SB 810: Clarifying requirements for administration of anesthesia and chronic pain practice by certain licensed nurses - West Virginia

sb810 s h_hr am _1 3-27 adopted.htm → sb810 sfat chapman _1 3-29 adopted.htm · 5 edits

MODERATE

The bill was amended to replace the original committee version with a new version sponsored by Senator Chapman, which significantly expanded the scope of the legislation. The new version clarifies qualifications for anesthesia administration, defines cooperation between healthcare professionals, limits liability, and establishes reporting requirements for the Board of Nursing.

Scope change

The bill's scope changed from a general amendment to a specific Senate amendment that rewrites the entire section with more detailed provisions about nurse anesthetist qualifications and practice parameters.

SCOPE

The amendment process changed from a committee amendment to a Senate amendment by Senator Chapman, indicating a shift in legislative control and potentially different policy priorities.

REQUIREMENT

New detailed requirements were added specifying that dentists must hold an anesthesia permit to cooperate with certified registered nurse anesthetists, and that CRNAs do not have independent practice authority.

TIMELINE

A new reporting requirement was added mandating that the Board of Nursing report to the Legislature by July 1, 2026, and annually thereafter, about implementation issues and treatment complications.

DEFINITION

The new version provides clearer definitions of 'cooperation' between healthcare professionals, specifying that patient care must be directed by the physician, dentist, or podiatrist at all times.

ENFORCEMENT

New provisions were added limiting the liability of physicians, dentists, or podiatrists for acts or omissions of certified registered nurse anesthetists.

Committee Substitute → sb810 s h_hr am _1 3-27 adopted.htm · 4 edits

MODERATE

The bill was amended to remove the Senate bill sponsors and committee information, while making substantive changes to the reporting requirements for the Board of Nursing. The most significant change is expanding the scope of the annual report to include dental offices, podiatrist offices, ambulatory surgical centers, and all other locations where nurse anesthetists practice, not just hospitals. The amendment also removed the requirement for dentists to hold an anesthesia permit to cooperate with nurse anesthetists, and added language clarifying that the title 'certified registered nurse anesthetist' can only be used by licensed APRNs in that specific role.

Scope change

The bill's scope was expanded to include a broader range of healthcare settings in the annual reporting requirements, and the cooperation requirements for dentists were modified to remove the anesthesia permit prerequisite.

REQUIREMENT

Expanded the annual reporting requirements to include dental offices, podiatrist offices, ambulatory surgical centers, and all other locations where nurse anesthetists practice, not just hospitals.

Removed the requirement that dentists must hold an anesthesia permit to cooperate with certified registered nurse anesthetists.

DEFINITION

Added language clarifying that the titles 'certified registered nurse anesthetist', 'CRNA', 'advanced practice registered nurse', or 'APRN' may only be used by licensed APRNs practicing in the CRNA role.

TECHNICAL

Removed committee substitute formatting, sponsor names, and committee report information from the bill text.

Enrolled Committee Substitute → Committee Substitute · 4 edits

MODERATE

The bill was reformatted from an official enrolled legislative document to a public webpage view, while the substantive policy text was significantly expanded to include chronic pain practice authority and added a new provision allowing healthcare facilities to set their own requirements for CRNAs.

Scope change

The bill's scope expanded from only anesthesia administration to also include chronic pain practice, and added flexibility for healthcare facilities to establish their own requirements for certified registered nurse anesthetists.

SCOPE

Added chronic pain practice to the list of services CRNAs may perform in cooperation with physicians, dentists, or podiatrists.

REQUIREMENT

New subsection (e) allows healthcare facilities to establish their own requirements for CRNAs practicing within their facilities, overriding the previous version's silence on facility-specific rules.

DEFINITION

The definition of 'cooperation' was retained but the overall section was expanded to include chronic pain services alongside anesthesia administration.

TECHNICAL

Removed official enrolled document formatting, signatures, and certification language as the text was converted to a public webpage display format.

Engrossed Committee Substitute → Enrolled Committee Substitute · 3 edits · Apr 30, 2025

MINOR

The bill was converted from a committee substitute version to the final enrolled version, adding official signatures, certification language, and a new reporting requirement for anesthesia complications. The substantive policy content regarding nurse anesthetist qualifications and cooperation requirements remained unchanged.

TECHNICAL

Added official enrolled version formatting including signatures for Senate and House Clerks, President of the Senate, Speaker of the House, and Governor.

Removed committee substitute headers and replaced with final enrolled bill text.

REQUIREMENT

Added a new reporting requirement for the Board of Nursing to include treatment complications resulting from anesthesia administration by certified registered nurse anesthetists.

Introduced Version → Engrossed Committee Substitute · 6 edits · Mar 29, 2025

MODERATE

The bill was substantially rewritten and expanded to clarify qualifications for administering anesthesia and add provisions for chronic pain practice. The original version focused narrowly on nurse anesthetist qualifications under physician supervision, while the new version broadens scope to include dentists and podiatrists, adds liability protections, restricts title usage, and requires annual reporting to the Legislature.

Scope change

Expanded from physician/dentist supervision only to include podiatrists; added chronic pain practice context; added annual reporting requirements to the Legislature.

SCOPE

Added podiatrists as eligible providers who can cooperate with certified registered nurse anesthetists for anesthesia administration.

REQUIREMENT

Added specific definition of 'cooperation' requiring patient care direction by the physician, dentist, or podiatrist at all times.

Added requirement that dentists must hold an anesthesia permit to cooperate with nurse anesthetists.

Added explicit statement that certified registered nurse anesthetists do not have independent practice authority.

ENFORCEMENT

Added annual reporting requirement to the Legislature regarding implementation issues and treatment complications.

ELIGIBILITY

Modified title usage restrictions to limit advanced practice registered nurses to specific approved titles when practicing as nurse anesthetists.

Clarifying requirements for administration of anesthesia and chronic pain practice by certain licensed nurses

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