SB 35 — ANESTHESIOLOGIST ASSISTANTS CHANGES

SENATEAN BILLACT 35RELATING 56THTO LEGISLATUREANESTHESIOLOGIST -ASSISTANTS; STATEOFNEWMEXICO- FIRST SESSION, 2023 INTRODUCED BY Martin Hickey and Meredith A.

DixonREVISING andPRACTICE MichaelREQUIREMENTS PadillaAND ThisEMPLOYMENT documentCONDITIONS; may incorporate amendments proposed by a committee, but not yet adopted, as well as amendments that have been adopted during the current legislative session.

TheINCREASING documentTHE isNUMBER aOF toolANESTHESIOLOGIST toASSISTANTS showTHAT amendmentsAN inANESTHESIOLOGIST contextMAY andSUPERVISE; cannot be used for the purpose of adding amendments to legislation.

h AN ACT g o RELATING TO ANESTHESIOLOGIST ASSISTANTS;

REVISING PRACTICE t hr g e i k REQUIREMENTS AND EMPLOYMENT CONDITIONS;

INCREASING THE NUMBER h r i s OF ANESTHESIOLOGIST ASSISTANTS THAT AN ANESTHESIOLOGIST MAY h , t, SUPERVISE;

SHPACºREMOVING e u g e b l e e h LIMITATIONS ON COUNTIES WHERE AN ANESTHESIOLOGIST ASSISTANT MAY n d d i = = o h PRACTICE;»SHPAC REPEALING LAWS 2015, CHAPTER 52, SECTION 5.

l8 ] b ,d i a º e r i = r t e w d m a n o BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

dSECTION m1. :

b e d s º o t n = .223940.1AIC January 26, 2023 (2:53pm) s k m e e a n e d r e l u [ A d SECTION 1.

"anesthesiologist assistant" means a skilled personSJC/SB [employed35 orPage to1 beperson employed by a university in New h Mexico with a medical school] licensed by the board as being u » r t h qualified by academic and practical training to assist an g e l i anesthesiologist in developing and implementing anesthesia care h r i s plans for patients under the supervision and direction of the h , e h t u g anesthesiologist who is responsible for the performance of that e b l e e , gh anesthesiologist assistant;

n d d i = = o h C.

"applicant" means a person who is applying to l ] b ,d i a º r e r = the board for a license as an anesthesiologist assistant;

t e w d m a n o D.

and dE. m :

b r e t º o t n = .223940.1AIC January 26, 2023 (2:53pm) s k m e -2- e a n e d r e l u [ A d E.

(3) for examining and evaluating applicants for licensure as an anesthesiologist assistant regarding the required skill, knowledge and experience in developing and hSJC/SB 35 Page 2 implementing anesthesia care plans under supervision;

g o t hr (4) for allowing a supervising g e i k anesthesiologist to temporarily delegate supervisory h r i s responsibilities for an anesthesiologist assistant to another h , t, anesthesiologist;

e u g e b l e e h (5) for allowing an anesthesiologist assistant n d d i = = o h to temporarily serve under the supervision of an l ] b ,d i a º e anesthesiologist other than the supervising anesthesiologist r i = r t e w d m a n o with whom the anesthesiologist assistant is registered;

and d(6) mto :carry out the provisions of the Anesthesiologist Assistants Act.

b e d s º o t n = .223940.1AIC January 26, 2023 (2:53pm) s k m e - 3 - e a n e d r e l u [ A d (6) to carry out the provisions of the Anesthesiologist Assistants Act.

and (c) current certification by the hSJC/SB 35 Page 3 American heart association in advanced cardiac life-support g o t hr techniques;

g e i k (2) establishing minimum requirements for h r i s continuing education of not less than forty hours every two h , t, years;

e u g e b l e e h (3) requiring adequate identification of the n d d i = = o h anesthesiologist assistant to patients and others;

l(4) ]requiring bthe ,dpresence, iexcept ain ºcases eof (4)emergency, requiringand [thethe documentation of the presence, exceptof the supervising anesthesiologist in casesthe roperating iroom =during rinduction tof ea wgeneral danesthetic mand during emergence from a ngeneral oanesthetic, the presence of emergency,the supervising anesthesiologist within the operating suite and immediate availability to the documentationoperating ofroom at other times when the presence,anesthetic ofprocedure is being performed and requiring that the danesthesiologist massistant :comply with the above restrictions;

b e d s º o t n = .223940.1AIC January 26, 2023 (2:53pm) s k m e - 4 - e a n e d r e l u [ A d supervising anesthesiologist in the operating room during induction of a general or regional anesthetic and during emergence from a general anesthetic, the presence of the supervising anesthesiologist within the operating suite and immediate availability to the operating room at other times when the anesthetic procedure is being performed and requiring that the anesthesiologist assistant comply with the above restrictions] in-person participation in the most demanding aspects of the anesthesia plan, including, if applicable, induction and emergence;

h (6) requiring the anesthesiologist assistant u » r to inform the supervising anesthesiologist of serious adverse tSJC/SB h35 gPage e4 l i events;

h r i s (7) establishing [with respect to practice h , e h outside of a university in New Mexico with a medical school] t u g e b l e e , gh that the number of anesthesiologist assistants a supervising n d d i = = o h anesthesiologist may supervise at one time, except in emergency l ] b ,d i a º r cases, shall not exceed [three ] four anesthesiologist e r = t e w d m a n o assistants;

and d(8) mwithin :twelve months of the date on which the Anesthesiologist Assistants Act becomes effective, providing for enhanced supervision at the commencement of an anesthesiologist assistant's practice." SECTION 3.

b r e t º o t n = .223940.1AIC January 26, 2023 (2:53pm) s k m e - 5 - e a n e d r e l u [ A d [(8) establishing, with respect to practice at a university in New Mexico with a medical school, that an anesthesiologist shall not supervise, except in emergency cases, more than four anesthesia providers if at least one anesthesia provider is an anesthesiologist assistant;

and (9)] (8) within twelve months of the date on which the Anesthesiologist Assistants Act becomes effective, providing for enhanced supervision at the commencement of an anesthesiologist assistant's practice." SECTION 3.

in a practice other than one at a university in h New Mexico with a medical school:

g o t hr (1) be certified as an anesthesiologist g e i k assistant by the national commission for certification of h r i s anesthesiologist assistants;

h , t, (2) practice only in a health facility e u g e b l e e h licensed by the department of health where [at the time the n d d i = = o h anesthesiologist assistant begins practicing there, at least l ] b ,d i a º e three] anesthesiologists who are licensed physicians and who r i = r t e w d m a n o are board-certified as anesthesiologists by the American board dof manesthesiology :are on staff as employees or contractors;

bSJC/SB e35 dPage s5 º(3) opractice tonly nin = .223940.1AIC January 26, 2023 (2:53pm) s k m e - 6 - e a nclass e d r e l u [ A dcounty; of anesthesiology are on staff as employees or contractors;

SHPACºand [(3)(4) practicebe onlysupervised inby a classlicensed Aanesthesiologist county]»SHPACwho SHPACº(3)is practicephysically onlypresent inat aall classtimes Ain county;»SHPACthe andhealth [(4)]facility SHPACº(3)»SHPACwhile SHPACº(4)»SHPACsupervising bean supervised [only] by [an] a licensed anesthesiologist whoassistant." isSECTION [a4. licensed physician;

and who is board-certified as an anesthesiologist by the American board of anesthesiology] physically present at all times in the health facility while supervising an anesthesiologist assistant." SECTION 4.

-SJC/SB 735 -Page h6 u9 »25 r t h g e l i h r i s h , e h t u g e b l e e , gh n d d i = = o h l ] b ,d i a º r e r = t e w d m a n o d m :

b r e t º o t n = .223940.1AIC January 26, 2023 (2:53pm) s k m e e a n e d r e l u [ A d