CRNA & CAA Legislation Tracker 2026

Would let CRNAs practice without physician supervision after 3 years / 4,000 hours of practice. Reported out of House Health Policy in November 2025; awaiting floor action.

Impact: Conditional independence after an experience threshold — the compromise model several states are weighing. Session runs through December 2026.

Would establish full CRNA scope of practice in state law. Referred to House Professional Licensure in March 2026.

Impact: Significant — PA is one of the largest CRNA employers in the country. Note: a CMS opt-out is a governor's action, separate from this bill.

Would formally create the nurse anesthetist profession in state law: supervision for the first 3,600 hours, then an "interdependent" practice role.

Impact: Major — NY has 5,000+ CRNAs and does not currently recognize the CRNA title in statute. Re-referred to Senate Higher Education in January 2026.

Signed March 10, 2026. Replaces physician supervision with collaboration. CRNAs may not prescribe for use outside the facility.

Impact: Paired with Ohio's July 2026 CMS opt-out (27th state), a meaningful shift for one of the largest CAA and CRNA markets.

Signed October 1, 2025; effective January 1, 2026. Codifies CRNA scope of practice in state law. Does not expand prescriptive authority.

Impact: Gives California CRNAs clearer statutory footing. California has been a CMS opt-out state since 2009.

Signed May 2025; effective January 1, 2026. Establishes licensure for Certified Anesthesiologist Assistants.

Impact: Tennessee becomes the 23rd state authorizing CAA practice.

Would have allowed autonomous CRNA practice. Both bills died when the 2026 session ended on March 13.

Impact: Florida remains a supervision state for CRNAs. Expect refiling in 2027.

Would have replaced physician direction with "coordination" for CRNAs. Failed in House Regulated Industries; died at sine die April 2, 2026.

Impact: No change for Georgia CRNAs this cycle. Georgia remains the largest CAA market.

Would have created CAA licensure (companion SB 2128). Reported from committee May 2025 but died June 2, 2025.

Impact: CAAs continue to practice in Texas under delegation. The legislature next meets in 2027.