2021 House Bill 4359 / Public Act 53

Define nurse anesthetist scope of practice

Introduced in the House

Feb. 24, 2021

Introduced by Rep. Mary Whiteford (R-80)

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.

Referred to the Committee on Health Policy

March 10, 2021

Reported without amendment

Without amendment and with the recommendation that the bill pass.

March 23, 2021

Amendment offered by Rep. Jim Haadsma (D-62)

To make a medical facility liable for letting a nurse anesthetist administer anesthesia.

The amendment failed by voice vote

March 24, 2021

Passed in the House 82 to 25 (details)

Received in the Senate

March 25, 2021

Referred to the Committee on Health Policy and Human Services

June 15, 2021

Reported without amendment

With the recommendation that the substitute (S-3) be adopted and that the bill then pass.

June 17, 2021

Amendment offered by Sen. Aric Nesbitt (R-26)

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

Passed in the Senate 31 to 4 (details)

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

June 17, 2021

Received in the Senate

June 24, 2021

Amendment offered by Sen. Curtis VanderWall (R-35)

To further revise various conditions and qualifications in this law and proposal.

The amendment passed by voice vote

Passed in the Senate 31 to 4 (details)

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

June 24, 2021

Passed in the House 95 to 13 (details)

To concur with the Senate-passed version of the bill.

Motion to reconsider by Rep. Ben Frederick (R-85)

The vote by which the bill was passed.

The motion passed by voice vote

Received

Passed in the House 96 to 12 (details)

To concur with the Senate-passed version of the bill.

Signed by Gov. Gretchen Whitmer

July 13, 2021