AB-876
Health & Public Health

Nurse anesthetists: scope of practice.

Engrossed
CA
2025-2026 Regular Session
0
0
Track

Key Takeaways

  • Expands nurse anesthetists' authority to provide comprehensive anesthesia care in hospitals and outpatient settings.
  • Authorizes nurse anesthetists to select and modify anesthesia methods based on physician or dentist orders.
  • Permits nurse anesthetists to provide emergency care and advanced airway management outside surgery.
  • Requires facility approval and appropriate committee oversight for nurse anesthetist services.

Summary

Assembly Member Flora's legislation clarifies the scope of practice for nurse anesthetists in California healthcare settings, detailing their authority to provide comprehensive anesthesia services across preoperative, intraoperative, and postoperative phases of care. The bill defines the parameters for nurse anesthetists to deliver services in acute care facilities, outpatient settings, and dental offices where they have received proper credentialing.

The legislation outlines specific authorizations for nurse anesthetists, including the ability to select and modify anesthesia modalities based on physician, dentist, or podiatrist orders documented in patient medical records. In credentialed settings, nurse anesthetists may administer medications and therapeutic agents, provide pain management, and deliver emergency and critical care services. The bill explicitly states that the administration of controlled substances under these provisions does not constitute prescription writing.

The measure codifies definitions for various practice settings and maintains existing certification standards overseen by the Board of Registered Nursing, which considers National Board of Certification requirements while retaining authority to implement more stringent standards when necessary for public safety. According to the bill's text, these provisions align with current law and prior legal precedent established in California Society of Anesthesiologists v. Brown.

Key Dates

Next Step
Referred to the Senate Standing Committee on Business, Professions and Economic Development
Next Step
Senate Committee
Referred to the Senate Standing Committee on Business, Professions and Economic Development
Hearing has not been scheduled yet
Vote on Assembly Floor
Assembly Floor
Vote on Assembly Floor
AB 876 Flora Assembly Third Reading
Assembly Appropriations Hearing
Assembly Committee
Assembly Appropriations Hearing
Do pass
Assembly Business And Professions Hearing
Assembly Committee
Assembly Business And Professions Hearing
Do pass as amended and be re-referred to the Committee on [Appropriations]
Introduced
Assembly Floor
Introduced
Read first time. To print.

Contacts

Profile
Roger NielloR
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Steven ChoiR
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Heath FloraR
Assemblymember
Bill Author
Not Contacted
Not Contacted
Profile
Tim GraysonD
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Bob ArchuletaD
Senator
Committee Member
Not Contacted
Not Contacted
0 of 12 row(s) selected.
Page 1 of 3
Select All Legislators
Profile
Roger NielloR
Senator
Committee Member
Profile
Steven ChoiR
Senator
Committee Member
Profile
Heath FloraR
Assemblymember
Bill Author
Profile
Tim GraysonD
Senator
Committee Member
Profile
Bob ArchuletaD
Senator
Committee Member
Profile
Tom UmbergD
Senator
Committee Member
Profile
Akilah Weber PiersonD
Senator
Committee Member
Profile
Angelique AshbyD
Senator
Committee Member
Profile
Caroline MenjivarD
Senator
Committee Member
Profile
Lola Smallwood-CuevasD
Senator
Committee Member
Profile
Jesse ArreguinD
Senator
Committee Member
Profile
Suzette ValladaresR
Senator
Committee Member

Get Involved

Act Now!

Email the authors or create an email template to send to all relevant legislators.

Introduced By

Heath Flora
Heath FloraR
California State Assembly Member
40% progression
Bill has passed all readings in its first house and is ready to move to the other house (5/15/2025)

Latest Voting History

May 15, 2025
PASS
Assembly Floor
Vote on Assembly Floor
AyesNoesNVRTotalResult
6111779PASS

Key Takeaways

  • Expands nurse anesthetists' authority to provide comprehensive anesthesia care in hospitals and outpatient settings.
  • Authorizes nurse anesthetists to select and modify anesthesia methods based on physician or dentist orders.
  • Permits nurse anesthetists to provide emergency care and advanced airway management outside surgery.
  • Requires facility approval and appropriate committee oversight for nurse anesthetist services.

Get Involved

Act Now!

Email the authors or create an email template to send to all relevant legislators.

Introduced By

Heath Flora
Heath FloraR
California State Assembly Member

Summary

Assembly Member Flora's legislation clarifies the scope of practice for nurse anesthetists in California healthcare settings, detailing their authority to provide comprehensive anesthesia services across preoperative, intraoperative, and postoperative phases of care. The bill defines the parameters for nurse anesthetists to deliver services in acute care facilities, outpatient settings, and dental offices where they have received proper credentialing.

The legislation outlines specific authorizations for nurse anesthetists, including the ability to select and modify anesthesia modalities based on physician, dentist, or podiatrist orders documented in patient medical records. In credentialed settings, nurse anesthetists may administer medications and therapeutic agents, provide pain management, and deliver emergency and critical care services. The bill explicitly states that the administration of controlled substances under these provisions does not constitute prescription writing.

The measure codifies definitions for various practice settings and maintains existing certification standards overseen by the Board of Registered Nursing, which considers National Board of Certification requirements while retaining authority to implement more stringent standards when necessary for public safety. According to the bill's text, these provisions align with current law and prior legal precedent established in California Society of Anesthesiologists v. Brown.

40% progression
Bill has passed all readings in its first house and is ready to move to the other house (5/15/2025)

Key Dates

Next Step
Referred to the Senate Standing Committee on Business, Professions and Economic Development
Next Step
Senate Committee
Referred to the Senate Standing Committee on Business, Professions and Economic Development
Hearing has not been scheduled yet
Vote on Assembly Floor
Assembly Floor
Vote on Assembly Floor
AB 876 Flora Assembly Third Reading
Assembly Appropriations Hearing
Assembly Committee
Assembly Appropriations Hearing
Do pass
Assembly Business And Professions Hearing
Assembly Committee
Assembly Business And Professions Hearing
Do pass as amended and be re-referred to the Committee on [Appropriations]
Introduced
Assembly Floor
Introduced
Read first time. To print.

Latest Voting History

May 15, 2025
PASS
Assembly Floor
Vote on Assembly Floor
AyesNoesNVRTotalResult
6111779PASS

Contacts

Profile
Roger NielloR
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Steven ChoiR
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Heath FloraR
Assemblymember
Bill Author
Not Contacted
Not Contacted
Profile
Tim GraysonD
Senator
Committee Member
Not Contacted
Not Contacted
Profile
Bob ArchuletaD
Senator
Committee Member
Not Contacted
Not Contacted
0 of 12 row(s) selected.
Page 1 of 3
Select All Legislators
Profile
Roger NielloR
Senator
Committee Member
Profile
Steven ChoiR
Senator
Committee Member
Profile
Heath FloraR
Assemblymember
Bill Author
Profile
Tim GraysonD
Senator
Committee Member
Profile
Bob ArchuletaD
Senator
Committee Member
Profile
Tom UmbergD
Senator
Committee Member
Profile
Akilah Weber PiersonD
Senator
Committee Member
Profile
Angelique AshbyD
Senator
Committee Member
Profile
Caroline MenjivarD
Senator
Committee Member
Profile
Lola Smallwood-CuevasD
Senator
Committee Member
Profile
Jesse ArreguinD
Senator
Committee Member
Profile
Suzette ValladaresR
Senator
Committee Member