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House Bill 4359 passed the Michigan Senate

House Bill 4359 passed the Michigan Senate

Thursday, June 17, 2021

On February, 24, 2021, dangerous legislation was introduced that would have expanded the scope of practice for Certified Registered Nurse Anesthetists (CRNAs, allowing them to provide anesthesia care without any supervision, input, or collaboration with a physician.  Since that time, thousands of physicians engaged with their elected officials through phone calls, letters, and emails to inform them of the dangers of passing House Bill 4359.  Thanks to your continued advocacy efforts, MSMS was able to defend patients and secure significant changes on the Senate floor today where the bill ultimately passed with overwhelming support.  

Under the S-4 version of House Bill 4359 passed by the Michigan Senate today, CRNAs now must meet the following requirements to practice anesthesia care without supervision:

  • Have a minimum of 3 years or more of experience practicing in the specialty field of nurse anesthetist along with a minimum of 4,000 hours practicing in a health care facility.
  • Hold a doctor of nurse anesthesia practice degree or doctor of nursing practice degree.
  • Be collaboratively practicing in a patient-centered care team which must include a licensed physician that is immediately available in-person or through telemedicine to address any urgent or emergent clinical concerns.

In addition, the S-4 version of the bill prohibits CRNAs from practicing pain management in a freestanding pain clinic without the supervision of a physician.  The bill now advances to the House of Representatives for a concurrence vote.  Once approved, House Bill 4359 (S-4) will advance to the Governor’s desk for signature.  While not perfect, these changes will ensure patient safety by requiring CRNA collaboration with a physician who is immediately available, and will also ensure that CRNAs have the proper education and training. 

These significant changes would not have been possible without the continued efforts of MSMS’s members.