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SB 33

Certified registered nurse anesthetists; supervision during an operation or procedure.

2025 Regular Session Introduced by Mamie Locke and 1 co-sponsor

SB 33 would modify Virginia's requirements for physician supervision of nurse anesthetists during surgical procedures, potentially expanding independent practice scope.

Left in Health and Human Services
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Bill Summary · SB 33

Legislative bill overview

SB 33 addresses the supervision requirements for Certified Registered Nurse Anesthetists (CRNAs) during surgical operations and procedures in Virginia. The bill modifies existing state regulations governing whether CRNAs must work under the direct supervision of an anesthesiologist or physician during anesthesia administration.

Why is this important

This bill affects patient care delivery, healthcare workforce utilization, and medical costs in Virginia. The outcome determines whether hospitals and surgical centers can employ CRNAs more independently, potentially expanding anesthesia services availability and affecting anesthesiologist employment and compensation in the state.

Potential points of contention

  • Scope of practice expansion vs. patient safety: Anesthesiologists argue direct supervision ensures quality control; CRNA advocates contend they are highly trained professionals capable of safe independent practice
  • Economic interests: Anesthesiologists have financial incentives to maintain supervision requirements that preserve their employment demand; healthcare facilities may prefer less restrictive staffing models to reduce costs
  • Implementation standards: Disagreement likely exists over what "supervision" means—physical presence, availability, oversight protocols—and whether different standards apply to different procedure types or settings

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

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