[{"_1":2,"_100":-5,"_101":-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",6454747,"mediaKeyId","5858920-cd9d18edf6bfbf669bcdee6493501bf7","parentId",5858920,"title","CRNA group urges AB 876 to codify delegation, medical‑staff voting and title; BRN cautions on statutory limits for regs","audioSeconds",2022,"startMs",2277000,"endMs",4299000,"viewUrl","/Search/View?dp=1&key=5858920-cd9d18edf6bfbf669bcdee6493501bf7&start=2277&end=4299","thumbnailUrl","https://assets.pipeline.soar.com/5858920-cd9d18edf6bfbf669bcdee6493501bf7/thumbnail_2277000.jpg","articleUrl","/articles/6454747/California/CRNA-group-urges-AB-876-to-codify-delegation-medicalstaff-voting-and-title-BRN-cautions-on-statutory-limits-for-regs","mediaUrl","https://secure.pipeline.soar.com/6454747-9c30a46a9a261a721e48b9c303082d19/orig.mp4?Expires=1770437633&Signature=TQBGWvcBo7yfDvgGHq3WqJXFklXdq2vWLyf4F-FXY62O4t7Suyrr0e5N9xh0tcYsjK8~etSQvfblsjRTO21V5FFSONDJEr62UNgnzNPeLNkNyAHELfNfvw4CSlCbCU77zoLX9lYWYSino5GoATF5M4U1b~Oky0whh1bENxtSW8R~qNxRsro6wVG4wSlPoDWRLM3rFTYtDBbXxdnYxamFZXKY5amZbDUes8ICM70-85J8nWkcsKw8vWcwW4hRT5Z4hY8mFmsTkUsdIze4nu~54G6Gmk-xs16I3t147L~oU78QdgdqQfK6oNP1Hb2xuaMLs~tfaFGb49DP4o64g29VQw__&Key-Pair-Id=KUT5TJCACFTXG","author","Respiratory Care Board of California","date","2025-09-30T21:17:52Z","article","Melanie Rowe, practice director for the California Association of Nurse Anesthesiology, told the Board of Registered Nursing’s Certified Registered Nurse Anesthetist Advisory Committee on Sept. 18 that AB 876 — then on the governor’s desk — would, if signed, help codify elements of CRNA practice and urged further statutory and regulatory clarifications.

Rowe said AB 876 “gives clear authority to CRNAs to select and administer medications and therapeutic regimens in the course of carrying out an order for anesthesia services,” and she outlined three priorities not fully resolved in the bill: (1) explicit authority for CRNAs to delegate perioperative orders to registered nurses and other staff; (2) removal of regulatory limits that prevent nonphysician independent practitioners from serving as voting members of hospital medical staffs; and (3) adding the national professional title “CRNA” to the BRN’s regulatory definition of nurse anesthetists and recognizing NBCRNA certification.

Rowe described a recent event at Emmanuel Medical Center in which California Department of Public Health (CDPH) surveyors questioned a CRNA’s authority to order nursing actions in a recovery-room emergency. She said CDPH asked the hospital to remove CRNA authority to order nurses to carry out certain medications and treatments, which Rowe said caused unnecessary delay in patient care. \"Regulatory uncertainty has created unnecessary delays for patients, including during patient emergencies when time is of the essence,\" Rowe said.

Executive Officer Laurie Melby told the committee that the BRN supported the bill in its initial form but that the bill language had been narrowed during legislative negotiations. Melby stressed the legal limit on what the BRN can do by regulation: \"If it's not in statute, we cannot create new law with regulation. We simply have to clarify the current statutory language and provide some guidance if we can.\" She explained that BRN staff will review the final statutory language (if AB 876 is signed), consult the Department of Consumer Affairs’ regulatory attorney, and then draft regulations where statute allows.

Melby also explained that some issues raised by Rowe — notably medical-staff membership and voting rules in Title 22 — fall under the California Department of Public Health, not the Board of Registered Nursing, and thus would require changes to CDPH regulations or statute to change hospital medical-staff rules. She emphasized that the regulatory process includes public comment, Office of Administrative Law review and possible hearings, and that the timeline from statutory change to adopted regulation can take one to two years or longer if contested.

Public comment included Brian Toon, executive managing partner of Central California Anesthesiology Solutions, who said the ability for CRNAs to issue perioperative orders to RNs is a routine, decades‑long practice and that removing or weakening that authority could disrupt patient care. Toon said the Modesto/Emmanuel Medical Center incident demonstrated that confusion at the regulatory level can interrupt clinical operations and urged the BRN to pursue clarity.

Ending: Melby said BRN staff will evaluate the final bill language (if enacted) and pursue regulatory clarification to the extent statute permits, and she invited continued input from the advisory committee as regulations are drafted.","mediaType","Video","parentTitle","BRN_Certified Registered Nurse Anesthetist Advisory Committee Meeting September 18, 2025","oneSentenceSummary","Melanie Rowe of the California Association of Nurse Anesthesiology urged statutory and regulatory changes tied to AB 876 to clarify CRNA delegation to RNs, hospital‑medical‑staff voting rights for independent practitioners, and recognition of the CRNA title.","taxTitle","Respiratory Care Board of California, Boards and Commissions, Executive, California","taxId",76751,"location","California","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},6454757,"BRN advisory committee review finds few disciplinary cases for CRNAs; committee to add licensee counts",571,505000,1076000,"/Search/View?dp=1&key=5858920-cd9d18edf6bfbf669bcdee6493501bf7&start=505&end=1076","https://assets.pipeline.soar.com/5858920-cd9d18edf6bfbf669bcdee6493501bf7/thumbnail_505000.jpg","/articles/6454757/California/BRN-advisory-committee-review-finds-few-disciplinary-cases-for-CRNAs-committee-to-add-licensee-counts","https://secure.pipeline.soar.com/6454757-2a04277ba9790d22e939c307448d12ed/orig.mp4?Expires=1770437633&Signature=QLeonLwaTE4wrqQyR8FGbMlJnNcmJKvErkJKty6awZoJAA2qA~QnoNc5cHjriBKkxbLdwSFT6upHp7EcwawEsg4g7Nz2AJj34K8ArJSge8H1Ym1kcRalt6XvBVphgiDra58KEG7~Q7XVT-I2IgFrWirpnrhHJnl7nRuq8nbauNsPb02VH49MDYNcHaixUo50E~KzibjlMIs8-7QKHy-SI~X-Bk3hGmer94nIYkDXqw0DMe4BgVxCffxN-A9ofYKohyeGwu8xF2s-BJIDC4K~gy69t~MWh~Brt5ynsvVipncG21BdstoG-y4sGd6pFfmXxQEEkMs9OOjNqiP9rrfkKg__&Key-Pair-Id=KUT5TJCACFTXG","The Board of Registered Nursing’s Certified Registered Nurse Anesthetist Advisory Committee on Sept. 18 reviewed posted tables showing disciplinary-case dispositions for certified registered nurse anesthetists (CRNAs) and said the data indicate a low number of disciplinary cases but need denominators to show accurate rates.

Committee Chair Sandra Bordy, chair of the Certified Registered Nurse Anesthetist Advisory Committee, opened the item as “information only” and invited staff to present the discipline dispositions. Laurie Melby, executive officer for the Board of Registered Nursing, and staff said the posted tables list categories such as practice violations, out-of-state discipline (OSD), conviction, substance-use disorder, misconduct and “other.” Melby said the current slides show only counts by category and do not include the number of active licensees needed to calculate percentages.

Sarah Polakowski, vice chair, and Lori (Laurie) Melby discussed the need to overlay active-license counts so committee members and the public can see whether a single disciplinary case represents a stable or falling percentage of the CRNA workforce. Melby said staff will add the active-license row to the chart to allow year-to-year percentage comparisons.

Board legal counsel Reza Pej recommended clarifying whether any discipline counts overlap across categories and, if needed, adding an explanatory asterisk. \"We could just throw an asterisk under these charts and just reference, you know, there may be a possibility of overlap or that there isn't or whatever explanation is needed,\" Pej said. Melby reported that the chief of enforcement stated the data are recorded as individual counts per category but said staff would confirm the classification rules between meetings.

Committee member Kathleen Theobald asked whether one person could appear in multiple category counts (for example, an out-of-state action and a practice violation). Staff replied that the usual practice is to record cases in a single category but that rare overlaps could exist in older records; staff will verify and document the classification approach.

Public comment during this item included an unnamed commenter who compared BRN complaint trends with other medical boards. Melby explained reporting differences across boards, noting some agencies have employer-mandated reporting that BRN does not, and reiterated that the BRN monitors trends in complaints, accusations and discipline.

The committee took no formal action; staff said they will update future agenda materials to show the number of active CRNA licensees by year so the committee can calculate rates and better interpret the counts.

Ending: Committee Chair Bordy closed public comment on the item and moved on to the next agenda topic.","At its Sept. 18 meeting the Board of Registered Nursing (BRN) Certified Registered Nurse Anesthetist Advisory Committee reviewed disciplinary-case disposition tables for CRNAs, concluded incidents are low and directed staff to add active-license counts so percentages can be calculated.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6454752,"BRN explains 2026 sunset review: board membership, timeline and what 'sunset' would mean",709,1467000,2176000,"/Search/View?dp=1&key=5858920-cd9d18edf6bfbf669bcdee6493501bf7&start=1467&end=2176","https://assets.pipeline.soar.com/5858920-cd9d18edf6bfbf669bcdee6493501bf7/thumbnail_1467000.jpg","/articles/6454752/California/BRN-explains-2026-sunset-review-board-membership-timeline-and-what-sunset-would-mean","https://secure.pipeline.soar.com/6454752-651d39fdbb15f9bffce81488f490835a/orig.mp4?Expires=1770437633&Signature=SbwxlAyj8UB-0UF6Vhrnmoh0W3Q0TJ9IVPQP4r03Q4WpzRbAKFtlQmprWyJoEX~PAvN2Ay1VsQAwiZju8E6W11JoXOsMex1x0Nv6UQHuEcy~SOqNRzGJjjw4-D1BY70CwDxHh001Jh0pZ-XgK-TQCGIs9rKVPdO29TL6z9r9NE3JL51uA9jlvpyjeuH0us9ZbqWO4Sa0J7Her7NfZf7OoG0JwLct8JzixM7JUJ9MDsuOtJWqBsWXf9kCffvu6k1rBw9aWbXzbv32bWN5E-UAZNqgdtBkl~YmRzCajFp2~~~WPfN2H6NRS5ZMpPZv4DyLVkMuanSj1x0NlhNg7cnT3Q__&Key-Pair-Id=KUT5TJCACFTXG","Laurie Melby, executive officer of the Board of Registered Nursing, briefed the Certified Registered Nurse Anesthetist Advisory Committee on Sept. 18 about the 2026 sunset review process for the Board of Registered Nursing (BRN).

Melby said the nine-member policy board — five registered nurses and four public members — is the entity that the Legislature reviews in the sunset process; BRN staff and the bureau’s day-to-day licensing functions are not themselves “sunset” in the same way. Melby said if the board were sunset the BRN’s licensing and enforcement functions would continue but could be reorganized under the Department of Consumer Affairs as a bureau.

\"It is a very involved process,\" Melby told the committee, and she described the sequence: staff prepare a sunset report and responses to legislative questions in the months before the Legislature’s review; a legislator typically authors a sunset bill in February; and the Assembly and Senate oversight committees consider the bill and stakeholder input. Melby reviewed the agency’s prior experience, including a 2010 sunset that temporarily removed the board after vetoed legislation and was later addressed with a subsequent bill.

Melby said staff aim to have the draft sunset report ready for the October Nurse Practice Committee and to present it to the full board for approval in November so the report can be available to the Legislature in January. She also explained a range of possible outcomes: a multi-year reauthorization, a one-year extension, or statutory changes to address stakeholder-requested updates. She cautioned that regulatory changes can proceed only when supported by statute.

Committee members asked clarifying questions; Melby reiterated that the regulatory process is separate from the sunset process and that regulations can only clarify statutory authority. She described stakeholder meetings with legislative staff and the public-comment process that typically follows proposed regulations, including Office of Administrative Law review and the potential for formal hearings.

Ending: Melby said the board will present the sunset report and related materials to advisory committees and to the full board before the report is submitted to the Legislature next year.","Board of Registered Nursing Executive Officer Laurie Melby gave an overview of the 2026 sunset review process on Sept. 18, describing the timeline, what parts of the board are subject to sunset, and what would happen if the 9‑member policy board were not reauthorized.","actionData","errors"]

Article not found

CRNA group urges AB 876 to codify delegation, medical‑staff voting and title; BRN cautions on statutory limits for regs

BRN advisory committee review finds few disciplinary cases for CRNAs; committee to add licensee counts

BRN explains 2026 sunset review: board membership, timeline and what 'sunset' would mean