H0931B0926A01440 AJB:AAS 06/04/21 #90 A01440
AMENDMENTS TO HOUSE BILL NO. 931
Sponsor: REPRESENTATIVE HICKERNELL
Printer's No. 926
Amend Bill, page 1, lines 10 and 11, by striking out all of
said lines and inserting
certified registered nurse anesthetist and qualifications and
for scope of practice for certified registered nurse
anesthetists.
Amend Bill, page 1, line 16, by striking out "a clause" and
inserting
clauses
Amend Bill, page 1, line 21; page 2, line 1; by striking out
""Advanced practice registered nurse-certified" in line 21 on
page 1 and "registered nurse anesthetist"" in line 1 on page 2
and inserting
"Certified registered nurse anesthesist"
Amend Bill, page 2, lines 3 and 4, by striking out "an
advanced practice registered nurse - certified registered nurse "
and inserting
c ertified registered nurse anesthesist
Amend Bill, page 2, by inserting between lines 4 and 5
(17) "Overall direction" means oversight of anesthesia
services and medical management of patient care by a qualified
individual who is present and available on-site, but not
necessarily present in the same procedure room as a certified
registered nurse anesthetist performing anesthesia services for
the duration of the services provided.
Amend Bill, page 2, line 8, by striking out ""C.N.S.,"" and
inserting
"C.N.S." or
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Amend Bill, page 2, line 8, by striking out " or "A.P.R.N.""
Amend Bill, page 2, line 30; page 3, line 1; by striking out
"an advanced" in line 30 on page 2 and "practice registered
nurse-certified" in line 1 on page 3 and inserting
a certified
Amend Bill, page 3, lines 2 and 3, by striking out ""advanced
practice" in line 2 and all of line 3
Amend Bill, page 3, line 4, by striking out "abbreviations"
and inserting
abbreviation
Amend Bill, page 3, line 5, by striking out "or "A.P.R.N.""
Amend Bill, page 3, line 12, by striking out "a section" and
inserting
sections
Amend Bill, page 3, line 13, by striking out "Advanced
Practice Registered Nurse- Certified " and inserting
Certified
Amend Bill, page 3, lines 15 and 16, by striking out "an
a dvanced practice registered nurse- certified " and inserting
a certified
Amend Bill, page 3, line 16, by inserting after "the"
registered
Amend Bill, page 3, line 18, by striking out "an a dvanced
practice registered nurse- certified " and inserting
a certified
Amend Bill, page 3, line 20, by inserting after "that"
registered
Amend Bill, page 3, lines 20 through 27, by striking out
"Beginning on the" in line 20 and all of lines 21 through 27 and
inserting
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(b) Beginning on the effective date of this section, a
registered nurse shall not qualify for initial certification by
the B oard unless the registered nurse holds a master's degree,
doctoral degree or post-master's certificate from an educational
program in nurse anesthesia that has been approved by the B oard
and that prepares graduates to practice as a certified
registered nurse anesthetist and:
Amend Bill, page 4, line 1, by striking out "and" and
inserting
(2) submits an application and the required fee as
established by the Board; and
Amend Bill, page 4, line 2, by striking out "(2) meets" and
inserting
(3) complies with
Amend Bill, page 4, lines 2 and 3, by striking out "an
a dvanced practice registered nurse " and inserting
a certified registered nurse anesthetist
Amend Bill, page 4, line 4, by striking out "(b)" and
inserting
(c)
Amend Bill, page 4, line 5, by striking out "(a)" and
inserting
(b)
Amend Bill, page 4, line 6, by striking out "an a dvanced
practice registered nurse- certified " and inserting
a certified
Amend Bill, page 4, line 7, by inserting after "that"
registered
Amend Bill, page 4, line 10, by inserting after "the" where
it occurs the second time
registered
Amend Bill, page 4, line 11, by striking out "and"
Amend Bill, page 4, line 13, by inserting after "nurse"
anesthetist
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Amend Bill, page 4, line 15, by striking out the period after
"anesthesia" and inserting
;
(3) submits an application and the required fee as
established by the Board; and
(4) complies with all other Board requirements to practice
as a certified registered nurse anesthetist.
Amend Bill, page 4, lines 16 through 30; page 5, lines 1
through 3; by striking out all of lines 16 through 30 on page 4,
all of lines 1 and 2 and "(e)" in line 3 on page 5 and inserting
(c)
Amend Bill, page 5, lines 3 and 4, by striking out "an
advanced practice registered nurse-certified " and inserting
a certified
Amend Bill, page 5, line 5, by inserting after "licensed"
registered
Amend Bill, page 5, by inserting between lines 12 and 13
(d) As a condition of biennial certificate renewal by the
Board, a certified registered nurse anesthetist must:
(1) Verify that the nurse holds current national
recertification from a Board-recognized national certification
organization that requires passing a national certifying
examination in nurse anesthesia.
(2) Submit a renewal application to the Board and the
required fee as established by the Board.
(3) In the two years prior to the certification renewal,
complete at least thirty (30) hours of continuing education
approved by the Board, as required under section 12.1 of this
act.
(4) Comply with all other requirements of the Board.
Amend Bill, page 5, line 13, by striking out all of said line
and inserting
(e) A certified
Amend Bill, page 5, by inserting between lines 20 and 21
Section 8.9. Scope of Practice for Certified Registered
Nurse Anesthetists.--(a) A certified registered nurse
anesthetist shall have the authority to perform anesthesia
services in cooperation with a physician, podiatrist or dentist
involved in a procedure for which anesthesia care is being
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provided if the anesthesia services are performed under the
overall direction of any of the following:
(1) A physician licensed by the State Board of Medicine or
the State Board of Osteopathic Medicine who has completed an
accredited residency training program in anesthesiology.
(2) A physician licensed by the State Board of Medicine or
the State Board of Osteopathic Medicine who is performing the
procedure for which the certified registered nurse anesthetist
is performing anesthesia services.
(3) A podiatrist licensed by the State Board of Podiatry who
is performing the procedure for which the certified registered
nurse anesthetist is performing anesthesia services.
(4) A dentist licensed by the State Board of Dentistry and
permitted by the act of May 1, 1933 (P.L.216, No.76), known as
"The Dental Law" or the State Board of Dentistry to administer,
supervise or direct the administration of anesthesia.
(b) Nothing in this section shall be construed to:
(1) prohibit a certified registered nurse anesthetist who
would otherwise require direction from providing brief periods
of care in the event of an emergency that temporarily prevents
or interferes with overall direction;
(2) r estrict the authority of a health care facility to
provide for additional oversight requirements for a certified
registered nurse anesthetist practicing within the facility; or
(3) l imit or prohibit a certified registered nurse
anesthetist from engaging in those activities which normally
constitute the practice of nursing as defined in section 2.
Amend Bill, page 5, line 21, by inserting after "promulgate"
final
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