Confidential Support
Peer Assistance Programs — 50-State Directory
Every US state has a non-disciplinary pathway for nurses and advanced-practice providers experiencing substance use, mental health, or cognitive impairment. These programs exist to get you back to practicing safely — not to end your career.
What actually happens when you call
- 1. Intake call. Confidential. They ask what's going on, not to judge.
- 2. Evaluation. Independent assessment by a qualified clinician, often paid by you or insurance.
- 3. Monitoring agreement. If SUD is confirmed, typically 3–5 years of monitoring, random testing, and worksite reports.
- 4. Practice resumption. Most programs allow return to practice with restrictions that phase out as stability demonstrates.
- 5. Completion. On successful completion, records remain confidential in most states — your license history does not show the program.
Reporting rules vary by state and by employer. Self-referring before a complaint is filed almost always yields the most favorable terms. If a complaint has been made, call a healthcare attorney first.
National & 24/7 Lines
National
AANA Peer Assistance Helpline
24/7 confidential line staffed for CRNAs and SRNAs. Triages to state programs, treatment resources, and return-to-practice guidance. Not a reporting line.
Visit website →National
Physician Support Line
Peer-to-peer support by psychiatrists, free and confidential. Primarily for physicians but increasingly open to advanced-practice clinicians including CRNAs.
Visit website →National
SAMHSA National Helpline
Free, 24/7, confidential treatment referral for mental health and substance use. No license involvement.
National
988 Suicide & Crisis Lifeline
Not profession-specific but answered by trained counselors. Does not trigger licensure action.
By State
Sorted alphabetically. Phone numbers and program names verified against state board of nursing and state nurses association listings. Last reviewed April 2026.
Alabama
Alabama Board of Nursing — VDAP
Voluntary Disciplinary Alternative Program for impaired nurses including CRNAs.
Alaska
AkNA Peer Assistance
Alaska Nurses Association peer assistance.
Arizona
Arizona CNAP
Center for Nursing Advancement Program — confidential alternative-to-discipline.
Arkansas
Arkansas State Board of Nursing RNP
Recovering Nurse Program, non-disciplinary if compliant.
California
BRN Intervention Program
Confidential monitoring program; MAXIMUS administers. Voluntary self-referral possible.
Colorado
Colorado Peer Health Assistance (PHP)
Peer Health Assistance Program for nurses and CRNAs; confidential alternative to discipline. (University of Colorado CRNAs frequently reference this program.)
Connecticut
HAVEN (Health Assistance InterVention Education Network)
Confidential assistance for CT healthcare professionals.
Delaware
Delaware Professionals' Health Monitoring Program
Monitoring program under the Division of Professional Regulation.
Florida
Intervention Project for Nurses (IPN)
One of the oldest and most robust peer programs in the country. Confidential, non-disciplinary pathway.
Georgia
Georgia Nurses Foundation PAP
Peer Assistance Program for impaired nurses.
Hawaii
HI Professional Assistance Program
Administered through the Hawaii Medical Association for multi-profession assistance.
Idaho
Idaho PRN (Program for Recovering Nurses)
Voluntary recovery program with board alignment.
Illinois
Illinois Professionals Health Program
Confidential, non-punitive pathway for nurses with SUD or mental-health issues.
Indiana
ISNAP (Indiana State Nurses Assistance Program)
Operated by Indiana State Nurses Association.
Iowa
Iowa Board of Nursing — Recovery Program
Confidential monitoring; alternative to discipline.
Kansas
KSBN Impaired Provider Program
Kansas State Board of Nursing.
Kentucky
KARE for Nurses
Kentucky Alternative Recovery Effort for Nurses.
Louisiana
Recovering Nurse Program (RNP)
Louisiana State Board of Nursing RNP.
Maine
Medical Professionals Health Program (MPHP)
Covers physicians, CRNAs, and other licensed providers.
Maryland
Maryland Nurses Association — PAN
Peer Advisors for Nurses; confidential.
Massachusetts
SPAN (Substance Abuse Resources for Nurses)
Mass Nurses Association program; confidential when self-referred before complaint.
Michigan
Health Professional Recovery Program (HPRP)
State-authorized, non-disciplinary monitoring for all licensed health professionals.
Minnesota
Health Professionals Services Program (HPSP)
Non-disciplinary monitoring; one of the best-structured programs nationally.
Mississippi
Mississippi Professionals Health Program
Multi-profession support program.
Missouri
Missouri Nurses Association — IPP
Intervention & Peer Program.
Montana
Montana Nurses Association Peer Assistance
Voluntary peer program.
Nebraska
LAP (Licensee Assistance Program)
Multi-licensee assistance; confidential.
Nevada
NV Diversion Program (Board of Nursing)
Confidential alternative-to-discipline.
New Hampshire
NH Professionals' Health Program
For physicians, CRNAs, and other licensed providers.
New Jersey
Recovery and Monitoring Program (RAMP)
Confidential when self-referred; statewide for nurses.
New Mexico
New Mexico Monitored Treatment Program
Operated by NM Medical Society; includes advanced-practice providers.
New York
Statewide Peer Assistance for Nurses (SPAN)
Long-running NYSNA program; confidential.
North Carolina
North Carolina Board of Nursing ADP
Alternative Discipline Program for SUD.
North Dakota
ND Nurse Assistance Program
Board of Nursing alternative program.
Ohio
Ohio Nurses Alternative Program
Non-public monitoring if in compliance.
Oklahoma
Oklahoma Peer Assistance Program (PAL)
Confidential peer support.
Oregon
Health Professionals' Services Program
Operated by Reliant Behavioral Health.
Pennsylvania
Pennsylvania Nurse Peer Assistance Program (PNAP)
Confidential alternative to discipline; well-established.
Rhode Island
RI Board of Nursing — Monitoring
Alternative-to-discipline program.
South Carolina
Recovering Professional Program (RPP)
Multi-profession including nurses.
South Dakota
HPAP (Health Professionals Assistance Program)
Confidential monitoring.
Tennessee
Tennessee Professional Assistance Program (TNPAP)
Statewide confidential program.
Texas
Texas Peer Assistance Program for Nurses (TPAPN)
One of the largest peer programs nationally. Confidential.
Utah
Utah Professionals Health Program
Multi-profession peer assistance.
Vermont
Vermont Practitioner Health Program
For nurses, CRNAs, and other licensed professionals.
Virginia
Virginia Health Practitioners' Monitoring Program
Confidential alternative to discipline.
Washington
Washington Health Professional Services (WHPS)
State program for impaired practitioners.
West Virginia
WV Restore (Nursing Program)
Board of Examiners for RNs alternative program.
Wisconsin
Wisconsin Professional Assistance Procedure (PAP)
Managed through DSPS.
Wyoming
Wyoming Professional Assistance Program
Nurses and APRNs; confidential.
DC
DC Health Regulation & Licensing
Non-disciplinary treatment pathway.
If you're in crisis right now
Peer assistance is the right long-term path, but if you're thinking of harming yourself or using again today, call or text 988 or go to the nearest ED. Your license conversation can wait one day.
Disclaimer: This directory is informational and not legal advice. Rules and phone numbers change. Confirm with the program before making decisions that affect your license. Email wellness@anesthesia-pro.com with corrections.
Continue Your Journey
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If you're a committee chair: how to make peer-assistance routes visible without singling people out.
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