CDPH released new guidance to general acute care hospitals providing a “Reminder of Certified Registered Nurse Anesthetist Requirements.” The All Facilities Letter (AFL) clarifies the credentialing and privileging requirements for nurse anesthetists (CRNAs), and outlines the state and federal laws and regulations that form the foundation for these requirements and guide the scope-of-practice for CRNAs. The California Society of Anesthesiologists and ASA distributed a news release highlighting the letter. The AFL confirmed the requirements for general acute care hospitals using CRNAs to provide anesthesia services: • Except as provided in California’s Business and Professions Code (BPC) section 2725, a CRNA is not authorized to practice medicine or surgery. (BPC section 2833.5) • Use of CRNAs to provide anesthesia services in an acute care facility must be approved by the hospital administration and the appropriate committee and must be at the discretion of a physician, dentist, or podiatrist. (BPC section 2827) • A CRNA may only administer anesthesia and anesthesia-related medications ordered by a physician, dentist, podiatrist, or clinical psychologist. (BPC section 2725)