[{"_1":2,"_88":-5,"_89":-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],{"_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",6111318,"mediaKeyId","2751445-c361e663e551cb6ded43ac3836788459","parentId",2751445,"title","Committee approves change to CRNA practice language, keeps oversight and reporting requirements","audioSeconds",3483,"startMs",1602000,"endMs",5085000,"viewUrl","/Search/View?dp=1&key=2751445-c361e663e551cb6ded43ac3836788459&start=1602&end=5085","thumbnailUrl","https://assets.pipeline.soar.com/2751445-c361e663e551cb6ded43ac3836788459/thumbnail_1602000.jpg","articleUrl","/articles/6111318/West-Virginia/Committee-approves-change-to-CRNA-practice-language-keeps-oversight-and-reporting-requirements","mediaUrl","https://secure.pipeline.soar.com/6111318-f7531e7ed30498bf1a11e44f3c835582/orig.mp4?Expires=1771118878&Signature=hiGfO22hvKsGmWUeqfr50VTe6qV54E6RO8KGPgnP9tQ5HezwywQZ~OUd8rThidTPJ7Mx~tv0jON4Y3d~RFm3lpEW~8Q7TE6eZg~kDAdIboXyT6EEnG43CEzA106~j3t9n4ULSEF0fXg39pMiyoCm1Ug1IC0wGB2EFia-0JVJ0vHSXotesRrw4Z~EGutQOjtyWrzrT0eFhKP9JIcJDngK2JUja-XHekFed4Fvijepk-pw-8~ZaqLeOxEaayCTuALYnvyNULFZlWZ19mCwhuanu6Deh5BXUZnPrwJWoXbhimtpb2CPFYX6r2xwUMyHUNaod06y06ebQlWNNspUz4eF7A__&Key-Pair-Id=KUT5TJCACFTXG","author","West Virginia Legislature","date","2025-03-24T00:00:00Z","article","The Senate Government Organization Committee approved a committee substitute for Senate Bill 810 that revises state code language governing certified registered nurse anesthetists (CRNAs), clarifies permitted titles, and requires the Board of Nursing to report to the Legislature on implementation and any issues.

Committee Counsel summarized the substitute: “This bill expands the specifications set in code for allowing certified registered nurse anesthetist to administer anesthesia.” The substitute replaces the prior statutory wording that a CRNA must be “in the presence of and under the supervision” of a physician or dentist with a defined concept of “cooperation,” described in the substitute as teamwork in which each participant contributes their expertise at their respective education and training levels. Counsel told the committee the bill also makes clear a patient’s medical or dental care is directed by the physician, dentist or podiatrist \"at all times during such cooperation.\" The committee substitute removed prescriptive-authority language that had appeared in earlier draft text and removed the title \"nurse anesthesiologist\" from the list of allowed titles; retained allowed titles include \"certified registered nurse anesthetist,\" \"CRNA,\" \"advanced practice registered nurse,\" and \"APRN.\"

Why it matters: Proponents told the committee the change will expand access to anesthesia and related services, particularly in rural and critical-access hospital settings where physician anesthesiologists are not always immediately available. Dr. Justin James, president of the West Virginia Association of Nurse Anesthesiology, said podiatrists in rural areas reported waiting seven days or longer for supervision that allows a procedure to proceed; he said the substitute lets CRNAs work with podiatrists and other cooperating practitioners to increase access to care.

Safety concerns and reporting: Representatives of the Board of Medicine and an anesthesiologist witness urged caution. Greg Foster, counsel for the Board of Medicine, said the board’s priority is patient safety and that the term \"cooperation\" is vague compared with the prior statutory term \"supervision.\" A physician anesthesiologist who testified urged the committee to preserve the status quo; he recommended defining who qualifies as a consulting provider for chronic pain practice and asked that the medical community have further input on that section. In response to stakeholder concerns, the substitute includes a Board of Nursing reporting requirement: the board must report annually to the Legislature (first report due 07/01/2026) regarding problems or issues reported by hospitals.

Committee action and amendments: The committee considered several amendments and narrowly debated whether to convert the bill into a study resolution; that motion was rejected. A technical amendment adding clarifying conjunctions to subsection language was adopted. The committee ultimately voted to report the committee substitute, as amended, to the full Senate with a recommendation that it pass.

Ending: Committee members discussed continuing stakeholder engagement and monitoring via the Board of Nursing reports. The committee recessed following the vote; the committee substitute for Senate Bill 810 will be reported to the full Senate for further consideration.","mediaType","Video","parentTitle","WV Senate Government Organization Committee Mar 24, 2025","oneSentenceSummary","The committee approved a substitute for Senate Bill 810 that revises how certified registered nurse anesthetists may practice in cooperation with physicians, dentists and podiatrists, adds a Board of Nursing reporting requirement, and narrows allowed professional titles.","taxTitle","2025 Legislature WV, West Virginia","taxId",77714,"location","West Virginia","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},6111323,"Committee advances bill to let voters track absentee ballots and get confidential email alerts",525,1067000,1592000,"/Search/View?dp=1&key=2751445-c361e663e551cb6ded43ac3836788459&start=1067&end=1592","https://assets.pipeline.soar.com/2751445-c361e663e551cb6ded43ac3836788459/thumbnail_1067000.jpg","/articles/6111323/West-Virginia/Committee-advances-bill-to-let-voters-track-absentee-ballots-and-get-confidential-email-alerts","https://secure.pipeline.soar.com/6111323-d7cfbc917a9cfd022d423efde7a1a135/orig.mp4?Expires=1771118878&Signature=YJMx3SgO~kH4RZJGfuVXpceufbhPNu5sV5-65Lbh1dt~dnwyQ2aoY0ZcgMPdRGDDR3SkU-2mBTqvhIZqaFAWRmAs8gpzksskyV2IHgaZi2yWMI9ICcxBqLSTE4KLc3-oKeZ~rTgENuRLLm9xlgf577zBvgXIKVBc6MRGNMg-iGaZZtECzsmkf7sje9~8HXOqbBQOIr4n3wkL8w2C1z4kXR9Z0cYMell2njBIJaNPBiPxbPEoRs~bm25RI2wNbkxkJEkp0~nsXvh54N5ChneZC8xmIkKCx9sasFvpNRsQZhLa9u9~Xwb4F0JkksKr03C9z15bUp6ZfmtKutOvhdixzg__&Key-Pair-Id=KUT5TJCACFTXG","The Senate Government Organization Committee voted to report a committee substitute for Senate Bill 802 that would require the Secretary of State to maintain a public online tracker of absentee-ballot events and let voters opt in to confidential email alerts.

Committee Counsel told members, “This bill creates a new section of code that concerns tracking and providing notifications of the status of absentee ballots.” The substitute would require the Secretary of State to publish when an absentee ballot application was received and accepted or denied (with a brief reason and instructions to cure), and to list the dates a ballot was mailed, received by the county clerk, accepted or rejected (with reasons and cure instructions). If a ballot is later cured and accepted, the system must show that the ballot is eligible to be tabulated.

The nut graf: Sponsors and election officials said the measure aims to increase transparency around absentee ballots and give voters a chance to correct problems so their ballots can be counted.

County clerks and the Secretary of State’s office told the committee most of the required tracking already appears on the Secretary of State’s website. Michelle Holly, Fayette County Clerk, testified the proposal largely formalizes current practice and would make it easier for voters to confirm whether a returned ballot was received and accepted. Deke Kersey, chief of staff at the Secretary of State’s office, said the change would require modest programming work and adding two columns to the existing online listing (one for a reason for rejection and one for cure instructions). He noted the voter registration system currently outputs event files that feed the website and a planned voter-registration-system replacement under procurement could incorporate the new fields during development.

The bill allows voters to opt to receive email notifications when each listed event occurs. The committee substitute removed an earlier option for text-message notifications; Counsel said that feature had been taken out because it could be problematic. Counsel also said the bill makes those email notifications confidential and exempt from disclosure under the Freedom of Information Act.

Committee action and next steps: The vice chair moved that the committee substitute for Senate Bill 802 be reported to the full Senate with a recommendation that it pass and, under the original double reference, first be referred to the Judiciary Committee. The motion carried; the committee substitute will be reported to the full Senate and will proceed to Judiciary under the bill’s double-reference rule.

Ending: The committee took no further amendments on the floor and closed discussion after receiving testimony from county and Secretary of State staff. The substitute as reported will next appear before the Judiciary Committee under the double-reference requirement.","The Senate Government Organization Committee reported a committee substitute for Senate Bill 802 that would require the Secretary of State to publish status events for absentee ballots and allow voters to opt in to confidential email notifications; the measure was referred under its original double committee reference to Judiciary.","actionData","errors"]

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Committee approves change to CRNA practice language, keeps oversight and reporting requirements

Committee advances bill to let voters track absentee ballots and get confidential email alerts