AN ACT RELATING TO BUSINESSES AND PROFESSIONS -- NURSE ANESTHETISTS

HB 7426 allows nurse anesthetists with two or more years of supervised experience to practice independently without physician oversight for anesthesia care. It defines "non-supervised CRNAs" and grants them authority to administer anesthesia, manage patient care, and issue medication orders (with written guidelines for certain actions), while requiring hospitals to permit this independent practice. The bill also mandates the state health department to seek a Medicaid waiver by September 2026 to update reimbursement policies for CRNAs under Medicaid. The changes will take effect on January 1, 2027.