How often does a collaborative agreement need to be reviewed in California?

In California, collaborative agreements must be reviewed periodically. California requires NP collaborative agreements, called Standardized Procedures, to include a method for periodic review, but it does not set a specific interval or timeline for that review¹. When prescribing under a protocol, the agreement must also include a method for periodic review of the NP’s competence (including peer review) and a review of the provisions of the Standardized Procedure².

Standardized Procedures must be written, dated, and signed, and they must provide a method for periodic review of the procedures themselves¹. Ensure your protocols explicitly describe how the review will occur and how competence will be evaluated, as required when furnishing or ordering drugs and devices under physician-supervised protocols².

Note that NPs approved as 103 or 104 NPs under AB 890 may practice without Standardized Procedures in specified settings; where no collaborative agreement exists, these SP review requirements do not apply³⁴.