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Lawmakers weigh changing CRNA 'supervision' language to 'in consultation with'

PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE · September 30, 2020
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Summary

Representative Penza proposed replacing 'supervision' with 'in consultation with' for certified registered nurse anesthetists (CRNAs), arguing the change would increase rural access and reduce costs; members urged clearer statutory definitions and stakeholder talks with anesthesiologists before session.

Representative Penza introduced an interim study proposal to change state law governing certified registered nurse anesthetists, proposing to "remove the word supervision and replace with, in consultation with, a licensed physician," and said the language reflects how CRNAs routinely work when anesthesiologists are not present. The sponsor told the committee the change is intended to increase access to care and lower costs for Arkansans, particularly in rural hospitals.

The proposal cites federal supervision language from 1981 (HCFA, now the Centers for Medicare and Medicaid Services) and…

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