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Anesthesia‑workforce proposals deferred after debate; delegate seeks further talks

2174468 · January 30, 2025
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Summary

Bills to change supervision or license rules for anesthesia providers were postponed 'for the day' after debate about workforce shortages, training and scope of practice. Sponsors said they will continue stakeholder discussions.

Two related measures addressing anesthesia workforce and authorization were taken up and deferred.

House Bill 2391 (Sickles) proposed changes aimed at easing supervision requirements for certified registered nurse anesthetists (CRNAs), including language that would allow CRNAs with specified experience or degrees to practice in consultation rather than under statutory supervision. Delegate Sickles said some Virginia hospitals lack an anesthesiologist on site and rely on CRNAs to keep services available.

House Bill 1647 (Hayes) would license anesthesia care assistants (CAAs) so already‑trained practitioners living in Virginia could practice here; supporters said CAAs are recognized providers in 22 states and by Medicare, TRICARE and many insurers. Delegate Hayes and Delegate Sickles each said they will continue stakeholder negotiations.

Both bills were moved "go by for the day" (postponed) with sponsors saying they seek additional conversations and compromise before bringing measures back. Delegate Sickles emphasized the need to resolve workforce shortages before creating new provider categories and encouraged stakeholders to continue discussions with him.