S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6771
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 13, 2025
                                ___________
 
 Introduced  by  M.  of  A.  REYES, PAULIN, MAMDANI, R. CARROLL, BENDETT,
   RAGA, ZINERMAN,  SEPTIMO,  SANTABARBARA,  JACOBSON,  CLARK,  DINOWITZ,
   LEVENBERG, SHIMSKY, TAPIA, KELLES, HEVESI, SAYEGH, McDONOUGH, LUNSFORD
   -- read once and referred to the Committee on Higher Education
 
 AN  ACT  to amend the education law, in relation to creating the profes-
   sion of nurse anesthetist
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. The education law is amended by adding a new article 139-A
 to read as follows:
                               ARTICLE 139-A
                  CERTIFIED REGISTERED NURSE ANESTHETIST
 SECTION 6920. INTRODUCTION.
         6921. DEFINITION  OF  PRACTICE  OF  CERTIFIED  REGISTERED  NURSE
                 ANESTHETIST.
         6922. PRACTICE OF CERTIFIED REGISTERED NURSE ANESTHETIST AND USE
                 OF THE TITLE "CERTIFIED REGISTERED NURSE ANESTHETIST" OR
                 "NURSE ANESTHETIST".
         6923. STATE BOARD FOR NURSING.
         6924. REQUIREMENTS FOR A LICENSE AS A CERTIFIED REGISTERED NURSE
                 ANESTHETIST.
         6925. LIMITED PERMITS.
         6926. EXEMPT PERSONS.
         6927. SPECIAL PROVISIONS.
   § 6920. INTRODUCTION. THIS ARTICLE APPLIES TO THE PROFESSION OF CERTI-
 FIED  REGISTERED  NURSE  ANESTHETIST.  THE  GENERAL  PROVISIONS  FOR ALL
 PROFESSIONS CONTAINED IN ARTICLE ONE HUNDRED THIRTY OF THIS TITLE  APPLY
 TO THIS ARTICLE.
   §  6921. DEFINITION OF PRACTICE OF CERTIFIED REGISTERED NURSE ANESTHE-
 TIST. 1. IN ADDITION  TO  THE  PROVISIONS  OF  PRACTICE  FOR  REGISTERED
 PROFESSIONAL  NURSING OUTLINED IN SECTION SIXTY-NINE HUNDRED TWO OF THIS

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD00477-03-5
              

 A. 6771                             2
 
 TITLE, THE PRACTICE OF A CERTIFIED REGISTERED NURSE ANESTHETIST  FURTHER
 INCLUDES,  BUT  IS  NOT  LIMITED  TO,  ADMINISTRATION  OF ANESTHESIA AND
 SEDATION TO  A  PATIENT;  PERFORMING  AND  DOCUMENTING  A  PREANESTHETIC
 ASSESSMENT AND EVALUATION OF THE PATIENT, INCLUDING REQUESTING CONSULTA-
 TIONS AND DIAGNOSTIC STUDIES; SELECTING, OBTAINING, ORDERING, AND ADMIN-
 ISTERING   PREANESTHETIC  MEDICATIONS  AND  FLUIDS;  OBTAINING  INFORMED
 CONSENT FOR ANESTHESIA, DEVELOPING AND IMPLEMENTING AN ANESTHETIC  PLAN;
 INITIATING  THE  ANESTHETIC  TECHNIQUE; MONITORING THE PATIENT INCLUDING
 SELECTING, APPLYING, AND INSERTING APPROPRIATE NONINVASIVE AND  INVASIVE
 MONITORING  MODALITIES  FOR CONTINUOUS EVALUATION OF THE PATIENT'S PHYS-
 ICAL STATUS; SELECTING, OBTAINING, AND  ADMINISTERING  THE  ANESTHETICS,
 ADJUVANT AND ACCESSORY DRUGS, AND FLUIDS NECESSARY TO MANAGE ANESTHETICS
 AND ACUTE AND CHRONIC PAIN; ORDERING AND EVALUATING LABORATORY AND DIAG-
 NOSTIC TESTS AND PERFORMING POINT-OF-CARE TESTING; ORDERING AND EVALUAT-
 ING  RADIOGRAPHIC  IMAGING  STUDIES;  MANAGING  A  PATIENT'S  AIRWAY AND
 CARDIOPULMONARY STATUS USING CURRENT PRACTICE  MODALITIES;  FACILITATING
 EMERGENCE AND RECOVERY FROM ANESTHESIA BY SELECTING, OBTAINING, ORDERING
 AND   ADMINISTERING   MEDICATIONS,   FLUIDS,  AND  VENTILATORY  SUPPORT;
 DISCHARGING THE PATIENT FROM A POSTANESTHESIA CARE  AREA  AND  PROVIDING
 POSTANESTHESIA  FOLLOW-UP  EVALUATION  AND  CARE; IMPLEMENTING ACUTE AND
 CHRONIC PAIN MANAGEMENT MODALITIES; RESPONDING TO  EMERGENCY  SITUATIONS
 BY  PROVIDING  AIRWAY MANAGEMENT, ADMINISTRATION OF EMERGENCY FLUIDS AND
 DRUGS, AND USING BASIC OR ADVANCED CARDIAC LIFE SUPPORT TECHNIQUES;  AND
 PRESCRIBE TESTS, DRUGS AND OTHER TREATMENTS NECESSARY TO ANESTHESIA CARE
 PROVIDED BY A NURSE ANESTHETIST.
   2.  (A)  A  CERTIFIED REGISTERED NURSE ANESTHETIST LICENSED UNDER THIS
 ARTICLE AND PRACTICING FOR THIRTY-SIX HUNDRED HOURS OR LESS SHALL DO  SO
 EITHER  UNDER  THE  DIRECTION  OF:   (I) A PHYSICIAN WHO HAS COMPLETED A
 RESIDENCY PROGRAM IN ANESTHESIOLOGY THAT IS ACCREDITED BY AN ACCREDITING
 ORGANIZATION ACCEPTABLE TO THE DEPARTMENT; (II) A PHYSICIAN WHO IS BOARD
 CERTIFIED IN ANESTHESIOLOGY BY A CERTIFYING ORGANIZATION  ACCEPTABLE  TO
 THE  DEPARTMENT; (III) THE OPERATING PHYSICIAN WHO THE GOVERNING BODY OF
 THE GENERAL HOSPITAL OR AMBULATORY SURGERY CENTER, THAT  IS  SUBJECT  TO
 SECTION  TWENTY-EIGHT HUNDRED ONE-B OF THE PUBLIC HEALTH LAW, HAS DETER-
 MINED IS QUALIFIED TO  SUPERVISE  ANESTHESIA  SERVICES  IN  THE  GENERAL
 HOSPITAL  OR  AMBULATORY SURGERY CENTER; OR (IV) A DENTIST OR PODIATRIST
 QUALIFIED TO PROVIDE ANESTHESIA SERVICES PURSUANT TO SECTIONS  SIXTY-SIX
 HUNDRED  FIVE-A  AND SEVEN THOUSAND ONE OF THIS TITLE, RESPECTIVELY. FOR
 PURPOSES OF THIS SECTION, DIRECTION SHALL MEAN PATIENT CARE GUIDANCE AND
 ADVICE, COORDINATION AND COMMUNICATION FROM THE  PHYSICIAN,  DENTIST  OR
 PODIATRIST  TO THE CERTIFIED REGISTERED NURSE ANESTHETIST PRACTICING FOR
 LESS THAN THIRTY-SIX HUNDRED HOURS,  AS  NEEDED  FOR  THE  CARE  OF  THE
 PATIENT.
   (B)  AFTER PRACTICING FOR MORE THAN THIRTY-SIX HUNDRED HOURS, A CERTI-
 FIED REGISTERED NURSE ANESTHETIST SHALL FUNCTION  IN  AN  INTERDEPENDENT
 ROLE  AS A MEMBER OF A PATIENT-CENTERED CARE TEAM, WHICH SHALL INCLUDE A
 PHYSICIAN, PODIATRIST, OR DENTIST.
   3. PRESCRIPTIONS FOR DRUGS, DEVICES, AND ANESTHETIC AGENTS, ANESTHESIA
 RELATED AGENTS, AND ANALGESICS MAY BE ISSUED BY A  CERTIFIED  REGISTERED
 NURSE  ANESTHETIST  UNDER  THIS PARAGRAPH AND SECTION SIXTY-NINE HUNDRED
 TWENTY-FOUR OF THIS ARTICLE, NECESSARY TO ANESTHESIA CARE PROVIDED BY  A
 NURSE  ANESTHETIST.    THE  CERTIFIED REGISTERED NURSE ANESTHETIST SHALL
 OBTAIN A CERTIFICATE FROM THE DEPARTMENT UPON SUCCESSFULLY COMPLETING  A
 PROGRAM  INCLUDING  AN APPROPRIATE PHARMACOLOGY COMPONENT, OR ITS EQUIV-
 ALENT, AS  ESTABLISHED  BY  THE  COMMISSIONER'S  REGULATIONS,  PRIOR  TO
 PRESCRIBING  UNDER  THIS  SUBDIVISION.  THE LICENSE ISSUED UNDER SECTION
 A. 6771                             3

 SIXTY-NINE HUNDRED TWENTY-FOUR OF THIS ARTICLE SHALL STATE  WHETHER  THE
 CERTIFIED REGISTERED NURSE ANESTHETIST HAS SUCCESSFULLY COMPLETED SUCH A
 PROGRAM OR EQUIVALENT AND IS AUTHORIZED TO PRESCRIBE UNDER THIS SUBDIVI-
 SION.
   §  6922. PRACTICE OF CERTIFIED REGISTERED NURSE ANESTHETIST AND USE OF
 THE TITLE "CERTIFIED REGISTERED NURSE ANESTHETIST"  OR  "NURSE  ANESTHE-
 TIST". ONLY A PERSON LICENSED OR OTHERWISE AUTHORIZED UNDER THIS ARTICLE
 SHALL  PRACTICE  AS  A  CERTIFIED  REGISTERED NURSE ANESTHETIST OR NURSE
 ANESTHETIST.
   § 6923. STATE BOARD FOR NURSING. THE STATE BOARD FOR NURSING AS ESTAB-
 LISHED IN SECTION SIXTY-NINE HUNDRED FOUR OF THIS  TITLE  SHALL  BE  THE
 GOVERNING STATE BOARD FOR CERTIFIED REGISTERED NURSE ANESTHETISTS.
   §  6924.  REQUIREMENTS  FOR  A LICENSE AS A CERTIFIED REGISTERED NURSE
 ANESTHETIST. TO QUALIFY FOR A LICENSE AS A  CERTIFIED  REGISTERED  NURSE
 ANESTHETIST, AN APPLICANT SHALL FULFILL THE FOLLOWING REQUIREMENTS:
   1. APPLICATION: FILE AN APPLICATION WITH THE DEPARTMENT;
   2.  LICENSE:  BE NEW YORK STATE LICENSED AND CURRENTLY REGISTERED AS A
 REGISTERED PROFESSIONAL NURSE;
   3. EDUCATION: HAVE RECEIVED A DEGREE IN A PROGRAM OF NURSE  ANESTHESIA
 FROM A PROGRAM REGISTERED BY THE DEPARTMENT OR DETERMINED BY THE DEPART-
 MENT  TO BE SUBSTANTIALLY EQUIVALENT OR MEET THE REQUIREMENTS OF SECTION
 SIXTY-NINE HUNDRED TWENTY-SEVEN OF THIS ARTICLE;
   4. EXAMINATION:  PASS AN EXAMINATION SATISFACTORY  TO  THE  DEPARTMENT
 AFTER  CONSULTATION  WITH  THE STATE BOARD FOR NURSING AND IN ACCORDANCE
 WITH THE COMMISSIONER'S REGULATIONS;
   5. CHARACTER: BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE  DEPART-
 MENT; AND
   6.  FEES: PAY A FEE OF ONE HUNDRED FIFTY DOLLARS TO THE DEPARTMENT FOR
 AN INITIAL LICENSE AND A FEE OF FIFTY DOLLARS FOR EACH TRIENNIAL  REGIS-
 TRATION PERIOD.
   § 6925. LIMITED PERMITS. 1.  THE DEPARTMENT MAY ISSUE A LIMITED PERMIT
 TO  AN  APPLICANT  WHO  IS  NEW  YORK STATE LICENSED AND REGISTERED AS A
 REGISTERED NURSE AND MEETS ALL QUALIFICATIONS FOR LICENSURE, EXCEPT  THE
 EXAMINATION.
   2. LIMITED PERMITS SHALL BE FOR TWO YEARS.
   3.  A  LIMITED ANESTHETIST PERMIT SHALL ENTITLE THE HOLDER TO PRACTICE
 AS A NURSE  ANESTHETIST  ONLY  IN  A  HEALTH  CARE  FACILITY  UNDER  THE
 PERSONAL, ON-PREMISE SUPERVISION OF A CERTIFIED REGISTERED NURSE ANESTH-
 ETIST  WITH MORE THAN THIRTY-SIX HUNDRED HOURS OF PRACTICE EXPERIENCE OR
 PHYSICIAN WHO: (A) HAS COMPLETED A RESIDENCY PROGRAM  IN  ANESTHESIOLOGY
 THAT  IS  ACCREDITED  BY  AN  ACCREDITING ORGANIZATION ACCEPTABLE TO THE
 DEPARTMENT; OR (B) IS BOARD CERTIFIED IN ANESTHESIOLOGY BY A  CERTIFYING
 ORGANIZATION  ACCEPTABLE  TO  THE  DEPARTMENT;  OR (C) HAS MEDICAL STAFF
 PRIVILEGES TO PROVIDE ANESTHESIA SERVICES AT THE  HEALTH  CARE  FACILITY
 AND WITH THE ENDORSEMENT OF THE HEALTH CARE FACILITY.
   4. FEES. THE FEE FOR EACH LIMITED PERMIT SHALL BE THIRTY-FIVE DOLLARS.
   § 6926. EXEMPT PERSONS. THIS ARTICLE SHALL NOT BE CONSTRUED:
   1. TO LIMIT OR DIMINISH THE PRACTICE OF THE PROFESSION OF NURSING AS A
 NURSE  PRACTITIONER OR REGISTERED PROFESSIONAL NURSE PURSUANT TO ARTICLE
 ONE HUNDRED THIRTY-NINE OF THIS TITLE OR ANY OTHER LAW, RULE, REGULATION
 OR CERTIFICATION;
   2. AS PROHIBITING THE FURNISHING OF  NURSE  ANESTHESIA  ASSISTANCE  IN
 CASE OF AN EMERGENCY;
   3.  AS  PROHIBITING  SUCH  PERFORMANCE  OF NURSE ANESTHESIA SERVICE BY
 STUDENTS ENROLLED IN DEPARTMENT REGISTERED NURSE ANESTHESIA PROGRAMS  OR
 STUDENTS ENROLLED IN OTHER NURSE ANESTHESIA PROGRAMS THAT ARE AUTHORIZED
 A. 6771                             4
 
 PURSUANT  TO  SECTION  TWO  HUNDRED TWENTY-FOUR OF THIS CHAPTER TO PLACE
 SUCH STUDENTS IN CLINICAL ROTATIONS  IN  THIS  STATE  UNDER  APPROPRIATE
 SUPERVISION; OR
   4.  AS  PROHIBITING  OR PREVENTING THE PRACTICE OF NURSE ANESTHESIA IN
 THIS STATE, IN OBEDIENCE TO THE REQUIREMENTS OF THE LAWS OF  THE  UNITED
 STATES, BY ANY COMMISSIONED NURSE ANESTHETIST OFFICER IN THE ARMED FORC-
 ES  OF  THE  UNITED  STATES  OR BY ANY NURSE ANESTHETIST EMPLOYED IN THE
 UNITED STATES VETERANS ADMINISTRATION OR  UNITED  STATES  PUBLIC  HEALTH
 SERVICE WHILE ENGAGED IN THE PERFORMANCE OF THE ACTUAL DUTIES PRESCRIBED
 FOR  SUCH  NURSE  ANESTHETIST UNDER THE UNITED STATES STATUTES, PROVIDED
 SUCH PERSON DOES NOT REPRESENT OR HOLD THEMSELVES  OUT  AS  A  CERTIFIED
 REGISTERED NURSE ANESTHETIST REGISTERED TO PRACTICE IN THIS STATE.
   §  6927.  SPECIAL  PROVISIONS.    IT SHALL BE LAWFUL FOR AN INDIVIDUAL
 PRACTICING AS A CERTIFIED REGISTERED NURSE ANESTHETIST IN THIS STATE  AS
 OF THE EFFECTIVE DATE OF THIS SECTION THAT DOES NOT MEET THE EDUCATIONAL
 REQUIREMENTS,  BUT  MEETS  THE  OTHER REQUIREMENTS OF SECTION SIXTY-NINE
 HUNDRED TWENTY-FOUR OF THIS ARTICLE, TO CONTINUE SUCH PRACTICE  PROVIDED
 THAT SUCH CERTIFIED REGISTERED NURSE ANESTHETIST:
   1.  SUBMITS  EVIDENCE OF CERTIFICATION AS A CERTIFIED REGISTERED NURSE
 ANESTHETIST BY AN APPROPRIATE NATIONAL CERTIFYING BODY  TO  THE  DEPART-
 MENT;
   2.  HAS  CONTINUALLY  MAINTAINED  ACTIVE,  UP-TO-DATE  RECERTIFICATION
 STATUS AS A CERTIFIED REGISTERED NURSE  ANESTHETIST  BY  AN  APPROPRIATE
 NATIONAL RECERTIFYING BODY;
   3.  HAS  SUBMITTED  AN APPLICATION FOR AND OBTAINED LICENSURE AS A NEW
 YORK STATE CERTIFIED REGISTERED NURSE ANESTHETIST WITHIN THREE YEARS  OF
 THE EFFECTIVE DATE OF THIS ARTICLE; AND
   4. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO AUTHORIZE AN INDIVID-
 UAL  TO  CONTINUE  TO PRACTICE AS OR USE THE TITLE "CERTIFIED REGISTERED
 NURSE ANESTHETIST" OR "CRNA" BEYOND THE  THREE-YEAR  TIME  FRAME  UNLESS
 SUCH INDIVIDUAL OBTAINS A NEW YORK STATE LICENSE UNDER THIS ARTICLE.
   §  2.  Section 6903 of the education law, as amended by chapter 323 of
 the laws of 2006, is amended to read  as follows:
   § 6903. Practice of nursing and use of title "registered  professional
 nurse"  or  "licensed practical nurse". Only a person licensed or other-
 wise authorized under this article shall practice  nursing  and  only  a
 person  licensed  under  section sixty-nine hundred five of this article
 shall use the title "registered professional nurse" and  only  a  person
 licensed  under section sixty-nine hundred six of this article shall use
 the title "licensed practical nurse". No  person  shall  use  the  title
 "nurse"  or  any other title or abbreviation that would represent to the
 public that the person is authorized  to  practice  nursing  unless  the
 person is licensed or otherwise authorized under this article OR ARTICLE
 ONE HUNDRED THIRTY-NINE-A OF THIS TITLE.
   §  3.  Section 6904 of the education law, as amended by chapter 994 of
 the laws of 1971 and as renumbered by chapter 50 of the laws of 1972, is
 amended to read as follows:
   § 6904. State board for nursing.  A state board for nursing  shall  be
 appointed  by the board of regents on recommendation of the commissioner
 for the purpose of assisting the board of regents and the department  on
 matters of professional licensing and professional conduct in accordance
 with section sixty-five hundred eight of this title.  The board shall be
 composed  of  not  less than [fifteen] SEVENTEEN members, eleven of whom
 shall be registered professional  nurses  and  four  of  whom  shall  be
 licensed  practical nurses AND TWO OF WHOM SHALL BE CERTIFIED REGISTERED
 NURSE ANESTHETISTS all licensed and practicing  in  this  state  for  at
 A. 6771                             5
 
 least  five  years.    An  executive  secretary  to  the  board shall be
 appointed by the board of regents on recommendation of the  commissioner
 and shall be a registered professional nurse registered in this state.
   §  4.  This  act shall take effect eighteen months after it shall have
 become a law. Effective  immediately,  the  addition,  amendment  and/or
 repeal  of  any  rule  or regulation necessary for the implementation of
 this act on its effective date are authorized to be made  and  completed
 on or before such effective date.