Which states have the most independent CRNA scope of practice?

Which states allow CRNA's to practice most independently?

Or which states have the broadest CRNA scope of practice?

For example- states where the anesthesiologist is more hands off or where CRNA's are allowed to have more authority and freedom during their cases?

4 Answers

Iowa is usually considered to have the best conditions for CRNA practice.  But there are a lot of states now with no supervision and with CMS Opt-Out.

Specializes in Vents, Telemetry, Home Care, Home infusion.

image.png.f3a909cae1d61642366742b433ebe599.png

Image from

March 22, 2017 - Senate Health Policy Committee Presentation-Physician Supervision of CRNAs

Specializes in Anesthesia, Pain, Emergency Medicine.
On 12/2/2020 at 9:17 AM, yourgoodneighbor said:

Wow thanks this is awesome! 

That map is not entirely accurate. Take Texas for instance, very restrictive. You need a physician to "delegate" providing anesthesia before you can do it. Have fun getting prescriptive authority.
Same with MS, AL and GA. 
So while you may not need to be "supervised", it's not independent practice/full practice.

NRSKarenRN said:

image.png.f3a909cae1d61642366742b433ebe599.png

Image from

March 22, 2017 - Senate Health Policy Committee Presentation-Physician Supervision of CRNAs

Wow thanks this is awesome!

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