A BILL TO BE ENTITLED
AN ACT to allow for nurse anesthetists to provide anesthesia services IN COLLABORATION with certain health care providers in a county in which a licensed critical access hospital is located.
The General Assembly of North Carolina enacts:
SECTION 1.  If House Bill 181 of the 2013 Regular Session becomes law, then G.S. 90‑18(c)(14a) reads as rewritten:
"(14a)	The provision of anesthesia services by a nurse anesthetist, so long as the anesthesia services are provided under the supervision of (i) a physician licensed under this Article or (ii) a licensed dentist who is qualified to provide anesthesia services pursuant to G.S. 90‑29. A nurse anesthetist may provide local anesthesia under the supervision of a licensed podiatrist pursuant to G.S. 90‑202.2(a). Notwithstanding any provision of this subdivision to the contrary, a nurse anesthetist may provide anesthesia services in collaboration with a physician, dentist, or podiatrist in a county in which a licensed critical access hospital, as defined in 42 C.F.R. § 400.202, is located."
SECTION 2.  If House Bill 181 of the 2013 Regular Session becomes law, then G.S. 90‑171.20(7)e. reads as rewritten:
"§ 90‑171.20.  Definitions.
As used in this Article, unless the context requires otherwise:
…
(7)	The "practice of nursing by a registered nurse" consists of the following 10 components:
…
e.	Collaborating with other health care providers in determining the appropriate health care for a patient but, subject to the provisions of G.S. 90‑18.2, not prescribing a medical treatment regimen or making a medical diagnosis, except under supervision of a licensed physician. A nurse anesthetist may provide anesthesia services are provided under the supervision of (i) a physician licensed under this Article or (ii) a licensed dentist who is qualified to provide anesthesia services pursuant to G.S. 90‑29. A nurse anesthetist may provide local anesthesia under the supervision of a licensed podiatrist pursuant to G.S. 90‑202.2(a). Notwithstanding any provision of this subdivision to the contrary, a nurse anesthetist may provide anesthesia services in collaboration with a physician, dentist, or podiatrist in a county in which a licensed critical access hospital, as defined in 42 C.F.R. § 400.202, is located."
SECTION 3.  This act is effective when it becomes law.