienists with Prescriptive Authority

Dental hygienists do not have prescriptive authority.

Dental Therapists

Statute does not identify dental therapists as an oral health provider.

Supervision Requirements

Supervision requirements are outlined in regulations. An agreement must be made between the PA and the supervising physician that includes the scope of practice of the PA and the physician will retain legal responsibility for medical services provided by the PA. Supervision must be continuous but does not require the physical presence of the physician at all times. Neb. Admin. Code §172-90-006.01

Prescriptive Authority for Physician Assistants

A PA may prescribe drugs, devices and controlled substances as delegated by the supervising physician. Neb. Rev. Stat. §38-2055

Scope of Practice Determination

A PA may perform medical services delegated by the supervising physician and appropriate to the PA’s level of competence. The scope of practice is determined between the PA and the physician. Neb. Rev. Stat. §38-2055