Governor Hochul signed A10007C on May 28, 2026, a day after both chambers passed it. The bill is the state's FY2026-27 health and mental hygiene budget bill (Chapter 57 of the Laws of 2026), and it moves the sunset on New York's nurse practitioner independent-practice provision from July 1, 2026 to July 1, 2030.

Without it, experienced New York NPs would have lost the right to practice without a physician collaborative relationship on July 1, 2026. The standalone bills that would have made that right permanent, S2360 and A1220, never left the Higher Education committees before the session adjourned on June 5.

3,600 hrs
Experience threshold
NPs above it may practice without a physician collaborative relationship
4 yrs
Extension granted
Sunset moved from July 1, 2026 to July 1, 2030
2014
Modernization Act passed
Took effect January 1, 2015; the 2022 budget removed the collaboration requirement for experienced NPs

What the law actually allows

New York's rules work in two tiers, and the extension preserves both:

  • NPs with more than 3,600 hours of practice may practice without a collaborative relationship with a physician. This is the 2022 change that was due to sunset.
  • NPs with 3,600 hours or fewer must practice under a written practice agreement with a physician, as the Modernization Act has required since 2015.

New York is still not counted as a full practice authority state by AANP, because the independence depends on the experience threshold and on a provision that keeps needing renewal.

How New York got here

  • January 1, 2015: the NP Modernization Act (2014) takes effect. NPs with more than 3,600 hours move from written practice agreements to collaborative relationships with physicians.
  • 2022: a budget amendment lets NPs with more than 3,600 hours practice without a physician collaborative relationship at all, with a sunset in April 2024.
  • 2024: the sunset is extended to July 1, 2026.
  • January 2025: S2360 and A1220, to make the provision permanent, are introduced. They stay in committee.
  • May 27-28, 2026: A10007C passes both houses and is signed as Chapter 57. The sunset moves to July 1, 2030.
Jayson's take: what this means in practice

If you're an NP in New York with more than 3,600 hours, nothing changed on July 1, and that was the point: you can keep practicing without a physician collaborative relationship until at least 2030. If you're under 3,600 hours, keep your collaborative agreement or relationship current until you cross the threshold. And if you're weighing New York against a full practice authority state, remember this right has now been extended twice by budget bill rather than made permanent, so it is worth watching every few years.

Pay and what to watch before 2030

New York NPs earn a mean of $148,410 a year (BLS May 2025 OEWS), among the highest in the country, with the premium concentrated in New York City and Long Island. The next deadline is the July 1, 2030 sunset: either another extension, or a standalone bill like S2360 that makes the provision permanent. For state-by-state pay, see the New York nurse salary guide.