Lawmakers looking to change CRNA supervision requirements

Government officials from Florida, Colorado, Delaware, Missouri and California have all made efforts to topple supervision requirements for certified registered nurse anesthetists.

Advertisement

Here is how these states are tackling the issue in 2023:

1. Florida lawmakers Rep. Mike Giallombardo and Sen. Blaise Ingoglia are proposing legislation that would eliminate the current requirement for certified registered nurse anesthetists to have a written supervisory agreement with a physician.

2. Colorado Gov. Jared Polis sent a letter to CMS requesting the removal of supervision requirements for certified registered nurse anesthetists in the state.

3. Delaware opted out of federal regulations requiring physician supervision of certified registered nurse anesthetists.

4. U.S. Representatives Sam Graves from Missouri and Jared Huffman from California have reintroduced the Save America’s Rural Hospitals Act, which would expand the scope of practice for certified registered nurse anesthetists, allowing them to work without physician supervision.

Advertisement

Next Up in Anesthesia

  • Workforce shortages, reimbursement declines and costly inefficiencies were some of the biggest anesthesia-related issues for ASC leaders in 2025. While…

  • As physician employment accelerates, anesthesia leaders say the biggest pressure points are structural rather than clinical. Anesthesiologist Jason Hennes, MD,…

  • In 2025, national anesthesia organizations recognized clinicians and researchers whose work is influencing patient safety, health equity, education and policy. …

Advertisement

Comments are closed.