It’s weird. Some states like South Carolina it’s 1:2Both house have passed AA legislation in the great state of Virginia. With a supermajority in both houses.
LIS
lis.virginia.gov
The best thing about this is that CRNAs are absolutely seething in anger.Both house have passed AA legislation in the great state of Virginia. With a supermajority in both houses.
LIS
virginiacrna.org
Are they legally max ratio of 1:2? This is likely from CRNA advocacy I would imagine; it's essentially dead in the water with that ratio at most places. It also is going to be hard to change the law after it's already set, really limiting it getting off the runway. Local ASA chapters need to get on this, unfortunately the nurses working 2-3 days a week have a lot more time for this.
Washington recently allowed AAs...the CRNAs are smart, can't say 'we don't want a competing person who can do the same job' when there's a national shortage. Apparently they pushed really hard with lawmakers to allow them to supervise AAs, didn't pan out. Even lawmakers understand having a nurse supervise someone during surgery would be a total PR nightmare with one bad outcome in the newspapers.
Good for the local people in VA who made this happen, open up the market and let the chips fall where they may
Action Needed to Stop AAs and End Supervision of CRNAs - Virginia Association of Nurse Anesthesiology
We need urgent action from our Virginia CRNAs on legislation in the General Assembly. Please contact your legislators today and tell them to: Support HB 2287 – which ends supervision for CRNAs in Virginia! Oppose HB 1925 & SB 1342 – which allows AA’s to practice in Virginia. We need[...]
Its only 1:2 in SC. It took one legislator in a small area to kill the bill that would have made it 1:4.Are they legally max ratio of 1:2? This is likely from CRNA advocacy I would imagine; it's essentially dead in the water with that ratio at most places. It also is going to be hard to change the law after it's already set, really limiting it getting off the runway. Local ASA chapters need to get on this, unfortunately the nurses working 2-3 days a week have a lot more time for this.
Washington recently allowed AAs...the CRNAs are smart, can't say 'we don't want a competing person who can do the same job' when there's a national shortage. Apparently they pushed really hard with lawmakers to allow them to supervise AAs, didn't pan out. Even lawmakers understand having a nurse supervise someone during surgery would be a total PR nightmare with one bad outcome in the newspapers.
Good for the local people in VA who made this happen, open up the market and let the chips fall where they may
Action Needed to Stop AAs and End Supervision of CRNAs - Virginia Association of Nurse Anesthesiology
We need urgent action from our Virginia CRNAs on legislation in the General Assembly. Please contact your legislators today and tell them to: Support HB 2287 – which ends supervision for CRNAs in Virginia! Oppose HB 1925 & SB 1342 – which allows AA’s to practice in Virginia. We need[...]
We all know the AANA and the rest of the arnp organizations just want to be in equal footing as doctors.
The governor can always veto it. But I guess they enough votes to override any veto.
gotcha. I just wonder if there’s some medical board BS it has to pass or something
The truth is whatever you can get people to believe
i wouldnt concern myself with their opinion personally
There was a thread a while back about a group that was bringing in their first AAs and the crnas tried to revolt, threatened to leave, etc. In the end they only crnas that left were the ones they were glad to lose anyway. They'd hired on some more AAs and everything going well.
AAs would need to fall under nursing with state boards.
The board of medicine regulars docs
Exactly, just look at PA independence movements in various states.
www.beckersasc.com
There's actually a little over 4,000 practicing CAAs in the US. But the number grows every year. We're graduating over 400 students per year and that number keeps going up as more programs start up. There are currently 23 accredited programs and at least three more in active development.
My group has had both for nearly 40 years so we're way past the political disagreements. Strong physician group leadership is the key. You're the boss, you make the rules, Period. If you're already a medically directed practice, there should be no difference in job descriptions/scope of practice or compensation for comparably experienced CAAs or CRNAs.
The medical board will still typically have to write the actual regs, design an application form, decided which of their professional staff will deal with CAA applications, etc. It's not unusual for that to take a year, which is what happened in Nevada. The first CAAs in Las Vegas started in the last 6-8 months. Washington state is still working on their administrative process.
It'll never happen.
CRNAs supervising CAAs will never happen.
Yes, but one of the reasons they aren’t growing is because they have a limited number of states to practice in. Fix that and more people will consider going the AA route, more programs can open, etc.Correct only around 4000. 50,000 CRNAs. AAs couldn’t replace CRNA’s in Florida let alone the USA. This legislation is pretty meaningless unless they can increase numbers 5 fold
The anesthesia workforce in 2025: 4 numbers to know - Becker’s ASC
"Discover the latest report from the American Society of Anesthesiologists on the number of Medicare-paid anesthesia professionals in the workforce, including a
If the CRNAs would stop opposing us we'd have been in 50 states decades ago. But they're scared of the competition, both CAA and physician, so they are at war on two fronts. So we go state by state. Quite a few are in play this year. Virginia was just the first for 2025.Correct only around 4000. 50,000 CRNAs. AAs couldn’t replace CRNA’s in Florida let alone the USA. This legislation is pretty meaningless unless they can increase numbers 5 fold
The anesthesia workforce in 2025: 4 numbers to know - Becker’s ASC
"Discover the latest report from the American Society of Anesthesiologists on the number of Medicare-paid anesthesia professionals in the workforce, including a
