This amendment expands the anesthesiologist assistant supervision framework to allow certified registered nurse anesthetists (CRNAs) to supervise anesthesiologist assistants under specified conditions, and adjusts related regulatory provisions.
- Expands the definition of who may supervise anesthesiologist assistants to include certified registered nurse anesthetists, in addition to anesthesiologists. (Page 5, line 11)
- Establishes a new subsection allowing CRNAs approved by the state board of nursing to supervise anesthesiologist assistants with the same duties as supervising anesthesiologists, except where federal Medicare and Medicaid Services regulations prohibit such supervision or would reduce reimbursement. (Page 5, after line 18)
- Renumbers subsequent subsections from (b) to (c), (c) to (d), and (d) to (e) to accommodate the new CRNA supervision provision. (Page 5, line 20; Page 11, lines 1 and 6)
- Requires the board to consult with the state board of nursing before promulgating rules governing anesthesiologist assistant practice and supervision. (Page 12, line 8)
- Establishes requirements for the state board of nursing to approve CRNA applications to supervise anesthesiologist assistants, including qualifications verification and practice compatibility assessment. Limits CRNAs to supervising no more than two anesthesiologist assistants during a shift, compared to the four-assistant limit for anesthesiologists. (Page 15, after line 18)
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