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pana blog

As an African American female, Black History Month holds a special significance for Lexus Miller, RN, BSN, CCRN, who currently is enrolled in the Bloomsburg University DNP Nurse Anesthesia Program. The month gives her --- and others --- the opportunity to learn about and celebrate the contributions and accomplishments of Black people throughout history.

Black History Month provides a space for reflection and conversation about the ongoing challenges Black people still face today, and how these issues impact their lives and experiences.


As SRNAs, Black women have the opportunity to make a positive impact in the health-care field by providing quality anesthesia care to diverse patient populations and increasing diversity in the field of anesthesia.


Being a first-generation college student, and as an African American SRNA, Miller hopes to inspire young Black women to pursue careers in anesthesia and help to break down barriers and wipe away stereotypes about what Black women can and cannot achieve.


She’s already doing her part and promises to be a force for future success.




Only a few session days remain—six in the Senate, three in the House of Representatives—before Pennsylvania’s 2021-22 legislative session ends.


Any bill that hasn’t made it entirely through both chambers of the state General Assembly to get to the governor’s desk for his signature and enactment must be reintroduced and work itself through the whole legislative process again when the new two-year session starts in January 2023.


The end of session is good news when it comes to bad policy like House Bill 1956 and Senate Bill 1258, two companion measures that would license anesthesiologist assistants (AAs) for the first time in Pennsylvania.


Neither bill received consideration and no votes are pending in these waning days of session. But that doesn’t mean the issue is finished—far from it.


The Pennsylvania Association of Nurse Anesthetists (PANA) successfully pushed back against the legislation this year, but we fully expect the measures to be reintroduced in the 2023-24 session.


We’ll be ready, too. We have to be, because we’ve already seen some of tactics proponents will use to advance their bills. Consider the lengths they’ll go:


  • Certified Registered Nurse Anesthetists (CRNAs) and SRNAs heard rumors that the legislation passed. Nope. Never happened. In fact, on April 25, PANA testified against the legislation during a House Professional Licensure Committee hearing. The measure never received a vote.

  • In an unprecedented attempt to circumvent the legislative process, AAs began reaching out directly to both physician-owned and CRNA-owned anesthesia companies with notice that they are authorized to work in Pennsylvania under delegatory authority. The Pennsylvania Department of Health has made clear that anesthesiologist assistants are not recognized as an anesthesia provider in the state and therefore cannot operate as such in the commonwealth.

  • Working with their state and national organizations, anesthesiology assistants also have been claiming publicly that AAs and CRNAs can be used interchangeably, alleging an anesthesia shortage, as part of an attempt to move AAs into facilities where CRNAs are already working. Nonsense. AAs are limited by their training to only provide support as a technical assistant to a physician anesthesiologist and cannot provide anesthesia care apart from their direct supervision. Any scenario that has an AA working apart from a physician anesthesiologist is in direct violation of federal law.

So, while this legislative session is ending, it’s really just the beginning of the fight against a misguided policy that will NOT improve patient safety or enhance care; will NOT reduce health-care costs, but instead contribute to costlier care models; and will NOT improve access to anesthesia services.



More than a year after Gov. Tom Wolf signed into law Act 60 of 2021, which granted formal title recognition to the state’s Certified Registered Nurse Anesthetists (CRNAs), members of the Pennsylvania Association of Nurse Anesthetists (PANA) got to join the state’s top executive for a ceremonial bill signing at the Capitol Building.


Public bill signings were halted during the COVID-19 pandemic and only recently restarted, with PANA visiting Harrisburg on Sept. 20, 2022. Even though it was delayed in coming, the ceremony still made for a glorious day. Act 60 remains one of the biggest legislative achievements in a generation for CRNAs and SRNAs in Pennsylvania --- one that took more than a decade to secure.


With no definition for nurse anesthetists under the state’s Professional Nursing Law, CRNAs were recognized only as registered nurses. Now, with Act 60, everyone knows us for who we are and what we train to be --- Certified Registered Nurse Anesthetists.


Thank you again to every CRNA and SRNA in Pennsylvania, and to dedicated PANA board members and trustees, for everyone’s tireless advocacy to get this law across the finish line and significantly advance our profession.


Learn more about the issues at www.PANAforQualityCare.com. Click on “Legislative Updates.”


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Copyright © 2025 Pennsylvania Association of Nurse Anesthetists

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