Massachusetts spells out its approach in 244 CMR 6.03(2). When a nursing program's parent institution does business mainly outside the state, the Board must approve any didactic or clinical learning held in Massachusetts. Part A approves the institution and is renewed each year, filed six months or more before the first placement. Part B covers each individual placement and is due at least 30 days out, with changes filed two weeks ahead and the Board told of changes within 7 days. Nobody starts until the Board's approval letter arrives.
The Board's criteria picture schools readying graduates to sit the NCLEX-RN or NCLEX-PN, and they say nothing about RN-to-BSN or graduate study. It also expects faculty-student ratios no higher than 1:10 and preceptor-student ratios no higher than 1:2.