TANA Day-on-the-Hill

MTSA students were very active at the recent Tennessee Association of Nurse Anesthetists (TANA) "Day-on-the-Hill." More than 25 junior students took part in visiting Tennessee legislators, representing CRNA as a profession, handing-out brochures and give-aways at the MTSA booth, and more.

The annual event is held at the in the Legislative Plaza adjacent to the State capital.  This year’s legislative session held a high degree of interest to CRNAs due to the fact that HB 3580 and SB 3332 were introduced that would likely have affect on APNs and CRNAs.

“We were notified [recently] that HB 3580 has been taken off notice by the sponsor in the House and as you know SB3332 was put into the general subcommittee by the sponsor in the Senate.  This means that this issue is over for this session,” according to Lisa Bowler, TANA Executive Director.  “As to where we go from here remains to be seen.  The TANA Board will need to continue to talk about this issue.”  She continued saying that, “We talked about regulations of these clinics, and there was support by legislators for this.  TANA will need to work with other groups if this approach is taken and be at the table when decisions are being made.  Our members did a great job of communicating our position on these bills.”

 

SENATE BILL 3332(By McNally)

HOUSE BILL 3580(By Hensley)

 

AN ACT to amend Tennessee Code Annotated, Title 63, Chapters 7 and 19, relative to pain management.

 

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:

 

SECTION 1. Tennessee Code Annotated 63-7-126, is amended by adding a new

subsection (f) as follows:

 

(f) An advanced practice nurse shall only perform invasive procedures involving

any portion of the spine, spinal cord, sympathetic nerves or block of major peripheral

nerves in any setting not licensed under title 68, chapter 11 under the direct supervision

of a Tennessee physician licensed pursuant to chapter 6 or 9 of this title, who is actively

practicing spinal injections and has current privileges to do so at a facility licensed

pursuant to title 68, chapter 11. For purposes of this subsection (f), direct supervision is

defined as being physically present in the same building as the advanced practice nurse

at the time the invasive procedure is performed. The supervising physician who violates

this subsection (f) is subject to disciplinary action by the physician’s licensure board

pursuant to § 63-6-214 or § 63-9-111, including civil penalties of up to one thousand

dollars ($1,000) per violation.

 

SECTION 2.Tennessee Code Annotated 63-19-107, is amended by adding a new

subdivision (5) as follows:

(5) A physician assistant shall only perform invasive procedures involving any

portion of the spine, spinal cord, sympathetic nerves or block of major peripheral nerves

in any setting not licensed under title 68, chapter 11, under the direct supervision of a

Tennessee physician licensed pursuant to, chapter 6 or 9 of this title, who is actively

practicing spinal injections and has current privileges to do so at a facility licensed

- 2 – 01224018  pursuant to title 68, chapter 11. For purposes of this subdivision (5), direct supervision is defined as being physically present in the same building as the physician assistant at the time the invasive procedure is performed. The supervising physician who violates this subdivision (5) is subject to disciplinary action by the physician’s licensure board

pursuant to § 63-6-214 or § 63-9-111, including civil penalties of up to one thousand

dollars ($1,000) per violation. 

 

SECTION 3.This act shall be effective immediately upon passage, the public welfare

requiring it.

 

(http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=SB3332)

 

Bill Summary

This bill prohibits advanced practice nurses and physician assistants from performing any invasive procedure involving the spine, spinal cord, sympathetic nerves or block of major peripheral nerves in a facility that is not a hospital, birthing center, or other health related facility licensed under present law regarding health facilities and resources, unless under the direct supervision of a licensed physician who is actively practicing spinal injections and has current privileges to do so at a licensed hospital, birthing center, or other health related facility. "Direct supervision" means being physically present in the same building as the advanced practice nurse at the time the invasive procedure is performed. The supervising physician who violates this bill is subject to disciplinary action by the physician's licensure board including civil penalties of up to $1,000 per violation.

 (http://wapp.capitol.tn.gov/apps/billinfo/BillSummaryArchive.aspx?BillNumber=SB3332&ga=106)

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