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

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Download PDF • 152KB

MATT MCCOY

Matt McCoy Final

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Download PDF • 164KB

CHRISTOPHER HEISS

Heiss - HPLC Testimony - Final

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Download PDF • 73KB

PA DEPARTMENT OF STATE

4.25.22 - HPLC Testimony -DOS HB1956

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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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PANA Receives Excellence in State Government Relations Advocacy Award at AANA

The Excellence in State Government Relations Advocacy Award, established in 2016, is presented annually to a state association based on the quality of its efforts in the state legislative or regulatory arena for the nurse anesthesiology profession. The recipient is chosen by the AANA Government Relations Committee.

In 2021, the PANA successfully lobbied for a law that includes formal title recognition for Certified Registered Nurse Anesthetists (CRNAs) in statute for the first time, clarifies the CRNA relationship with physicians and dentists, and allows for CRNAs to work with podiatrists.

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AANA Presents Daniel D. Vigness Federal Political Director Award to Laura Wiggins, DNP, CRNA

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 a 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.

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Diane Boettger, MHS, CRNA Receives the Challenge Coin from the VHA's Chief Nursing Officer During AANA-MYA

Beth Taylor, DHA, RN, NEA-BC, Chief Nursing Officer, Veterans Health Administration (left) with PANA Board Member Diane Boettger, MHS, CRNA

WHAT'S THE CHALLENGE COIN?

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PANA SITS DOWN WITH 'BEYOND THE MASK' PODCAST!

Diane Boettger, CRNA, PANA Board of Trustees being interviewed on the Beyond the Mask Podcast

Pictured Below:

Left: Beyond the Mask Podcast Co-Host Jeremy Stanley with Diane Boettger, CRNA, Sharon Pearce, DNP, CRNA, and Co-Host, and Sarah Trau, CRNA, PANA Board of Trustees

Middle: Sarah Trau, CRNA, PANA Board of Trustees with Co-Host Sharon Pearce, DNP, CRNA

Right: Beyond the Mask Podcast Co-Hosts Jeremy Stanley and Sharon Pearce, DNP, CRNA

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Diane Boettger, CRNA, PANA Board of Trustees speaking at the Region 6 Breakout Session during #AANAMYA

AANA Presents Excellence in State Government Relations Advocacy Award to Pennsylvania

Apr 1, 2022

Park Ridge, Ill. (AANA)—The American Association of Nurse Anesthesiology (AANA) will honor the Pennsylvania Association of Nurse Anesthetists (PANA) with the Excellence in State Government Relations Advocacy Award at its Mid-Year Assembly to be held in Washington, D.C., April 2-6.

The Excellence in State Government Relations Advocacy Award, established in 2016, is presented annually to a state association based on the quality of its efforts in the state legislative or regulatory arena for the nurse anesthesiology profession. The recipient is chosen by the AANA Government Relations Committee.

In 2021, the PANA successfully lobbied for a law that includes formal title recognition for Certified Registered Nurse Anesthetists (CRNAs) in statute for the first time, clarifies the CRNA relationship with physicians and dentists, and allows for CRNAs to work with podiatrists.

“The pandemic raised awareness of the critical roles that CRNAs play in healthcare settings and how some state policies prevented CRNAs from practicing to the fullest extent of their education and training at precisely the time they were most needed,” PANA President Lew Bennett, DNP, CRNA, said. “We are honored to be recognized by the AANA for our achievements.”

To increase the flexibility of healthcare resources, Pennsylvania Governor Tom Wolf waived physician supervision during the pandemic. PANA used this opportunity to build relationships with legislators to support title recognition legislation.

“The relationships PANA developed with the governor and legislators will benefit CRNAs for years to come,” Bennett said. “Thank you to the many Pennsylvania CRNAs who laid the foundation for this effort, and those who will continue to fight to protect CRNA practice in the future.”

In addition, PANA developed relationships with a coalition of nursing, rural health, and other groups, including Americans for Prosperity, the Pennsylvania Farm Bureau, and the National Guard, all of which validated and reinforced PANA’s message to legislators.

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 American Association of Nurse Anesthesiology