South Carolina 2025-2026 Regular Session Status: In Committee

S 493 — Certified Registered Nurse Anesthetist

Last action — Referred to Committee on Medical Affairs

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the Senate. Introduced March 26, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Prognosis

Stalled 14% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-33-20, RELATING TO DEFINITIONS IN THE NURSE PRACTICE ACT, SO AS TO PROVIDE THAT A CERTIFIED REGISTERED NURSE ANESTHETIST MAY ONLY USE THE ABBREVIATION "CRNA" OR A VARIATION OR SUBDESIGNATION OF CRNA TO INDICATE THAT THE PERSON IS PRACTICING AS CERTIFIED REGISTERED NURSE ANESTHETIST.

Bill Text

What changed in the latest version

37 added · 11 removed

Plain-language change summary

The recent amendment to Bill S 493 clarifies that only certified registered nurse anesthetists (CRNAs) can use the abbreviation "CRNA" to identify their professional practice. This change ensures that the title is exclusively reserved for those who have met specific educational and certification requirements, aiming to protect the integrity of the profession and provide clear information to patients and employers about the qualifications of their care providers. This matters because it helps maintain trust in medical professionals and promotes higher standards within the healthcare system.

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2025-2026 Bill 493 Text of Previous Version (Mar.
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26, 2025) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 493Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
Document has been reformatted to meet World Wide Web specifications.)                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-33-20, RELATING TO DEFINITIONS IN THE NURSE PRACTICE ACT, SO AS TO PROVIDE THAT A CERTIFIED REGISTERED NURSE ANESTHETIST MAY ONLY USE THE ABBREVIATION "CRNA" OR A VARIATION OR SUBDESIGNATION OF CRNA TO INDICATE THAT THE PERSON IS PRACTICING AS CERTIFIED REGISTERED NURSE ANESTHETIST.
  Be it enacted by the General Assembly of the State of South Carolina:
  SECTION 1.  Section 40-33-20(19) of the S.C.
Code is amended to read:
      (19)(a) "Certified Registered Nurse Anesthetist" or "CRNA" means an advanced practice registered nurse who:
           (a)(i) has successfully completed an advanced, organized formal CRNA education program at a minimum of the master's level accredited by the national accrediting organization of this specialty area and that is recognized by the board;
           (b)(ii) is certified by a board-approved national certifying organization;  and            (c)(iii) demonstrates advanced knowledge and skill in the delivery of anesthesia services.
        (b) A CRNA must practice in accordance with approved written guidelines developed under supervision of a licensed physician or dentist or approved by the medical staff within the facility where practice privileges have been granted.
       (c) A certified registered nurse anesthetist may only use the abbreviation "CRNA" or a variation or subdesignation of CRNA to indicate that the person is practicing as certified registered nurse anesthetist.
A certified registered nurse anesthetist is prohibited from using any medical or medical specialty designation, including, but not limited to, those designations identified in Section 40-27-20(36)(g) either alone or in combination with any nursing abbreviation.
  SECTION 2.  This act takes effect upon approval by the Governor.
----XX---- This web page was last updated on March 26, 2025 at 01:50 PM
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Action History

  1. Referred to Committee on Medical Affairs

  2. Introduced and read first time

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 169 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (169)

169 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor
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Frequently asked questions

What does S 493 do?
A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-33-20, RELATING TO DEFINITIONS IN THE NURSE PRACTICE ACT, SO AS TO PROVIDE THAT A CERTIFIED REGISTERED NURSE ANESTHETIST MAY ONLY USE THE ABBREVIATION "CRNA" OR A VARIATION OR SUBDESIGNATION OF CRNA TO INDICATE THAT THE PERSON IS PRACTICING AS CERTIFIED REGISTERED NURSE ANESTHETIST.
Who sponsors S 493?
S 493 is sponsored by Senator Josh Kimbrell.
What is the current status of S 493?
This bill is in committee in the Senate. Introduced March 26, 2025. It must pass committee before a floor vote.
Where can I track S 493?
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