Physician duties · CRNA · New York
Signing for a Certified Registered Nurse Anesthetist in New York: what the physician takes on
The agreement is mandatory for the clinician, which makes its duties mandatory for you. New York does not name a specific instrument.
CRNA has no dedicated Education Law practice article or certification section — practice is governed only by DOH hospital/ASC licensure regulation (10 NYCRR §405.13), not a professional-practice statute. Two competing bills are currently pending: S5867/A6771 (narrow codification of existing supervised practice) and the more ambitious S357/A6771-A (a new licensed profession with a 3,600-hour independence pathway, mirroring the NP model) — neither enacted as of today.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
anesthesia administration in a licensed hospital or ambulatory surgical center: Available remotely (no on-site requirement)
10 NYCRR §405.13(a)(1)(iv), read directly: anesthesia may be supervised by an anesthesiologist 'immediately available as needed' OR by the operating physician if credentialed to supervise — neither requires the SUPERVISING physician to be physically on-site throughout (§405.13(b)(2)(iii) separately requires the CRNA/anesthetist THEMSELVES to be continuously present in the OR, a different requirement). This regulation controls. A dedicated follow-up search found no NYSED/Board for Nursing primary-source ruling narrowing this to anesthesiologist/CRNA-only, despite a professional association (NYSANA) describing only the anesthesiologist pathway in its own legislative testimony — treat that narrower characterization as advocacy framing, not a genuine regulatory conflict.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
No DEA-registered independent prescriptive authority analogous to midwives'/NPs' was found for CRNAs under current NY law.
Written agreement
Required
Not a 'written practice agreement' in the NP sense — supervision is a facility-credentialing requirement embedded in hospital/ASC licensure rules (10 NYCRR §405.13), not an individually negotiated APRN-physician contract.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Because CRNA has no distinct Education Law certification (unlike NP §6910/CNS §6911), it likely falls under the general 'Registered Professional Nursing' PLLC/PC ownership category rather than having its own distinct carve-out — this is a reasoned inference, not a directly confirmed primary-source classification; a secondary-source PLLC-eligible-profession list did not list 'nurse anesthetist'/CRNA as its own category.
Legal sources for these rules (5)
- 10 NYCRR § 405.13 — Hospital minimum standards, anesthesia servicessecondary
- N.Y. Educ. Law § 6902 (current — does not include a CRNA certification section)
- S5867/A6771 (2025-26 session, amended as S5867A) — narrow codification of existing supervised CRNA practice (registration, title protection, no independence pathway); recommitted to committee 3/30/2026, not enacted
- S357/A6771-A (2025-26 session, amended as S357-B) — CONFIRMED as a distinct, more ambitious bill (not a renumbering of S5867/A6771): creates CRNA as a new licensed profession (Educ. Law Art. 139-A) with a 3,600-hour independence structure; referred to committee 1/7/2026, not enacted
- NYSANA (professional association) legislative testimony/FAQs — SECONDARY SOURCE (advocacy); its anesthesiologist-only supervision characterization omits 10 NYCRR §405.13's operating-physician pathway and should not be treated as a regulatory position; its Feb. 2026 testimony identifies S357-B/A6771-A (not S5867/A6771) as the bill it is seeking 2026-27 budget inclusion for
What physicians charge for this role
Typical monthly compensation in New York
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. This state's rules add a restrictive-tier premium.
About New York's rules
New York combines an unusually strict general corporate-practice-of-medicine regime (physician/same-profession-only PC/PLLC ownership) with two notable exceptions: pharmacy ownership is NOT restricted to pharmacists (Educ. Law §6808), and midwifery (CNM) is its own fully independent practice act (Art. 140), unlike the physician-collaboration model governing NP/PMHNP. CRNA has no dedicated practice statute at all — governed only by DOH facility regulation. NP/PMHNP independence (≥3,600 hours) is a repeatedly-extended sunset provision (currently through July 1, 2030), not permanent law.
Other clinicians in New York: see the state overview.