AANA Alert: Medicare Executive Order

As you may have recently seen, President Trump signed an executive order (#13890) on “Protecting and Improving Medicare for Our Nation’s Seniors” last week. The order contains several important requirements that could positively affect CRNA practice. The AANA is actively engaging with the administration, agencies, stakeholders, and lawmakers as they move forward to implement rulemaking that will change the rules and requirements of Medicare.

The AANA Board and leadership have been engaged on this issue for years, laying the groundwork for change through meetings with key administrative personnel and stakeholders. We have made the case that full practice authority is important, along with the need to alleviate the burden of unnecessary supervision. We have argued for our position through evidence and economics, proving that allowing CRNAs to practice to their full scope licensure increases access, lowers costs, and maintains the highest quality and safety in patient care.

The executive order provides us an incredible opportunity to remove barriers to practice and unnecessary regulations, enabling CRNAs to provide patient care at the top of their advanced education and training. The AANA continues to be on the move, and it is engaging with other nursing and non-physician providers, patient advocacy groups, and lawmakers to push for favorable rulemaking. As the process moves forward, we will be engaging our membership in grassroots efforts and other outreach to ensure that our voice continues to be heard.

We will continue to provide updates and work hard to leave no stone unturned. As we further our efforts from a communication, advocacy, and membership engagement effort, we will also be prepared for the inevitable pushback from the American Society of Anesthesiologists and other physician special interest groups. We have the evidence, the economics, and the momentum on our side to forcefully make our case. Please note that this process will take time. The order gives agencies a year to propagate rules and, while this will be a long battle, we will be active the entire time.

The AANA has issued a news release. Please consider sharing the release and help spread the word.

As always, if you have any questions, please contact us at [email protected] or (202) 484-8400. Thank you for all you do for patients and our profession!


Kate Jansky, MHS, CRNA, APRN, USA LTC (ret) 

Randall D. Moore, DNP, MBA, CRNA 
Chief Executive Officer

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