Joshua Smith, MD Board certified in both Anesthesiology and Pain Medicine, Practicing in Greenville, SC

South Carolina Senate and House subcommittees did NOT move independent practice bills forward in the 2019-2020 session. Victory for patient safety in South Carolina. Thank you members of the Senate and House subcommittees for adjourning debate on this unnecessary and dangerous bill!

INDEPENDENT PRACTICE FOR NURSE ANESTHETISTS  

Session 124 - (2021-2022) Same dangerous and unnecessary bill introduced in the House (H3692) and in the Senate (S639) from the previous session (2019-2020)

Bill was heard in Senate subcommittee and adjourned debate (not moving forward)

Bill was heard in House subcommittee and was moved to the full House 3M Committee

Last year's action on the bills:

Session 123 - (2019-2020)
S 0563 
H 4278
Both bills defeated in subcommittees in 2019-2020

 

Link to the Full Bill

Dr. Kevin Walker, President of the SCSA submitted the following letter to the Members of the General Assembly:
The Honorable Jay Lucas, Speaker of the House

ORGANIZATIONS SUPPORTING MAINTAINING PHYSICIAN SUPERVISION OF NURSE ANESTHETISTS

South Carolina Society of Anesthesiologists                                          
South Carolina Medical Association
South Carolina Chapter of the American College of Surgeons
South Carolina Society of Gastroenterologists
South Carolina Society of Ophthalmologists
South Carolina College of Emergency Physicians                         

South Carolina Academy of Family Physicians
South Carolina Obstetrical & Gynecological Society
South Carolina Society of Plastic Surgeons
South Carolina Orthopaedics Association

South Carolina Association of Anesthesiologist Assistants
Allergy, Asthma and Immunology Society of South Carolina
South Carolina Chapter of the American Academy of Pediatrics
South Carolina Society of Emergency Medicine Physicians
South Carolina Society of Otolaryngology
South Carolina Society of Pathologists
Majority of South Carolinians (Based on survey results conducted by The USC Research Center)

SUPPORT LETTERS

15 South Carolina Physician Specialty Organizations Oppose CRNA Independent Practice
South Carolina Medical Association, Todd Schlesinger, MD, President
March Seabrook, MD, Gastroenterologist and Immediate Past President, SCMA

SC Chapter of the American College of Surgeons, Stephen A. Fann, MD, FACS, President
I was a CRNA and Now I am a Physician Anesthesiologist, Robert Wilson, MD
We Are Anesthesiologists, Sasha Shillcut, MD
Laura Roberts MD, Nurse and then a Physician in the U.S. Navy, President of the SCSA
Former CRNA Recognizes Training Limits, Jane Fitch, MD
The Anesthesia Care Team is Best Model for Both Groups of Anesthetists, Koty Price, CAA, President of the SC-AAA
South Carolina Gastroenterology Society, Gary A. Vukov, MD, President of the SCGA
Linda Mason, M.D., FASA, Past President, American Society of Anesthesiologists
SC Obstetrical & Gynecological Society, Amy Crocket, MD, President
SC Opthalmology Society, C. Blake Myers,MD
Post&Courier Editorial
SC Academy of Family Physicians
AMA Letter: Oppose Independent Practice of Nurse Anesthetists

STATUS IN OTHER STATES WHERE NURSE ANESTHETISTS HAD LEGISLATION INTRODUCED IN 2019-2020 (as of 3/24/2020)

Alabama - DEAD                                                                       
Arkansas - DEAD
Florida - 2 bills - DEAD
New Mexico - DEAD
West Virginia - DEAD
South Carolina - DEAD
North Carolina - DEAD

  • Forty (40) states do NOT allow independent practice for nurse anesthetists. Each state uses terms in statute that are defined by the General Assembly of each state. For example, some states that do not use 'supervision' to describe the relationship between the physician and the nurse anesthetist, use the term 'medical direction' which is defined more narrowly than 'supervision.' Other states that do not use 'supervision' use the term 'physician oversight' and define that substantially similar or more narrowly than 'supervision.'  South Carolina is among 46 states, plus the District of Columbia, that requires a supervisory or oversight relationship with a physician.

STATISTICAL DATA AND SUPPORTING FACTS

PATIENT SAFETY RESEARCH

PATIENT SAFETY POLICY STATEMENTS

Wherever and whenever possible, anesthesia should be provided, led, or overseen by an anesthesiologist (HIGHLY RECOMMENDED). When anesthesia is provided by non-anesthesiologists, these providers should be directed and supervised by anesthesiologists, in accordance with their level of training and skill. World Health Organization

The final rule preserves safe, physician-led anesthesia care in the U.S. Department of Veterans Affairs.  Our Veterans deserve nothing but the safest, highest quality of care – a level of care consistent with the nation’s top hospitals.