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For Legislators
Certified Registered Nurse Anesthetists are licensed Advanced Practice Nurses who are highly trained and skilled to provide anesthesia care.  CRNAs work in a variety of healthcare settings including large hospitals, ambulatory surgery centers, office-based settings and critical access hospitals in our rural communities.  CRNAs have been providing safe, effective anesthesia care for over 150 years. 
Support Senate Bill 563 and House Bill 4278

Senate Bill 563 and House Bill 4278 were introduced in effort to remove "supervision" which modernizes the language currently in the Nurse Practice Act. It is important to note that this is not a practice expansion bill for CRNAs.

40 states have already removed “supervision” language from CRNA licensing. (see map below)

5 additional states have introduced bills to remove “supervision” language this year. 2 states have passed bills through committee this year.*

CRNAs currently work under a Written Guideline that is approved within the work facility. SB 563 and HB 4278 maintain the CRNA Written Guideline, allowing the practice facility to determine the credentialing of the CRNA.

Need more information? Please contact: or JoLee Gudmundson, Lobbyist 803-931-0696

*Oklahoma, Florida, Arkansas, West Virginia and South Carolina have introduced “supervision” language removal bills in 2019. Oklahoma and Florida bills have recently passed committee in 2019.

Resources for Legislators

Item Name Posted By Date Posted
Support Senate Bill 563 and House Bill 4278 DOCX (48.41 KB) Administration 3/27/2019
US Map - No Supervision Requirement PDF (134.88 KB) Administration 3/1/2019
CRNA Fast Facts PDF (660.52 KB) Administration 3/1/2019
CRNAs: Ensuring Safe Anesthesia Care PDF (5.85 MB) Administration 3/1/2019
CRNA Education and Training PDF (5.74 MB) Administration 3/1/2019
Anesthesia and Changing Landscape PDF (4.92 MB) Administration 3/1/2019