SESSION WATCH
Died HOUSE · SESSION 2026

No. HB 375

Autonomous Practice by a Certified Registered Nurse Anesthetist
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SPONSOR
Giallombardo
FILED BY
Mike Giallombardo — District 79, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Rules

Filed under Healthcare.

PROVIDED SUMMARY

Autonomous Practice by a Certified Registered Nurse Anesthetist; Revises staff membership & clinical privileges for certain certified registered nurse anesthetists; authorizes certain certified registered nurse anesthetists to perform specified acts; revises practice requirements for autonomous advanced practice registered nurses; authorizes autonomous advanced practice registered nurses to perform certain acts.

Full bill text →

Plain English Summary

AI-GENERATED
Lets nurse anesthetists practice autonomously without required medical direction or protocol.

A certified registered nurse anesthetist registered for autonomous practice under section 464.0123 may determine anesthesia care, order preanesthetic medication, and perform anesthesia procedures without a medical-staff-approved protocol, but only acts authorized under Part I of chapter 464.

Hospitals will no longer have to require medical direction or an established protocol before granting staff membership or clinical privileges to an autonomously registered CRNA, though each facility may still choose to impose its own protocol requirement.

The law now names certified registered nurse anesthetists as a category eligible for autonomous practice, alongside certified nurse midwives and primary-care nurse practitioners already listed in the statute.

KEY PROVISIONS
§ 1 CRNA autonomous practice exempt from facility protocol mandate majors. 395.0191(2)(b)

AIAmends s. 395.0191 so the requirement that facility staff privileges depend on physician-directed medical direction under an established protocol no longer applies to an advanced practice registered nurse registered as a certified registered nurse anesthetist under s. 464.0123, though the facility may still choose to require a protocol.

“This paragraph does not apply to an autonomous advanced practice registered nurse registered under s. 464.0123 who is certified as a registered nurse anesthetist” bill text, line 28 →
§ 2 Autonomous CRNAs may act without a medical-staff protocol majors. 464.012(4)(b)

AIAmends s. 464.012(4)(b) so a certified registered nurse anesthetist registered and practicing autonomously under s. 464.0123 without an established protocol may determine anesthesia type, order preanesthetic medication, and perform anesthesia procedures without operating under a protocol approved by the facility's medical staff.

“a certified registered nurse anesthetist that is registered and practicing under s. 464.0123 without an established protocol, may perform” bill text, line 46 →
§ 3 CRNAs added as an autonomous-practice category majors. 464.0123(3)(a)

AIAmends s. 464.0123(3)(a) to add certified registered nurse anesthetists registered under this section as a practice-requirement category, granting them the acts listed in s. 464.012(4)(b) alongside the certified-nurse-midwife and primary-care categories already in the statute.

“For certified registered nurse anesthetists registered and practicing under this section, perform the acts listed in s. 464.012(4)(b)” bill text, line 107 →
§ 4 Autonomous, protocol-free CRNA authority capped at Part I acts moderates. 464.012(4)(b)

AIThe same amendment adds a limit: a certified registered nurse anesthetist practicing autonomously without an established protocol may only perform acts already authorized under Part I of chapter 464, the general nurse licensure law.

“may only perform acts authorized under part I of this chapter” bill text, line 90 →
TIMELINE
3/13/2026
Died in Rules
2/10/2026
Received
2/9/2026
Referred to Rules
2/4/2026
In Messages
2/4/2026
Passed; YEAS 78, NAYS 28
2/4/2026
Read 3rd time
2/4/2026
Added to Third Reading Calendar
2/4/2026
Read 2nd time
1/29/2026
Bill added to Special Order Calendar (2/4/2026)
1/21/2026
Added to Second Reading Calendar
1/21/2026
Bill released to House Calendar
1/21/2026
Reported out of Health & Human Services Committee
1/21/2026
Favorable by Health & Human Services Committee
1/16/2026
Added to Health & Human Services Committee agenda
1/15/2026
Now in Health & Human Services Committee
1/15/2026
Reported out of Health Professions & Programs Subcommittee
1/14/2026
Favorable by Health Professions & Programs Subcommittee
1/13/2026
1st Reading (Original Filed Version)
1/12/2026
Added to Health Professions & Programs Subcommittee agenda
11/18/2025
Now in Health Professions & Programs Subcommittee
11/18/2025
Referred to Health & Human Services Committee
11/18/2025
Referred to Health Professions & Programs Subcommittee
11/6/2025
Filed
17 EARLIER →
STATUTES IT CHANGES
s. 395.0191
+68 / −0
s. 464.012
+105 / −14
s. 464.0123
+21 / −0
STAFF ANALYSES