Practice AuthorityMon, Sep 21, 2026
Washington, D.C. Opts Out of Federal CRNA Supervision Requirement
Mayor Muriel Bowser approved D.C.'s opt-out of the Medicare physician supervision requirement for CRNAs after consulting the D.C. Boards of Medicine and Nursing, making D.C. the 28th jurisdiction to opt out. The letter cited the Health Occupations Revision General Amendment Act of 2024.
Practice AuthorityMon, Jul 13, 2026
Ohio Becomes 27th State to Opt Out of CRNA Supervision Rule
Gov. Mike DeWine sent Ohio's opt-out letter to CMS on July 10, 2026, making Ohio the 27th state to opt out of the Medicare physician supervision requirement. The opt-out follows House Bill 52, which replaced Ohio's supervision standard with a collaboration model effective June 2026.
Practice AuthorityThu, Jul 9, 2026
Vermont Opts Out of Medicare Physician Supervision of CRNAs
Gov. Phil Scott signed a letter to CMS on July 2, 2026 opting Vermont out of the federal physician supervision requirement for CRNAs, making Vermont the 26th state to opt out and the third in New England.
Practice AuthorityFri, Jan 30, 2026
New Jersey CRNAs Push to End the Joint Protocol Requirement
NJANA continues a multi-year campaign to repeal NJ's joint-protocol rule, the last major regulatory barrier
separating Garden State CRNAs from full practice authority. The rule requires a written protocol jointly authored with
a physician for anesthesia services — an arrangement most opt-out states abandoned a decade ago.