PANA Testifies Before House Committee on CAA Legislation

Department of State opposes licensing CAAs in Pa.

Members of the Pennsylvania Association of Nurse Anesthetists (PANA) testified today before the House Professional Licensure Committee to oppose legislation (H.B. 1956) that would license Certified Anesthesiologist Assistants (CAAs) for the first time in Pennsylvania.

Testifying were Jessica Poole DNAP, CRNA, director of State Government Affairs for PANA and lead Certified Registered Nurse Anesthetist (CRNA) at BPW Medical Associates, P.C.; Matthew McCoy DNP, CRNA, past president of PANA and assistant director of the Crozer Chester Medical Center/Villanova University Nurse Anesthesia Program; and Christopher A. Heiss, MSN, CRNA, a PANA trustee and a CRNA practicing everywhere from large tertiary care facilities to rural critical access hospitals throughout Pennsylvania.

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PANA’s testifiers urged the committee to oppose the legislation. House Bill 1956 will not improve patient safety or enhance care. It will not reduce health-care costs, but instead, contribute to costlier care models. And it will not improve access to anesthesia services or address critical care shortages in underserved areas.

There is no meaningful research data concerning CAA anesthesia safety. Because CAAs must be directly supervised by an anesthesiologist, the provider redundancy of the CAA/anesthesiologist team is one of the costliest anesthesia delivery models. That also greatly limits their utilization in rural and underserved communities where anesthesiologists don’t practice.

GET ALL THE FACTS ABOUT H.B. 1956 HERE

The Pennsylvania Department of State also testified and opposed the licensing standards, noting that the agency “views creating another licensure class for professionals who are already nationally credentialed as repetitive and unnecessary.” The department also made clear that “CAAs would appear to fall within the definition of technician. While the practice acts and board regulations do not prohibit CAAs from practicing in the Commonwealth, the Department of State and the State Board of Medicine do not have the authority to regulate hospitals and other health care facilities. That authority falls under the Department of Health, in the Health Care Facilities Act.

A representative from the Hospital and Health System Association of Pennsylvania (HAP) also testified. Although HAP did not oppose the legislation, the organization did call for allowing CRNAs to practice to the fullest extent of their education and training to increase the number of qualified anesthesia providers in Pennsylvania.

Out-of-state CAAs also testified with Pennsylvania-based anesthesiologists.

VIEW ALL TESTIMONY

JESS POOLE

Poole Final.pdf

Download PDF • 152KB

MATT MCCOY

Matt McCoy Final.pdf

Download PDF • 164KB

CHRISTOPHER HEISS

Heiss - HPLC Testimony - Final.pdf

Download PDF • 73KB

PA DEPARTMENT OF STATE

4.25.22 - HPLC Testimony -DOS HB1956.pdf

Download PDF • 106KB

This is only the first step in a long legislative process. The hearing was informational only and the committee did not vote on the measure, which means under consideration. (Legislation must be approved by the committee before it goes to the full House for consideration.) No legislation has been introduced in the state Senate.

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AANA Presents Daniel D. Vigness Federal Political Director Award to PANA

The American Association of Nurse Anesthesiology (AANA) honored Lt. Col. Laura Wiggins, DNP, CRNA, with the Daniel D. Vigness Federal Political Director Award at its Mid-Year Assembly, held in Washington, D.C. on April 2-6. Wiggins, a Certified Registered Nurse Anesthetist (CRNA), is staff CRNA with the University of Pittsburgh Medical Center in Pittsburgh and chief nurse for the critical care transport team in the U.S. Air Force Reserve.

“It is an honor to receive the Federal Political Director Award. Promoting and safeguarding the profession and helping to work towards regulations and legislation that allow CRNAs to practice at their full scope has been both an honor and a privilege,” Wiggins said. “However, all my work could not be accomplished without the support of the Pennsylvania Association of Nurse Anesthetists and my employers. I thank them for providing me with the resources and time to build the relationships that have allowed me to be a successful advocate for all CRNAs.”

Wiggins has been the Federal Political Director (FPD) for the Pennsylvania Association of Nurse Anesthetists (PANA) for the past two years and serves on its Board of Trustees. In 2019 she helped lead more than 180 CRNAs and students enrolled in nurse anesthesiology programs to lobby in Harrisburg on behalf of the profession. She is the former Chief Nurse for the 911th Aeromedical Staging Squadron and former Critical Care Air Transport Team member and has been deployed to support numerous international situations throughout her career.

According to her nominator, Wiggins is a natural leader with a passion for nurse anesthesia. “Whether leading a medical team as the anesthesia director for military operations in Kyrgyzstan, or providing obstetric anesthesia in Pittsburgh, Laura carries herself with a sense of dignity and skill that reflects the best of our profession.”

In addition, she was lauded for her hands-on leadership early in the COVID-19 pandemic. According to her nomination, weeks before Pennsylvania Gov. Tom Wolf even issued a formal stay-at-home order for the commonwealth, the PANA board began researching options to provide personal protective equipment (PPE) to its members. Wiggins relied on her military expertise to review mask options and determine the best fit for PANA to provide to members to keep them safe.

“Laura knew early on how important it was for PANA to not disrupt the supply chain already working on PPE for local hospitals and other facilities around Pennsylvania,” cited her nomination. “Therefore, she spearheaded a discussion with a small 3D printing company in southwestern Pennsylvania. Wiggins began to work with the co-owner of the company to design a 3D-printed mask that would keep our members safe. Laura Wiggins oversaw all of the details, even recruiting a biochemist and an engineer from Stanley Black & Decker to support the cause. After numerous back-and-forth phone calls, texts, virtual calls, and prototype designs, the mask was ready to offer to members as a complimentary benefit. In the initial two hours of sending the e-mail to alert members about the free product offering, PANA received over 400 requests. When completed, PANA shipped over 1,200 PPE masks around the state within four weeks, and this was largely due to the work of Lt. Col Laura Wiggins.”

She is a clinical instructor at the University of Pittsburgh Nurse Anesthesia Program for various courses, including Difficult Airway Course; Regional Anesthesia; and Obstetrics Anesthesia. As a critical care nurse in the Air Force Reserves, Wiggins directly supervises more than 60 medical military personnel while managing all nursing services and flight member activities. In addition, she is an independent contractor with Anesthesiology Services Network, providing anesthesia services for a Level One Trauma Center with 24 operating rooms and diverse areas, including neurosurgery, vascular, thoracic, orthopedics, general, gynecology, pediatrics, trauma, and obstetrics.

Wiggins received her bachelor’s degree in nursing from Pennsylvania State University in State College, and a master’s degree in nursing with a specialization in nurse anesthesia area from Uniformed Services University in Bethesda, Maryland. She earned a Doctor of Nurse Practice degree from the University of Pittsburgh.

As advanced practice nurses, CRNAs are members of one of the most trusted professions according to Gallup. CRNAs provide anesthesia care across all settings and in all patient populations and are the primary anesthesia providers in rural and underserved areas and on the battlefield in forward surgical teams.

During the COVID-19 pandemic, nurse anesthetists across the country have been essential in addressing the deadliest part of the disease in addition to providing top-of-the-line anesthesia care. They have served as experts in airway management, hemodynamic monitoring, management of patients on ventilators, and overall management of critically ill patients.

About the Daniel D. Vigness Federal Political Director Award

The Federal Political Director of the Year Award, established in 2001, was renamed the Daniel D. Vigness Federal Political Director Award in 2013 in tribute and memory of its first winner. It is presented annually to an individual who has made a significant contribution to the advancement of the national healthcare agenda of CRNAs by coordinating grassroots CRNA involvement at the state level or through special contributions to the federal political process.

Pennsylvania Extends COVID-19 Waivers

Pennsylvania Association of Nurse Anesthetists

FOR IMMEDIATE RELEASE

CONTACT: Kurt Knaus, P: 717-724-2866

E: kurt@ceislermedia.com

Among the waivers is a provision that temporarily suspends physician supervision of CRNAs in a hospital setting

HARRISBURG (April 1, 2022) --- Pennsylvania lawmakers once again have voted to extend several regulatory waivers put into place at the start of the pandemic to help health-care providers respond to COVID-19. Without action, the waivers would have expired March 31. Gov. Tom Wolf signed the legislation March 30, keeping the waivers in place through June.

Among the waivers is a provision that suspends the physician supervision requirement of a certified registered nurse anesthetist in a hospital setting, giving health-care facilities the flexibility to continue tapping into the unique skillset of CRNAs to fulfill critical roles inside and outside the operating room as the state continues its pandemic recovery.

The governor announced the original temporary blanket waiver for advanced practice nurses and CRNAs on May 6, 2020, as part of an executive order to enhance the state’s response to the emerging health-care crisis.

After the passage of two constitutional amendments dealing with executive power, the General Assembly ended the governor’s emergency order in June 2021 but allowed the waivers to remain in place until September 2021. Before they expired, lawmakers voted then to keep the waivers in place until March 2022. The latest legislative action keeps the waivers in effect for three more months.

The Pennsylvania Association of Nurse Anesthetists (PANA) represents more than 4,000 CRNAs and students across the commonwealth.

Removing the supervision requirement and allowing CRNAs to practice to the fullest extent of their education and training avails more physicians to provide hands-on care, expands the capacity of both CRNA and physician providers, and augments the state’s health-care system to continue to meet the demands of this pandemic.

For more information, visit www.PANAforQualityCare.com or follow along on social media via Twitter at @PANACRNA, Facebook at www.facebook.com/PANACRNA, or Instagram at @PANACRNA.

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