[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6332353,"mediaKeyId","2307807-53298e196cb8730f7b9aac06a7cb57b3","parentId",2307807,"title","House passes bill broadening APRN and CRNA practice; debate centers on patient safety, consent and rural access","audioSeconds",3132,"startMs",5159000,"endMs",8291000,"viewUrl","/Search/View?dp=1&key=2307807-53298e196cb8730f7b9aac06a7cb57b3&start=5159&end=8291","thumbnailUrl","https://assets.pipeline.soar.com/2307807-53298e196cb8730f7b9aac06a7cb57b3/thumbnail_5159000.jpg","articleUrl","/articles/6332353/Mississippi/House-passes-bill-broadening-APRN-and-CRNA-practice-debate-centers-on-patient-safety-consent-and-rural-access","mediaUrl","https://secure.pipeline.soar.com/6332353-30ab75f7163ba9621d87c6f0525322fd/orig.mp4?Expires=1776619713&Signature=Rl3~Ssy5YenfcMrTsZPofsxrvEwYPGfKUsC2UmtPr8UrY81~uaQkccktIkjJgYURksJGRL0TwCCYXARcvbnBQnf5XjuyA4ZSmwwoyIa2mgjR-VDNQEibPTrbsnT~ESGf8qCfwzA1ZHMmKMB9MNG4lpoZOyXIwCcugqgdKVyWvZGk1-KqwPkL3kfYM1TEaFTlg8hjkK8tmD679ya9lSOc~SvR4eJgJdP2PHHukJq5FpiQxoTlJh39OAaprvFsD-roIw72DIVKc0rmODZ0Ts9CQBwjCty4-yitKfjw3z31MaAmVPHFPZX3qBYIFL6Zjcrczpe74ttSM-~EN98-qf5FPw__&Key-Pair-Id=KUT5TJCACFTXG","author","Mississippi Legislature","date","2025-02-12T00:00:00Z","article","The Mississippi House on the floor passed House Bill 849, a wide-ranging health-care measure that expands the definition and scope of advanced practice registered nurses (APRNs), including certified registered nurse anesthetists (CRNAs), and establishes licensure for anesthesiologist assistants (AAs).

Sponsor and committee leaders said the measure is intended to increase access to care in rural and underserved areas by allowing APRNs to practice to the full extent of their education and training. The committee substitute removes the statutory requirement that APRNs maintain a collaborative agreement with a physician after they complete 8,000 hours of clinical practice and allows prior practice hours to count toward that total. The bill also adds a CRNA seat to the State Board of Nursing and establishes education, examination and licensing requirements for anesthesiologist assistants, who must work under direct supervision of an anesthesiologist.

\"This bill expands the definition and scope of APRNs... It eliminates the requirement for APRNs to maintain the collaborative relationship with a physician or dentist after completing 8,000 hours of clinical practice,\" the chair of the Public Health committee said when presenting the committee substitute.

The floor debate was lengthy and contentious. Representative Cody Felsher (Harrison) asked whether language could be added to preserve a patient's right to an anesthesiologist if a physician and family prefer that option: \"Could we look at language that would ensure that they have the right to have an anesthesiologist, if that's what they feel is best for the patient's outcome?\" (Representative Felsher, Harrison)

Concerns focused on patient safety in anesthesia, differences in training between CRNAs and physician anesthesiologists, malpractice liability and the state's shortage of anesthesia providers in rural areas. Supporters emphasized workforce shortages and said many rural hospitals rely on CRNAs now; the chair noted that roughly 900 CRNAs currently practice in Mississippi while anesthesiologists number in the low hundreds.

Floor amendments: lawmakers offered several floor amendments. A reverse-repealer amendment (seeking to delay or repeal the statute after a set period) was defeated. Proposed amendments to require higher malpractice coverage for APRNs, to impose a two-year mandatory rural service period for newly licensed APRNs/CRNAs, and to remove CRNAs from the scope expansion all failed on the floor. One amendment'a conditional funding trigger tied to increasing rural-physician scholarships to 100 slots'was adopted.

Final vote: the House recorded final passage with a roll-call tally of 75 yeas and 33 nays. The bill includes a sunset/repealer provision in the committee substitute language and establishes statutory changes to licensing and practice rules for APRNs, CRNAs and anesthesiologist assistants.

Why it matters: sponsors argue the bill will increase access to basic and mid-level medical care across rural Mississippi. Opponents say the changes reduce physician oversight and raise patient-safety and liability concerns, particularly for anesthesia care. The debate produced specific requests for notification and consent to patients when a non-physician provides anesthesia; sponsors indicated they are open to consent language.

Next steps: the bill will move to the Senate. Floor speakers signaled interest in additional language around patient consent and scope-of-practice limits for specific high-risk procedures.

Provenance: committee explanation and initial presentation at the start of debate; final passage recorded on the floor.","mediaType","Video","parentTitle","MS House Floor - 12 February, 2025; 10:00 A.M.","oneSentenceSummary","The Mississippi House passed House Bill 849, expanding APRN practice and CRNA autonomy while creating licensure for anesthesiologist assistants after extended floor debate and multiple failed amendments.","taxTitle","House of Representatives, Committees, Legislative, Mississippi","taxId",29103,"location","Mississippi","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6332360,"House advances charter-school modernization bill, sparking debate over impact on struggling districts",1569,2005000,3574000,"/Search/View?dp=1&key=2307807-53298e196cb8730f7b9aac06a7cb57b3&start=2005&end=3574","https://assets.pipeline.soar.com/2307807-53298e196cb8730f7b9aac06a7cb57b3/thumbnail_2005000.jpg","/articles/6332360/Mississippi/House-advances-charter-school-modernization-bill-sparking-debate-over-impact-on-struggling-districts","https://secure.pipeline.soar.com/6332360-dde467fcb8f798d5314eb15e3ade4602/orig.mp4?Expires=1776619713&Signature=afyqGQdiYuiXVZ-OPoIdBk6oNL0wTicj6dyH9cNBKpy2xCiAj4S-MzIBVN18y9MoWmRbwHrOeGQKfuDvzJj2Jgx0l8xj6lTnApbaAiS6oaAHZguSCZwIZ5zmAn5nXny-ZQyoa3E6ztUVu1fgXZonV8bwWsn8h2DXJ80tL3pydDfYvbjjtEVM0j0CT8AgSYLykCBGyDjQI6nYPXkSaAU6qyeBD51MAM7k0q6DDdqCdiOhuwjz4t7di2TOoJFOgZnQAGD8KtMzQaf9bEaVvMKgPUeApayAJaqcPFJLf6pcx3y49jytIypS6z2Y45zoBWtsFudVO0bphJU0Ev1Ooknxpw__&Key-Pair-Id=KUT5TJCACFTXG","The Mississippi House of Representatives on the floor debated and passed House Bill 1432, a committee substitute intended to update the state's charter school authorizer law and temporarily expand eligibility into C-rated school districts. The bill was explained and amended in committee and on the floor before final passage.

Supporters said the bill aims to provide families in underperforming districts more school options and to improve accountability of charter authorizers. The bill restores a peer committee role, authorizes specialty charters that serve students with special needs, clarifies administrative procedures for application and contracting, and changes the authorizer's funding mechanism from application fees to legislative appropriations.

\"This bill is not gonna fix all the problems with education or charter schools,\" the chairman of the House education committee told the chamber while presenting the committee substitute. \"But it is a start... If we're gonna have them, we need to do as good a job of making charter schools the best they can be... for those kids that are there.\" (Chairman of Education, explanation of committee substitute)

Members pressed the chairman on funding and on the bill's temporary expansion to C districts. Representative Miss Scott (Lady from Jones) said she was concerned the change would harm public schools that had just climbed from D to C. \"I really see this legislation as not helping us to move forward, but actually stalling our efforts or even harming all the good work that our administrators and our teachers and our students and families are doing to get that C grade and go further,\" she said during floor remarks.

The bill explicitly allows the charter authorizer to approve schools in C-rated districts until the Department of Education revises state accountability cut scores; speakers on the floor discussed a range of counts for C districts affected (figures cited in debate ranged between 31 and 35 districts). The sponsor said the expansion is intended to be temporary'about 1'2 years while the cut scores are revised.

Floor action: the House adopted a reverse-repealer amendment and a committee substitute; an amendment restoring the peer committee role was explained and adopted. The bill was placed on final passage and the House recorded the bill as passed on the floor.

What changed and why it matters: the measure shifts the authorizer's revenue model (removing fee-based funding and moving to legislative appropriation), expands the pool of districts that can host new charters for a limited period, and creates express authority for specialty charters for students with disabilities. Supporters framed those changes as tools to increase parental choice and improve outcomes in low-performing districts; opponents warned about enrollment and revenue impacts on already-struggling public districts.

Next steps: the bill will be transmitted to the Senate. If the Senate amends it, it may return to the House for concurrence.

Votes and procedure notes: the committee substitute and amendments were adopted on the floor. (See provenance.)","The Mississippi House advanced House Bill 1432, a committee-substitute package to modernize charter school authorizing and expand temporary eligibility to C-rated districts until state cut scores are revised. Lawmakers debated funding, community impact and protections for struggling public schools before adopting amendments and passing the bill.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":46,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6332347,"Votes at a glance: key House floor actions and outcomes",6355,1936000,"/Search/View?dp=1&key=2307807-53298e196cb8730f7b9aac06a7cb57b3&start=1936&end=8291","https://assets.pipeline.soar.com/2307807-53298e196cb8730f7b9aac06a7cb57b3/thumbnail_1936000.jpg","/articles/6332347/Mississippi/Votes-at-a-glance-key-House-floor-actions-and-outcomes","https://secure.pipeline.soar.com/6332347-c9d53ce6c5e994cfba9a88540cbff773/orig.mp4?Expires=1776619713&Signature=hJEmeGpXIknub~6CPqwCPanFSr5eanaNo6EU17eXfOiwqnOrbEtWS4NGNG0pUlxhcS-8Ksdqc2mhjGV6UERdETAUt5ETZNNAd43PYQkcHwJLzBffxJ1iGVBp8X1vtEZZzrlDaZBxa0k6CrknC2e3XPgjY-M7R~inaPbRJuF5G9ONbPBRWTyB7JP5dU9yznh6nObjoghyXjHHjL8JkO3rwwKH47L29eZcoHy7XsngtGxlWmiYJYZByNVH-khLQp1FDlU9EnHaZz5xByzbHRCrayrj~8PAwSVGA-hsKPmjA0Ml4LeT5h8toVjM97YFVh8y6GrtRtSFup2C-3lWR27MKw__&Key-Pair-Id=KUT5TJCACFTXG","This summary lists notable recorded votes and formally announced actions from the House floor on the day in question. It covers final passage tallies and short descriptions based on floor explanations. For the full roll-call record see the official House minutes and clerk's machine vote tallies.

- House Bill 1154 (motion to reconsider & amendment): sponsor sought reconsideration and a reverse repealer amendment; amendment adopted on the floor and the bill later recorded as passed (machine tally reported on floor: 91 yays, 15 nays during the earlier vote sequence on this calendar item).

- House Bill 1432 (charter modernization): committee substitute and amendments adopted on the floor; final passage recorded in the transcript as passed on the floor (final tally reported in chamber remarks when clerk closed machine; exact machine roll-call to be confirmed in clerk minutes).

- House Bill 175 (cancer / Medicaid patient access/generic description): called and read; bill explanation and vote were taken on the floor and bill advanced (see clerk for tally).

- House Bill 861 (victim/witness immunity for minor offenses connected to sexual-assault reporting): passed by recorded vote; transcript records passage with a machine vote reported as about 115 yays, 0 nays.

- House Bill 5531 (Rural Dentistry Scholarship expansion): passed on the floor; recorded machine tally announced as 14 yays, 0 nays.

- House Bill 609/660 and other appropriations/procurement brief votes: multiple bills on the calendar were advanced, amended or passed; some were held or tabled as noted in the transcript.

- House Bill 849 (APRN/CRNA scope): passed after extensive debate; the transcript records the final tally as 75 yeas and 33 nays.

- House Bill 938 (hearing officer for disputed solid-waste bills): brief floor consideration and final passage recorded (machine tally announced on floor: 115 yays, 0 nays for items of that sequence).

- Multiple memorial/highway-designation bills and other ceremonial measures: numerous name-and-designation bills passed; many recorded tallies in the transcript show near-unanimous ayes (counts commonly 116 or 118 yays, 0 nays for the naming measures).

Notes on accuracy: these items summarize votes as announced on the floor during the session transcript. Some precise machine vote printouts and member-by-member tallies are available only in the clerk's official record; where the transcript provides only the floor announcement the summary reflects the announced totals.

If you need the full roll-call by bill and member, I can extract the clerk's machine tallies (requires the clerk printout or the official recorded vote export).","A round-up of roll-call results and final outcomes from the House floor session. Includes final-passage tallies and brief descriptions for bills that received recorded votes during the session.","actionData","errors"]

Article not found

House passes bill broadening APRN and CRNA practice; debate centers on patient safety, consent and rural access

House advances charter-school modernization bill, sparking debate over impact on struggling districts

Votes at a glance: key House floor actions and outcomes