I'm seeing this for the first time today. And in case anyone hasn't seen it yet, the following is a piece from the ANA's website, showing that state boards of medicine are not as all-powerful as they think they are when it comes to restricting the practice of CRNAs:
ANA Defends CRNA Autonomy
The Supreme Court of New Jersey has granted a petition by the New Jersey Association of Nurse Anesthetists (NJANA) to stay an appellate decision limiting the authority of certified registered nurse anesthetists (CRNAs). The Court has agreed to hear arguments in the case. ANA has supported NJANA throughout its endeavors to have the decision overturned and will continue to work with the group to protect the practice of CRNAs.
The decision stems from regulations set by the New Jersey Board of Medical Examiners (BME) that require all CRNAs administering anesthesia in an office setting to be directly supervised by an anesthesiologist or an anesthesia-qualified physician.
BMEs in many states have fought to obtain regulatory authority over CRNA practice, but their attempts have been rejected by state courts, concluding that such rules were unsupported by evidence or by consumer need.
In an amicus brief filed with the court, ANA argues that the decision "raises important and unresolved questions of public importance regarding the BME's authority in New Jersey to use delegated rulemaking authority to undermine the practice of nursing that is regulated by the BN [Board of Nursing]." ANA also is concerned about the BME's failure to consider available empirical data on the safety and efficacy of CRNA practice in the state.
The brief cites data from the National Practitioner Data Bank and the Health Integrity Protection Data Bank that demonstrate that over the past 13 years, nurse anesthetists were named in only 14 adverse incidents in New Jersey. The cases in question account for less than .01 percent of all CRNA cases reported in the United States and are substantially lower than those reported for New Jersey physicians and anesthesiologists