Florida SB 462: Marriage Equality

Bill Text

462 
Autonomous Practice by a Certified Registered Nurse Anesthetist 
2025-11-12T03:51:19Z 
Revising requirements for clinical privileges for certain certified registered nurse anesthetists; authorizing certain certified registered nurse anesthetists to perform specified acts under certain circumstances; authorizing certain autonomous advanced practice registered nurses to perform specified acts as part of their autonomous practice, etc. 
Original Filed Version 
2026 
S 
2026-07-01T00:00:00Z 
GB 
General Bill 
__ 

 Florida Senate - 2026 SB 462 

 By Senator Rodriguez 

 40-00540-26 2026462__ 
 1 A bill to be entitled 
 2 An act relating to autonomous practice by a certified 
 3 registered nurse anesthetist; amending s. 395.0191, 
 4 F.S.; revising requirements for clinical privileges 
 5 for certain certified registered nurse anesthetists; 
 6 amending s. 464.012, F.S.; authorizing certain 
 7 certified registered nurse anesthetists to perform 
 8 specified acts under certain circumstances; amending 
 9 s. 464.0123, F.S.; authorizing certain autonomous 
 10 advanced practice registered nurses to perform 
 11 specified acts as part of their autonomous practice; 
 12 providing an effective date. 
 13 
 14 Be It Enacted by the Legislature of the State of Florida: 
 15 
 16 Section 1. Paragraph (b) of subsection (2) of section 
 17 395.0191, Florida Statutes, is amended to read: 
 18 395.0191 Staff membership and clinical privileges.— 
 19 (2) 
 20 (b) An advanced practice registered nurse who is certified 
 21 as a registered nurse anesthetist licensed under part I of 
 22 chapter 464 shall administer anesthesia under the onsite medical 
 23 direction of a professional licensed under chapter 458, chapter 
 24 459, or chapter 466, and in accordance with an established 
 25 protocol approved by the medical staff. The medical direction 
 26 shall specifically address the needs of the individual patient. 
 27 This paragraph does not apply to an autonomous advanced practice 
 28 registered nurse registered under s. 464.0123 who is certified 
 29 as a registered nurse anesthetist licensed under part I of 
 30 chapter 464; however, a facility may require a certified 
 31 registered nurse anesthetist who is registered and practicing 
 32 under s. 464.0123 to perform acts under an established protocol 
 33 approved by the medical staff or the governing board of the 
 34 facility. 
 35 Section 2. Paragraph (b) of subsection (4) of section 
 36 464.012, Florida Statutes, is amended to read: 
 37 464.012 Licensure of advanced practice registered nurses; 
 38 fees; controlled substance prescribing.— 
 39 (4) In addition to the general functions specified in 
 40 subsection (3), an advanced practice registered nurse may 
 41 perform the following acts within his or her specialty: 
 42 (b) A The certified registered nurse anesthetist may, to 
 43 the extent authorized by an established protocol approved by the 
 44 medical staff of the facility in which the anesthetic service is 
 45 performed, or a certified registered nurse anesthetist who is 
 46 registered and practicing under s. 464.0123 without an 
 47 established protocol, may perform any or all of the following: 
 48 1. Determine the health status of the patient as it relates 
 49 to the risk factors and to the anesthetic management of the 
 50 patient through the performance of the general functions. 
 51 2. Based on history, physical assessment, and supplemental 
 52 laboratory results, determine, with the consent of the 
 53 responsible physician, the appropriate type of anesthesia under 
 54 within the framework of the protocol, unless the certified 
 55 registered nurse anesthetist is registered and practicing under 
 56 s. 464.0123 without an established protocol. 
 57 3. Order under the protocol preanesthetic medication under 
 58 the protocol, unless the certified registered nurse anesthetist 
 59 is registered and practicing under s. 464.0123 without an 
 60 established protocol. 
 61 4. Perform under the protocol procedures commonly used to 
 62 render the patient insensible to pain during the performance of 
 63 surgical, obstetrical, therapeutic, or diagnostic clinical 
 64 procedures under the protocol, unless the certified registered 
 65 nurse anesthetist is registered and practicing under s. 464.0123 
 66 without an established protocol. These procedures include 
 67 ordering and administering regional, spinal, and general 
 68 anesthesia; inhalation agents and techniques; intravenous agents 
 69 and techniques; and techniques of hypnosis. 
 70 5. Order or perform monitoring procedures indicated as 
 71 pertinent to the anesthetic health care management of the 
 72 patient. 
 73 6. Support life functions during anesthesia health care, 
 74 including induction and intubation procedures, the use of 
 75 appropriate mechanical supportive devices, and the management of 
 76 fluid, electrolyte, and blood component balances. 
 77 7. Recognize and take appr