A 4985 New York Assembly · 2025 Regular Session

Provides for the registration of professional nurse anesthetist

Summary

Relates to the certification of registered nurse anesthetists; provides that for such certification an applicant shall file an application, be licensed as a registered professional nurse, have satisfactorily completed educational preparation for the administration of anesthesia by an accredited entity and pay a fee; specifies who may represent themself as a registered nurse anesthetist.

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2025

Committee Review

Floor Vote

Governor

Introduced Feb 10, 2025 Last action Mar 18, 2026

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What changed between versions

A4985 → A4985A · 5 edits

MODERATE

The bill significantly broadens the scope of practice for certified registered nurse anesthetists (CRNAs) in New York. It replaces a restrictive model requiring immediate supervision by an anesthesiologist with a more flexible framework allowing CRNAs to work under the supervision of various qualified physicians, dentists, oral surgeons, and podiatrists. The amendment also introduces detailed new definitions for anesthesia tasks, such as preoperative assessment and induction, to clarify the nurse anesthetist's role.

Scope change

The bill expands the settings and supervising professionals under whom nurse anesthetists can practice, moving from a strict anesthesiologist-only requirement to include operating physicians, dentists, oral surgeons, and podiatrists in various surgical settings.

REQUIREMENT

Replaced the requirement that anesthesia be performed only by a qualified anesthesia practitioner with a new provision defining the practice of professional nursing by nurse anesthetists.

DEFINITION

Added a comprehensive list of specific anesthesia tasks (preoperative assessment, induction, monitoring, maintenance, emergence) and provided detailed definitions for each.

Introduced new definitions for 'preoperative assessment and evaluation' and its components, including patient history, anesthesia planning, and patient education.

Added specific definitions for 'administration of anesthesia' to include induction, monitoring, maintenance, airway management, and emergence.

ELIGIBILITY

Changed the supervision requirements to allow nurse anesthetists to work under dentists, oral surgeons, and podiatrists in addition to physicians, provided those providers are authorized to administer anesthesia.

Floor votes

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 18, 2026

Lower · Passed

PRINT NUMBER 4985A

lower

Mar 18, 2026

Lower · Passed

AMEND AND RECOMMIT TO HIGHER EDUCATION

lower

Jan 7, 2026

Committee

REFERRED TO HIGHER EDUCATION

lower

Feb 10, 2025

Committee

REFERRED TO HIGHER EDUCATION

lower

1 primary · 10 co-sponsors