50-State Practice Authority Map
CRNA practice authority varies dramatically across the United States. Click any state for detailed practice requirements, licensure info, CE requirements, and average salary data.
Click any state for detailed practice requirements, licensure, and salary data.
New to practice authority?
Read our comprehensive guide covering all 50 states, legislative trends, and what it means for your career.
Alabama
Physician Supervision Required
Alabama requires physician supervision for CRNAs. The state has not opted out of the CMS supervision requirement.
Alaska
Full Practice Authority
Alaska grants CRNAs full practice authority with independent prescriptive authority. One of the first states to opt out.
Arizona
Full Practice Authority
Arizona provides full practice authority for CRNAs with no physician supervision requirement.
Arkansas
Opt-Out / Collaborative
Arkansas has opted out of federal supervision requirements. CRNAs practice under collaborative agreements.
California
Physician Supervision Required
California requires physician supervision for CRNAs. Has not opted out of the CMS requirement. One of the most...
Colorado
Full Practice Authority
Colorado grants full practice authority to CRNAs. Strong independent practice environment.
Connecticut
Full Practice Authority
Connecticut provides full practice authority for CRNAs with no supervision requirement.
Delaware
Opt-Out / Collaborative
Delaware has opted out of the federal supervision requirement. CRNAs work under collaborative agreements.
District of Columbia
Full Practice Authority
DC grants full practice authority to CRNAs. Both CRNAs and AAs are authorized to practice.
Florida
Physician Supervision Required
Florida requires physician supervision. Active legislation (HB 375/649) to expand CRNA practice authority. AAs are...
Georgia
Physician Supervision Required
Georgia requires physician supervision for CRNAs. One of the largest AA populations in the country.
Hawaii
Opt-Out / Collaborative
Hawaii has opted out of federal supervision. CRNAs practice under collaborative agreements.
Idaho
Full Practice Authority
Idaho grants full practice authority to CRNAs with independent prescriptive authority.
Illinois
Opt-Out / Collaborative
Illinois requires collaborative agreements between CRNAs and physicians. AAs are authorized to practice.
Indiana
Opt-Out / Collaborative
Indiana has opted out of federal supervision. CRNAs practice under collaborative agreements.
Iowa
Full Practice Authority
Iowa grants full practice authority to CRNAs.
Kansas
Full Practice Authority
Kansas grants full practice authority to CRNAs with independent practice.
Kentucky
Opt-Out / Collaborative
Kentucky has opted out of federal supervision. CRNAs practice under collaborative agreements. AAs authorized.
Louisiana
Opt-Out / Collaborative
Louisiana has opted out of federal supervision. CRNAs work under collaborative practice agreements.
Maine
Full Practice Authority
Maine grants full practice authority to CRNAs.
Maryland
Opt-Out / Collaborative
Maryland requires collaborative agreements. Has not opted out of CMS supervision requirement. AAs authorized.
Massachusetts
Physician Supervision Required
Massachusetts requires physician supervision for CRNAs. Has not opted out of federal requirement.
Michigan
Opt-Out / Collaborative
Michigan has opted out of federal supervision. CRNAs practice under collaborative agreements. AAs authorized.
Minnesota
Full Practice Authority
Minnesota grants full practice authority to CRNAs with no supervision requirement.
Mississippi
Opt-Out / Collaborative
Mississippi has opted out of federal supervision. CRNAs work under collaborative agreements.
Missouri
Opt-Out / Collaborative
Missouri has opted out of federal supervision. CRNAs practice under collaborative agreements. AAs authorized.
Montana
Full Practice Authority
Montana grants full practice authority to CRNAs. Strong rural CRNA presence.
Nebraska
Full Practice Authority
Nebraska grants full practice authority to CRNAs.
Nevada
Full Practice Authority
Nevada grants full practice authority to CRNAs.
New Hampshire
Full Practice Authority
New Hampshire grants full practice authority to CRNAs.
New Jersey
Physician Supervision Required
New Jersey requires physician supervision for CRNAs.
New Mexico
Full Practice Authority
New Mexico grants full practice authority to CRNAs. Critical for rural healthcare access.
New York
Physician Supervision Required
New York requires physician supervision for CRNAs. One of the most restrictive states. AAs authorized.
North Carolina
Opt-Out / Collaborative
North Carolina has opted out of federal supervision. CRNAs work under collaborative agreements. AAs authorized.
North Dakota
Full Practice Authority
North Dakota grants full practice authority to CRNAs.
Ohio
Opt-Out / Collaborative
Ohio requires collaborative agreements. Has not opted out of CMS requirement. Large AA population.
Oklahoma
Opt-Out / Collaborative
Oklahoma has opted out of federal supervision. CRNAs practice under collaborative agreements. AAs authorized.
Oregon
Full Practice Authority
Oregon grants full practice authority to CRNAs with independent prescriptive authority.
Pennsylvania
Physician Supervision Required
Pennsylvania requires physician supervision for CRNAs. Has not opted out of federal requirement.
Rhode Island
Opt-Out / Collaborative
Rhode Island has opted out of federal supervision. CRNAs practice under collaborative agreements.
South Carolina
Opt-Out / Collaborative
South Carolina has opted out of federal supervision. CRNAs work under collaborative agreements. AAs authorized.
South Dakota
Full Practice Authority
South Dakota grants full practice authority to CRNAs.
Tennessee
Physician Supervision Required
Tennessee requires physician supervision for CRNAs. AAs are authorized.
Texas
Physician Supervision Required
Texas requires physician supervision for CRNAs. Active advocacy for practice authority expansion. AAs authorized.
Utah
Opt-Out / Collaborative
Utah has opted out of federal supervision. CRNAs practice under collaborative agreements.
Vermont
Full Practice Authority
Vermont grants full practice authority to CRNAs.
Virginia
Opt-Out / Collaborative
Virginia has active legislation (SB33) to expand CRNA practice authority. AAs authorized.
Washington
Full Practice Authority
Washington grants full practice authority to CRNAs with independent practice.
West Virginia
Opt-Out / Collaborative
West Virginia has opted out of federal supervision. CRNAs work under collaborative agreements.
Wisconsin
Opt-Out / Collaborative
Wisconsin has opted out of federal supervision. CRNAs practice under collaborative agreements. AAs authorized.
Wyoming
Full Practice Authority
Wyoming grants full practice authority to CRNAs. Critical for rural access.