CaliforniaAB 8762025-2026 Regular SessionHouseWALLET

Nurse anesthetists: scope of practice.

Sponsored By: Heath Flora (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Nurse anesthetists can deliver anesthesia care

The law authorizes nurse anesthetists to provide anesthesia services. When a physician, dentist, or podiatrist orders anesthesia for a patient, the nurse anesthetist may choose the anesthesia type and change it during care. Anesthesia services include pre-, intra-, and post-operative care, pain management, and emergency and resuscitation support. Giving medicines, including controlled drugs, under such an order is not treated as a prescription under 21 CFR 1300.01.

Training and certification rules for nurse anesthetists

A nurse anesthetist is a registered nurse licensed by the Board of Registered Nursing who meets Board certification rules. The Board looks at national certification standards and can set stricter rules to protect patients, following state procedures. Nurse anesthesia education programs must be approved by the Board. The Board considers national accreditation standards and can raise them if needed for safety.

Clarifies no change to nurse anesthetist scope

The law states this article does not expand or limit the current scope of practice for nurse anesthetists. It is a statement of existing law meant to guide hospitals, boards, and courts.

Sponsors & Cosponsors

Sponsor

  • Heath Flora

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 280 • No: 3

House vote 9/4/2025

Item 35 — Assembly AFLOOR

Yes: 70 • No: 1

Senate vote 9/3/2025

Item 189 — Senate SFLOOR

Yes: 38 • No: 0

Senate vote 9/3/2025

Item 189 — Senate SFLOOR

Yes: 33 • No: 0

Senate vote 9/3/2025

Item 189 — Senate SFLOOR

Yes: 40 • No: 0

legislature vote 7/14/2025

Vote in CS42

Yes: 9 • No: 0

House vote 5/15/2025

Item 140 — Assembly AFLOOR

Yes: 61 • No: 1

legislature vote 5/7/2025

Vote in CX25

Yes: 14 • No: 0

legislature vote 4/22/2025

Vote in CX33

Yes: 15 • No: 1

Actions Timeline

  1. Chaptered by Secretary of State - Chapter 169, Statutes of 2025.

    10/1/2025Senate
  2. Approved by the Governor.

    10/1/2025legislature
  3. Enrolled and presented to the Governor at 4 p.m.

    9/11/2025legislature
  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 70. Noes 1. Page 2929.).

    9/4/2025House
  5. In Assembly. Concurrence in Senate amendments pending.

    9/3/2025House
  6. Read third time. Passed. Ordered to the Assembly. (Ayes 38. Noes 0. Page 2438.).

    9/3/2025Senate
  7. Reconsideration granted. (Ayes 40. Noes 0. Page 2438.)

    9/3/2025Senate
  8. Read third time. Passed. Ordered to the Assembly. (Ayes 33. Noes 0. Page 2437.).

    9/3/2025Senate
  9. Read second time. Ordered to third reading.

    8/26/2025Senate
  10. From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

    8/25/2025Senate
  11. From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 14). Re-referred to Com. on APPR.

    7/14/2025Senate
  12. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B. P. & E.D.

    7/9/2025Senate
  13. Referred to Com. on B. P. & E.D.

    5/28/2025Senate
  14. In Senate. Read first time. To Com. on RLS. for assignment.

    5/15/2025Senate
  15. Read third time. Passed. Ordered to the Senate. (Ayes 61. Noes 1. Page 1563.)

    5/15/2025House
  16. Read second time. Ordered to third reading.

    5/8/2025House
  17. From committee: Do pass. (Ayes 14. Noes 0.) (May 7).

    5/7/2025House
  18. Re-referred to Com. on APPR.

    4/24/2025House
  19. Read second time and amended.

    4/23/2025House
  20. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 1.) (April 22).

    4/22/2025House
  21. Referred to Com. on B. & P.

    3/3/2025House
  22. From printer. May be heard in committee March 22.

    2/20/2025House
  23. Read first time. To print.

    2/19/2025House

Bill Text

  • Chaptered

    10/1/2025

  • Enrolled

    9/8/2025

  • Amended Senate

    7/9/2025

  • Amended Assembly

    4/23/2025

  • Introduced

    2/19/2025

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