Longtime CRNA Champion Sen. Gordner Retires

Pennsylvania Sen. John Gordner, R-Columbia County, is resigning his Senate seat on Wednesday to become counsel to interim President Pro Tempore Kim Ward, R-Westmoreland County. 📷 File/Mark Pynes

State Sen. John Gordner, a Republican who has represented parts of northcentral Pennsylvania for the past three decades, will vacate his 27th Senatorial District seat on Nov. 30 to take a new role among the Senate leadership. He announced his decision Monday.

Gordner has been a longtime champion of nurse anesthetists, sponsoring the Senate measure (S.B. 416) that became law (Act 60 of 2021) last legislative session, granting formal title recognition to the state’s CRNAs.

Because of his work—and after more than a decade of legislative advocacy by CRNAs around the state—nurse anesthetists finally got the recognition they deserve. Until then, Pennsylvania had been one of just two states that failed to recognize “certified registered nurse anesthetist” in some form, meaning CRNAs were recognized only as registered nurses.

Besides title recognition, Act 60 also expanded the providers that CRNAs are permitted to work with to include podiatrists, and it clarified regulatory language as it pertains to physician involvement with anesthesia services, formalizing the status quo.

The push to formally recognize CRNAs was a family affair for Gordner.

His mother, Shirley (Kishbaugh) Gordner, was among just three student nurse anesthetists who comprised the first class at Williamsport Hospital and, in 1954, successfully completed examinations for membership in the American Association of Nurse Anesthetists (AANA).

Gordner isn’t leaving the legislature entirely. He will become counsel to interim Senate President Pro Tempore Kim Ward, R-Westmoreland County, whose own daughter is a CRNA in another state.

💙On behalf of PANA, we extend a heartfelt thank you to John Gordner for all he did and congratulated him and wish him the best of luck in his new role.

AANA Presents Excellence in State Government Relations Advocacy Award to Pennsylvania

Apr 1, 2022

Park Ridge, Ill. (AANA)—The American Association of Nurse Anesthesiology (AANA) will honor the Pennsylvania Association of Nurse Anesthetists (PANA) with the Excellence in State Government Relations Advocacy Award at its Mid-Year Assembly to be held in Washington, D.C., April 2-6.

The Excellence in State Government Relations Advocacy Award, established in 2016, is presented annually to a state association based on the quality of its efforts in the state legislative or regulatory arena for the nurse anesthesiology profession. The recipient is chosen by the AANA Government Relations Committee.

In 2021, the PANA successfully lobbied for a law that includes formal title recognition for Certified Registered Nurse Anesthetists (CRNAs) in statute for the first time, clarifies the CRNA relationship with physicians and dentists, and allows for CRNAs to work with podiatrists.

“The pandemic raised awareness of the critical roles that CRNAs play in healthcare settings and how some state policies prevented CRNAs from practicing to the fullest extent of their education and training at precisely the time they were most needed,” PANA President Lew Bennett, DNP, CRNA, said. “We are honored to be recognized by the AANA for our achievements.”

To increase the flexibility of healthcare resources, Pennsylvania Governor Tom Wolf waived physician supervision during the pandemic. PANA used this opportunity to build relationships with legislators to support title recognition legislation.

“The relationships PANA developed with the governor and legislators will benefit CRNAs for years to come,” Bennett said. “Thank you to the many Pennsylvania CRNAs who laid the foundation for this effort, and those who will continue to fight to protect CRNA practice in the future.”

In addition, PANA developed relationships with a coalition of nursing, rural health, and other groups, including Americans for Prosperity, the Pennsylvania Farm Bureau, and the National Guard, all of which validated and reinforced PANA’s message to legislators.

As advanced practice nurses, CRNAs are members of one of the most trusted professions according to Gallup. CRNAs provide anesthesia care across all settings and in all patient populations and are the primary anesthesia providers in rural and underserved areas and on the battlefield in forward surgical teams.

During the COVID-19 pandemic, nurse anesthetists across the country have been essential in addressing the deadliest part of the disease in addition to providing top-of-the-line anesthesia care. They have served as experts in airway management, hemodynamic monitoring, management of patients on ventilators, and overall management of critically ill patients.

About the American Association of Nurse Anesthesiology

Spotlight PA: At last minute, Pa. lawmakers vote to extend dozens of COVID-19 waivers

This article was originally published on Spotlight PA.

by Danielle Ohl of Spotlight PA | Sept. 29, 2021

📷 FRED ADAMS / FOR SPOTLIGHT PA

HARRISBURG — The Pennsylvania legislature unanimously voted Wednesday to extend dozens of regulatory waivers put into place last year to help health-care providers fight COVID-19.

Without action, the waivers would have expired Thursday, potentially exacerbating ongoing staffing crises in hospitals and long-term care institutions, which are again facing rising COVID-19 cases. Health-care workers and their advocates had warned any lapse in the relaxed rules would have renewed administrative burdens and made fighting the ongoing pandemic more difficult.

Wednesday’s action will keep the waivers in place until March 2022 while the legislature considers a number of bills that would make the regulatory suspensions permanent. Gov. Tom Wolf will sign the bill.

“The governor is thankful the legislature engaged the administration and stakeholders and ultimately agreed with most of the administration’s recommendations on extending COVID-19-related waivers that are still in use,” spokesperson Lyndsay Kensinger said.

At the beginning of the pandemic, Wolf approved nearly 100 waivers to ease some of the rules governing health-care workers and ensure as many professionals as possible were on the ground in hospitals, vaccination clinics, and long-term care facilities.

The temporary changes were made under a disaster declaration that later became a target for legislative Republicans unhappy with the administration’s business closures.

Buoyed by two successful constitutional amendments that curtailed the executive’s power, the GOP-controlled General Assembly ended Wolf’s emergency order in June, while allowing the waivers to remain in place until Sept. 30.

Under the bill passed Wednesday, all suspensions under the Department of Health, Department of Human Services, and the Bureau of Professional and Occupational Affairs will remain in place until March unless Wolf and the agencies decide to terminate them sooner.

Among the waivers extended are those allowing out-of-state practitioners to treat patients in Pennsylvania, permitting retired or lapsed professionals to return to medicine, and expanding who can give a vaccine.

The waivers also allow patients to access care via telemedicine, which as of now is neither allowed nor prohibited in Pennsylvania law, creating a gray area for health-care providers and insurance companies.

Lawmakers have introduced bills in both the House and Senate to provide rules and regulations surrounding telemedicine, but past efforts have broken down over partisan disagreements. Wolf vetoed a telemedicine bill last year because it would have prevented health-care providers from prescribing abortion-inducing medicine.

As a number of other bills that would make regulatory suspensions permanent await consideration, two removing administrative barriers for physician assistants passed Wednesday.

The Joint State Government Commission is studying the impact of the waivers and which should stay in place to remove barriers to employment in the state. Glenn Pasewicz, executive director of the committee, said a report should be out by late October.

Separately, lawmakers on Wednesday directed various state agencies to post a report listing which waivers were and were not extended by Nov. 1.

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