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The California Department of Public Health’s (CDPH) September 6, 2024, All Facilities Letter (AFL) reaffirms the independent practice authority of Certified Registered Nurse Anesthetists (CRNAs). Despite this reaffirmation, misinterpretations of nurse anesthesiology scope of practice continue to disrupt anesthesia services in general acute care hospitals throughout California. 

Assemblymember Heath Flora (R-Ripon) today issued the following statement in response to revised guidance by the Centers for Medicare & Medicaid Services (CMS) for surveyors and health care providers regarding immediate jeopardy.

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Certified Registered Nurse Anesthetists (CRNAs) play an indispensable role in California’s health care system, particularly for underserved and rural communities where anesthesia access is critical, yet limited.

CRNAs play a crucial role in ensuring affordable health care across California, especially in underserved and rural areas. Immediate corrective action is necessary to support CRNAs in continuing to deliver essential services and to uphold the integrity of our health care infrastructure.

CANA President Sandra Bordi, DNP, CRNA, FAANA today issued the following statement regarding CRNAs’ independent practice authority in California.

Many healthcare facilities —  particularly in rural communities — have turned to clinical staffing models that rely more heavily on certified nurse anesthetists for their anesthesia coverage.

However, Anthem Blue Cross Blue Shield will reduce QZ services performed by CRNAs to 85% of the physician fee schedule starting Nov. 1. 

California’s attack on certified registered nurse anesthetists must stop.

CANA has issued this action alert to California legislators.