State Approaches to Scope of Practice – Certified Registered Nurse Anesthetists

February 23, 2021


Jennifer Wessel, JD, MPH
Senior Policy Analyst and Data Privacy Officer


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.

This updated explainer looks at different state approaches to regulation of CRNAs.


1American Association of Nurse Anesthetists. Certified Registered Nurse Anesthetists Fact Sheet. Retrieved from https://www.aana.com/membership/become-a-crna/crna-fact-sheet.

2National Council of State Boards of Nursing. CRNA Independent Practice Map. Retrieved from https://www.ncsbn.org/5404.htm.

3New York State Education Department. Certification Requirements: Nurse Practitioner. Retrieved from http://www.op.nysed.gov/prof/nurse/np.htm#.

4GraduateNursingEDU.org. Steps to Becoming a CRNP or CNS in Pennsylvania. Retrieved from https://www.graduatenursingedu.org/pennsylvania/.