NURSE ANESTHETIST: SCOPE OF PRACTICE                                                     S.B. 1019:

                                                                                                    SUMMARY OF BILL

                                                                                      REPORTED FROM COMMITTEE

Senate Bill 1019 (as reported without amendment)

Sponsor:  Senator Mike Kowall

Committee:  Michigan Competitiveness

CONTENT

The bill would amend the Public Health Code to prescribe the scope of practice for a certified nurse anesthetist. Specifically, the bill would do the following:

-- Include in the scope of practice certain anesthesia and analgesia services, including the development of a plan of care, implementation of the plan and addressing emergencies that arose during implementation, and prescription and administration of pharmacological agents to be received by a patient in the facility in which the services were performed.

-- Authorize a nurse anesthetist to provide anesthesia and analgesia services as the sole and independent anesthesia provider if he or she were part of a patient-centered care team.

-- Allow a nurse anesthetist to provide services for operative, obstetrical, interventional, or diagnostic purposes during the preoperative, intraoperative, and postoperative service period or the obstetrical service period, as applicable.

-- Exclude from the scope of practice chronic pain management services, but allow a nurse anesthetist to perform such services under delegation as prescribed in the Code.

-- Include in the definition of "prescriber" a certified nurse anesthetist engaging in the practice of nursing and providing the anesthesia and analgesia services as described in the bill.

-- Provide that the bill would not require new or additional third-party reimbursement or mandated worker's compensation benefits for anesthesia and analgesia services provided by a certified nurse anesthetist.

MCL 333.17210 & 333.17708                                           Legislative Analyst:  Julie Cassidy

FISCAL IMPACT

The bill would have no fiscal impact on State or local government.

Date Completed:  6-8-16                                                       Fiscal Analyst:  Josh Sefton

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.