States with AAs

The states in which AAs work by a license, regulation, and/or certification are:

Alabama
Florida
Georgia
Kentucky
Missouri
New Mexico (university hospital settings)
Ohio
South Carolina
Vermont
Washington, DC

The states in which AAs are granted practice privileges through physician delegatory authority include:

Colorado
Michigan
New Hampshire
Texas
West Virginia
Wisconsin

There are also a number of dual-certified AA/PA's working in other states as well, and an AA licensed in one state can work at a VA or other federal facility in any state.

The federal government fully recognizes AA's as authorized providers for anesthesia services (along with CRNA's and MD's) under CMS, as well as for the VA and TriCare

The only exception is military hospitals ( Walter Reed, BAMC, Trippler, Madigan). AAs can't work in facilities with an AMEDD ( army medical department) active duty soldiers due to their inability to deploy in time of war. But they do work in the tricare system in other capacities like the VA.