News & Media

MSMS Advocates on CRNA Supervision Related to Federal CMS Guidelines in Anesthesia Care

Thursday, May 19, 2022

Last month, Governor Whitmer’s Administration opted the State of Michigan out of the Medicare Conditions of Participation regulation which requires physician supervision for Certified Registered Nurse Anesthetists (CRNAs). The Governor’s office contends that this opt out letter was sent to simply finish the work started by passage of Public Act 53 of 2021. PA 53 of 2021, formerly House Bill 4359, allows CRNAs to practice without direct physician supervision if they meet specific education and training requirements, and a physician is immediately available (either in-person or through telehealth) while care is being provided.

The Michigan State Medical Society (MSMS) has pushed the Administration to reconsider their position on the opt-out, which would allow Michigan to continue to have the additional protection provided by Medicare requirements. As a result, on Wednesday the Governor rescinded the letter to CMS in order to consult with the Boards of Medicine and Nursing before determining if the opt-out is the right decision for Michigan patients.

MSMS and Michigan Society of Anesthesiology leaders and staff have been in regular communication.