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2021 House Bill 4359: Define nurse anesthetist scope of practice

Public Act 53 of 2021

Introduced by Rep. Mary Whiteford (R) on February 24, 2021
To define the “scope of practice” permitted for a registered professional nurse who holds a specialty certification as a nurse anesthetist. This refers to a detailed list of the treatments and services a medical professional may or may not perform under state licensure mandates.   Official Text and Analysis.
Referred to the House Health Policy Committee on February 24, 2021
Reported in the House on March 10, 2021
Without amendment and with the recommendation that the bill pass.
Amendment offered by Rep. Jim Haadsma (D) on March 23, 2021
To make a medical facility liable for letting a nurse anesthetist administer anesthesia.
The amendment failed by voice vote in the House on March 23, 2021
Received in the Senate on March 25, 2021
Referred to the Senate Health Policy and Human Services Committee on March 25, 2021
Reported in the Senate on June 15, 2021
With the recommendation that the substitute (S-3) be adopted and that the bill then pass.
Amendment offered by Sen. Aric Nesbitt (R) on June 17, 2021
To limit a nurse anesthetist from administering anesthesia unless "a qualified health care professional is immediately available in person or through telemedicine".
The amendment passed by voice vote in the Senate on June 17, 2021
To define the “scope of practice” permitted for a registered professional nurse who holds a specialty certification as a nurse anesthetist. This refers to a detailed list of the treatments and services a medical professional may or may not perform under state licensure mandates. The bill would establish many new requirements and restrictions, but is said to expand somewhat the authority of a nurse anesthetist to administer anesthesia.
Received in the House on June 17, 2021
Received in the Senate on June 24, 2021
Amendment offered by Sen. Curt VanderWall (R) on June 24, 2021
To further revise various conditions and qualifications in this law and proposal.
The amendment passed by voice vote in the Senate on June 24, 2021
Received in the House on June 24, 2021
To concur with the Senate-passed version of the bill.
Moved to reconsider by Rep. Ben Frederick (R) on June 24, 2021
The vote by which the bill was passed.
The motion passed by voice vote in the House on June 24, 2021
Received in the House on June 24, 2021
Signed by Gov. Gretchen Whitmer on July 13, 2021

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