AB 5 Testimonials from CRNAs CANA needs to hear from all CRNAs/SRNAs who are or potentially are impacted by AB 5 so that when action is required CANA is organized and prepared for an immediate response. Your concerns and shared experiences are important to document. This will help CANA, our lobbyists, and legal council to demonstrate to legislators, the Federal Trade Commission, and others how AB 5 affects CRNA practice in California. The information you provide is confidential. All comments should be professional and emphasize the negative impact this legislation will have on existing and future business relationships. Name* First Last AANA Number*How many of your business affiliation agreements are affected by AB 5?Describe your practice locations that are most affected by AB 5.CANA may contact you if you have more than 3 locations or business affiliations.1. Practice NameCityType Hospital ASC Office GI Center Agency Other 2. Practice NameCityType Hospital ASC Office GI Center Agency Other 3. Practice NameCityType Hospital ASC Office GI Center Agency Other How will this new legislation (AB 5) affect you and your practice as a CRNA?*OptionalThe following fields will only be used by CANA if follow up or clarification is needed regarding your statement.Additional ways to support CANA's efforts: If needed, I would be willing to speak with my Assemblymember/Senator about this issue. If needed, I would be willing to provide additional information about my practice by completing a detailed survey. My contracting entity would be willing to assist CANA in maintaining my current independent contractor status Email Phone