SB 78 — CERTIFIED NURSE ANESTHETIST ROLE

SENATEAN BILLACT 78RELATING 57THTO LEGISLATURENURSING; -STATEOFNEWMEXICO- FIRST SESSION, 2025 INTRODUCED BY Michael Padilla and Linda M.

Trujillo and Martin Hickey and David M.

Gallegos and Meredith A.

Dixon 7 9 AN ACT RELATING TO NURSING;

145 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

e t 17 "61-3-23.3.

CERTIFIED REGISTERED NURSE ANESTHETIST-- w l n d 18 QUALIFICATIONS--LICENSURE--PRACTICE--ENDORSEMENT--EXPEDITED = = 19 a l LICENSURE.-- i a e r 20 A.

The board may license for advanced practice as a a t m m 21 certified registered nurse anesthetist an applicant who d r e 22 furnishes evidence satisfactory to the board that the c e s k 23 applicant:

e a n b 24 (1) is a registered nurse;

u [ (2) has successfully completed a nurse .229677.1 anesthesia education program accredited by the council on accreditation of nurse anesthesia educational programs;

SB 78 Page 1 B.

A certified registered nurse anesthetist may provide preoperative, intraoperative and postoperative anesthesia care and related services, including ordering of diagnostic tests, in accordance with the current [American association of nurse anesthetists'] guidelines for nurse anesthesia practice issued by the national professional association representing certified registered nurse anesthetists.

e t 17 C.

Certified registered nurse anesthetists shall w l n d 18 function in either an [interdependent] independent role [asor ain =collaboration =with 19other a l member of a health care teamproviders in whichaccordance with the medicalpolicies care of the i a ehealth rcare 20facility. patient is directed by a licensed physician, osteopathic a t m m 21 physician, dentist or podiatrist licensed in New Mexico d r e 22 pursuant to the Dental Health Care Act, the Medical Practice c e s k 23 Act or the Podiatry Act.

The certified registered nurse e a n b 24 anesthetist shall collaborate with the licensed physician, u [ osteopathic physician, dentist or podiatrist concerning the .229677.1 - 2 - anesthesia care of the patient] or in collaboration with other health care providers in accordance with the policies of a health care facility.

[Collaboration includes systematic formal planning and evaluation between the health care professionals involved in the collaborative practice arrangement.] As used in this subsection, "independent role" means performing any action, including determining, preparing, administering or monitoring anesthesia care or anesthesia-related services, without the supervision of another health care provider.

A certified registered nurse anesthetist who has fulfilled the requirements for prescriptive authority in the area of anesthesia practice is authorized to prescribe and administer therapeutic measures, including dangerous drugs and e t 17 controlled substances included in Schedules II through V of the w l n d 18 Controlled Substances Act within the emergency procedures, = = 19 a l perioperative care or perinatal care SB 78 Page 2 environments.

Dangerous i a e r 20 drugs and controlled substances, pursuant to the Controlled a t m m 21 Substances Act, that have been prepared, packaged or fabricated d r e 22 by a registered pharmacist or doses of drugs that have been c e s k 23 prepackaged by a pharmaceutical manufacturer in accordance with e a n b 24 the Pharmacy Act and the New Mexico Drug, Device and Cosmetic u [ Act may be prescribed and administered.

.229677.1 - 3 - E.

The board e t 17 shall expedite the issuance of the license in accordance with w l n d 18 Section 61-1-31.1 NMSA 1978 within thirty SB 78 Page 3 days.

If the board = = 19 a l issues an expedited license to a person whose prior licensing i a e r 20 jurisdiction did not require examination, the board may require a t m m 21 that person to pass an examination before applying for license d r e 22 renewal.

An applicant licensed under the laws of a territory c e s k 23 or foreign country shall demonstrate proficiency in English.

e a n b 24 G.

A health care facility may adopt policies u [ relating to the providing of anesthesia care.

.229677.1 - 4 - H.

A certified registered nurse anesthetist licensed by the board shall maintain this certification with the national board of certification and recertification for nurse anesthetists." -SB 578 -Page 74 925 11 13 15 e t 17 w l n d 18 = = 19 a l i a e r 20 a t m m 21 d r e 22 c e s k 23 e a n b 24 u [ .229677.1