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HB 649

Autonomous Practice by a Certified Registered Nurse Anesthetist

2025 Regular Session Introduced by Mike Giallombardo and 2 co-sponsors

HB 649 would permit Florida CRNAs to independently administer anesthesia without physician supervision, addressing workforce shortages but raising physician-led patient safety concerns.

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Bill Summary · HB 649

Legislative bill overview

HB 649 would allow Certified Registered Nurse Anesthetists (CRNAs) to administer anesthesia independently without requiring physician supervision or collaboration in Florida. Currently, Florida law requires CRNAs to work under physician oversight. This bill represents a shift toward autonomous practice for advanced nursing roles.

Why is this important

Anesthesia is a critical component of surgical care, and this bill addresses workforce shortages and potential healthcare access issues by expanding who can deliver these services. The outcome affects patient access to procedures, healthcare costs, and the professional scope of nursing practice—particularly relevant given anesthesiologist shortages in rural areas.

Potential points of contention

  • Physician opposition: Medical associations typically oppose independent CRNA practice, arguing that physician supervision ensures patient safety and quality control during high-risk procedures
  • Patient safety concerns: Critics question whether CRNAs have equivalent training to anesthesiologists (4 years medical school plus 3-4 year fellowship vs. nursing degree plus 2-3 year certification program) for complex cases
  • Scope of practice expansion: The bill represents a broader debate about nursing autonomy and professional boundaries between nursing and medicine in healthcare delivery

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

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