Case Studies

State Approaches to Scope of Practice – Certified Registered Nurse Anesthetists

January 1, 2015


Joseph W. Thompson, MD, MPH
President & CEO


Certified Registered Nurse Anesthetists (CRNAs) provide anesthesia in a variety of clinical settings and are sometimes the primary providers of anesthetic services in rural areas. Specific details for practicing supervision vary by state, but generally CRNAs either practice independently from a physician or with some level of physician supervision required: Independent from physician supervision and not independent from a physician involvement.


This report goes over different state approaches to regulation between physicians and CRNAs as well as state regulation of CRNA prescriptive authority.