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HARRISBURG, Pa., Jan. 20, 2025 /PRNewswire/ -- Certified registered nurse anesthetists (CRNAs) are usually the last person a patient sees before a surgical procedure begins, and the first person they awake to when it ends. As the hands-on providers of anesthesia, CRNAs are with their patients throughout the entire medical procedure.


Jan. 19-25 marks "National CRNA Week," celebrating the nearly 74,000 nurse anesthetists and residents in nurse anesthesiology programs across the country. CRNAs play a critical role in addressing rising health-care costs, protecting patient health, and ensuring access to quality care.


"As members of one of America's most trusted health-care professions, CRNAs have served on the front lines of patient care for more than 150 years, and we continue to answer the call to keep our patients healthy and safe," said Debra Minzola, Ph.D., CRNA, president of the Pennsylvania Association of Nurse Anesthetists (PANA), which represents approximately 4,000 CRNAs and students statewide.


CRNAs operate safely in every setting where anesthesia is administered, including hospital operating and delivery rooms; ambulatory surgical centers; the offices of dentists, podiatrists, ophthalmologists, and plastic surgeons; pain management centers and more.


From collaborating on transformative health-care policy wins that advance patient care to saving lives by safely administering more than 58 million anesthetics when and where patients need it most each year, the unique expertise of CRNAs helps to ensure communities stay healthy and safe.


With a history that spans to the Civil War, CRNAs have been the main providers of anesthesia care to U.S. military personnel since World War I and remain the primary anesthesia providers in austere combat theaters. CRNAs also remain the primary providers of anesthesia care in rural America and medically underserved areas


Education and training are rigorous. Pennsylvania is among the top draws nationally for CRNA students, with 15 highly rated nurse anesthetist programs spread across the commonwealth. The average nurse anesthetist completes 9,000 clinical hours prior to becoming a CRNA. Because of this experience, numerous medical studies show there is no statistical difference in patient outcomes when a nurse anesthetist provides treatment, even for rare and difficult procedures.


PANA remains active in Pennsylvania to grow and strengthen the profession. Among its priorities: a scope of practice bill that would allow CRNAs to practice to the fullest extent of their education and training, and legislation that would classify nurse practitioners, clinical nurse specialists, and CRNAs as "advanced practice registered nurses," or APRNs. Both measures received broad bipartisan support last session, with plans for reintroduction in the 2025-26 legislative session.


The association also is guarding against measures that would allow a new category of unlicensed anesthesia providers to practice in Pennsylvania. The proposed use of anesthesiologist assistants (AAs) is unproven in terms of anesthesia care and creates major liability issues for hospitals and other practitioners. And, because AAs cannot practice apart from anesthesiologists who supervise them, it is the most expensive anesthesia care delivery models.


The Department of Health currently is reviewing the potential implementation of an AA model through delegatory authority rather than statute.


"We will always be there for our patients during their most vulnerable moments," Minzola said. "And we will do all we can to ensure access to safe, effective, efficient, affordable, compassionate care."


CONTACT: Kurt Knaus

P: 717-724-2866




Only a few session days remain—six in the Senate, three in the House of Representatives—before Pennsylvania’s 2021-22 legislative session ends.


Any bill that hasn’t made it entirely through both chambers of the state General Assembly to get to the governor’s desk for his signature and enactment must be reintroduced and work itself through the whole legislative process again when the new two-year session starts in January 2023.


The end of session is good news when it comes to bad policy like House Bill 1956 and Senate Bill 1258, two companion measures that would license anesthesiologist assistants (AAs) for the first time in Pennsylvania.


Neither bill received consideration and no votes are pending in these waning days of session. But that doesn’t mean the issue is finished—far from it.


The Pennsylvania Association of Nurse Anesthetists (PANA) successfully pushed back against the legislation this year, but we fully expect the measures to be reintroduced in the 2023-24 session.


We’ll be ready, too. We have to be, because we’ve already seen some of tactics proponents will use to advance their bills. Consider the lengths they’ll go:


  • Certified Registered Nurse Anesthetists (CRNAs) and SRNAs heard rumors that the legislation passed. Nope. Never happened. In fact, on April 25, PANA testified against the legislation during a House Professional Licensure Committee hearing. The measure never received a vote.

  • In an unprecedented attempt to circumvent the legislative process, AAs began reaching out directly to both physician-owned and CRNA-owned anesthesia companies with notice that they are authorized to work in Pennsylvania under delegatory authority. The Pennsylvania Department of Health has made clear that anesthesiologist assistants are not recognized as an anesthesia provider in the state and therefore cannot operate as such in the commonwealth.

  • Working with their state and national organizations, anesthesiology assistants also have been claiming publicly that AAs and CRNAs can be used interchangeably, alleging an anesthesia shortage, as part of an attempt to move AAs into facilities where CRNAs are already working. Nonsense. AAs are limited by their training to only provide support as a technical assistant to a physician anesthesiologist and cannot provide anesthesia care apart from their direct supervision. Any scenario that has an AA working apart from a physician anesthesiologist is in direct violation of federal law.

So, while this legislative session is ending, it’s really just the beginning of the fight against a misguided policy that will NOT improve patient safety or enhance care; will NOT reduce health-care costs, but instead contribute to costlier care models; and will NOT improve access to anesthesia services.


Updated: May 23, 2022

The General Assembly is considering legislation that would create and license anesthesiologist assistants (CAAs) for the first time in Pennsylvania. The measures do nothing to enhance patient care or make health care more accessible, and actually increase the cost of care while severely limiting the practice of highly skilled certified registered nurse anesthetists (CRNAs).




 

Pa. House Committee Holds Informational Meeting on CAA Legislation

VIEW A VIDEO OF THE HEARING HERE:




















Rep. Lynda Schlegel Culver (R - 108) has introduced H.B. 1956, legislation that would license anesthesiologist assistants (CAAs) for the first time in Pennsylvania. This is bad public policy that will do nothing to enhance patient care or make health care more accessible, but instead will increase the cost of care and severely limit the practice of certified registered nurse anesthetists (CRNAs).


April 25, 2022: The Pa. House Professional Licensure Committee held an informational hearing to learn more about Certified Anesthesiologist Assistants (CAAs). View/Download Written Testimony:


In the News


Research published in the journal Anesthesiology confirms the quality and safety of anesthesia provided by Certified Registered Nurse Anesthetists (CRNAs) while raising questions about the role and value of anesthesiologist assistants (AAs) in patient care. The study, titled “Anesthesia Care Team Composition and Surgical Outcomes,” was funded by the American Society of Anesthesiologists. Read more...


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Copyright © 2025 Pennsylvania Association of Nurse Anesthetists

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