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HB 5214

ANESTHESIA SERVICES-NURSES

104th Regular Session Introduced by Kam Buckner

HB5214 allows CRNAs to provide anesthesia under agreed plans without an on-site anesthesiologist, with alternative emergency policies and updated collaboration rules.

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Bill Summary · HB 5214

Summary of HB5214 (104th General Assembly, Illinois)

Purpose and intent

HB5214 seeks to modify the regulatory framework governing anesthesia services and the delegation of authority for anesthesia and related advanced practice activities across ambulatory surgical treatment centers (ASTCs), hospitals, and professional practice acts. The core change is to remove the longstanding requirement that an anesthesiologist or other physician must be physically present on premises during the delivery of anesthesia services provided by certain qualified anesthesia providers (notably certified registered nurse anesthetists, CRNAs). The bill also aligns related delegation and collaboration standards across ASTCs, hospitals, and the Medical Practice, Nurse Practice, and related Acts.

Key provisions and changes

  • Ambulatory Surgical Treatment Center Act (ASTC Act)

    • Repeals/relaxes the requirement for a physically present anesthesiologist during anesthesia delivery.
    • Maintains a structure where anesthesia services must be administered under a physician, dentist, or podiatric physician’s order.
    • Allows CRNAs to provide anesthesia services under anesthesia plans approved by an anesthesiologist or other qualified physician, with hospital/ASTC alternative policies guiding presence and availability in emergencies.
    • Requires that CRNAs may select, order, and administer medications for anesthesia under the agreed plan, subject to the medical staff consulting committee policies.

  • Hospital Licensing Act

    • Similar changes as the ASTC Act: anesthesia services may be delivered under the plan of an anesthesiologist/physician/dentist/podiatric physician with CRNAs authorized to participate under established privileges and policies.
    • Reiterates the obligation for an anesthesiologist or similarly qualified physician to participate in plan development and to be present/available on the premises for emergencies when possible, with alternative policies in place if 24-hour anesthesiologist coverage is not available.

  • Medical Practice Act of 1987

    • Modifies delegation of authority to include CRNAs in the chain of delegation under Section 54.5, removing the explicit physical-presence requirement for anesthesia delivery by CRNAs when a collaborating anesthesiologist/physician is involved.
    • Clarifies collaboration and joint development of orders/guidelines, as well as on-premises presence requirements and alternative policies to address emergency scenarios.

  • Nurse Practice Act

    • Removes the requirement that anesthesia services provided by CRNAs ordered by physicians/dentists/podiatric physicians require the presence of an anesthesiologist or physician.
    • Sets conditions under which CRNAs may select, order, and administer anesthesia drugs under agreed plans, tied to hospital/ASTC policies and consulting committees.

  • Schedule for related sections

    • Sections 54.5 (Medical Practice Act), 65-45 (Nurse Practice Act) and corresponding hospital/ASTC provisions are amended to reflect these changes.

Who would be affected

  • Anesthesia providers: CRNAs, anesthesiologists, physicians, dentists, and podiatric physicians, with clarified roles and collaboration requirements.
  • Hospitals and ASTCs: policies and procedures must align with the new delegation rules, presence expectations, and alternative policy mechanisms.
  • Patients: potential access to anesthesia services more broadly under defined collaboration arrangements, including in settings with limited 24-hour anesthesiologist coverage.

Procedural and timeline aspects

  • The bill updates multiple Acts to create a cohesive framework for delegation and anesthesia delivery without mandating constant on-site presence by anesthesiologists.
  • Specific effective dates are not stated in the introduced text excerpt; the changes would become law upon passage and signature, with existing sections scheduled for repeal/mid-term alignment as indicated (some sections reference future repeal dates in related acts).

Note: This summary focuses on substantive changes and their practical implications for clinical practice and regulatory compliance.

Compiled from official sources — confirm details with the bill’s official record.

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