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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

S563 and H4278 will remove “supervision” which modernizes the language currently in the Nurse Practice Act.

CRNAs work under a Written Guideline that is approved within each facility. CRNAs will continue to work under these Written Guidelines, allowing the practice facility to determine the credentialing of the CRNA.
This is not a practice expansion bill for CRNAs.

40 states and the District of Columbia have no “supervision” requirements concerning nurse anesthetists in nurse practice acts, board of nursing rules/regulations, medical practice acts, board of medicine rules/regulations, or their generic equivalents. See No Supervision Requirement Map.

4 states have pending bills to remove “supervision” language in 2020. 3 states have bills that have passed committee.*

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

*Oklahoma, Florida, West Virginia and South Carolina have “supervision” language removal bills. West Virginia has passed the House committee. Oklahoma has passed the Senate committee. Florida has passed the House sub-committee.

Resources for Legislators

Item Name Posted By Date Posted
Support Senate Bill 563 and House Bill 4278 PDF (299.21 KB) Administration 2/4/2020
US Map - No Supervision Requirement DOCX (215.5 KB) Administration 9/7/2020
CRNA Fast Facts PDF (660.52 KB) Administration 3/1/2019
CRNAs: Ensuring Safe Anesthesia Care PDF (186.97 KB) Administration 9/7/2020
CRNA Education and Training PDF (253.82 KB) Administration 9/7/2020
Anesthesia and Changing Landscape PDF (275.71 KB) Administration 9/7/2020