Despite continued opposition from the physician community, on Thursday, June 10, the Senate Health Policy and Human Services Committee successfully passed House Bill 4359, dangerous legislation which would expand the scope of practice for Certified Registered Nurse Anesthetists (CRNAs). Under the bill, a CRNA would be responsible for the development of a plan of care; performance of all patient assessments, procedures, and monitoring to implement the plan of care or to address patient emergencies that arise; and the selection, ordering, or prescribing and the administration of anesthesia and analgesic agents, including prescription drugs or controlled substances. House Bill 4359 passed the committee by a vote of 7 yeas and 3 nays, and the bill now moves on to the Senate Floor for consideration.
The vote comes after several weeks of negotiations between MSMS and the Michigan Society of Anesthesiologists (MSA), along with the Chairman and members of the Senate Health Policy and Human Services Committee. Throughout this time, MSMS and other stakeholders have advocated for the adoption of sensible amendments to House Bill 4359 that would ensure patient safety is not compromised by preserving the health care teams that all patients rely on for their care.
While the committee did adopt a substitute version of the bill prior to its’ passage out of the committee, those changes do little to ensure patient safety. House Bill 4359 ignores the concerns of the physician community, who overwhelmingly support a team-based approach to health care. With the bill now under consideration on the Senate Floor, MSMS will continue to promote the role of the physician as the leader of the health care team and oppose any measure that places patient safety at risk.