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ARIZONA STATE SENATE
Fifty-Sixth Legislature, First Regular Session
AMENDED
technical correction; midwives
(NOW: nurse anesthetists; clinical rotations; appropriation)
Purpose
Establishes the Student Registered Nurse Anesthetist Clinical Rotation Program (Program) to expand the capacity of preceptor training programs for nurse anesthetists and appropriates $200,000 from the state General Fund (state GF) in FY 2024 to the Arizona State Board of Nursing (Board) for Program administration.
Background
Statute allows the Board to certify registered nurses as Certified Registered Nurse Anesthetists if the nurse: 1) submits a Board-prescribed application; 2) has completed an anesthesia program that is accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (Council) or another national certifying body recognized by the Board; 3) has received certification by the Council or certifying body; and 4) has paid the applicable certification fee. (A.R.S. § 32-1634.03).
Preceptorship means a mentoring experience in which a nursing preceptor provides a program of personalized instruction, training and supervision to a graduate student to enable the student to obtain an advance nursing degree and become licensed as an advance practice registered nurse (A.R.S. § 32-1607).
S.B. 1282 appropriates $200,000 from the state GF in FY 2024 to the Board.
Provisions
1. Establishes the Program to be administered by the Board, to expand the capacity of preceptor training programs at health care institutions for nurse anesthetist students.
2. Requires the Board to develop a grant program to distribute Program monies to licensed health care institutions to expand or develop clinical training placements for nurse anesthetist students, with preference given to the expansion or development of clinical rotations in obstetrics, pediatrics and cardiovascular care.
3. Specifies that awarded Program grant monies are intended to supplement, not supplant, existing training program expenses covered by the health care institution grantee.
4. Requires the Board to establish an application process for Program grants.
5. Allows the Board to award grants for multiyear programs.
6. Requires the Board to consider the following factors when determining grant awards:
a) the geographic and population distribution;
b) the number of nurse anesthetist students expected to be trained and retained; and
c) the cost of the proposal for the number of nurse anesthetist students expected to participate and be retained, compared to other proposals.
7. Appropriates $200,000 from the state GF in FY 2024 to the Board for administration of the program.
8. Exempts the appropriation from lapsing.
9. Defines health care institution as every place, institution, building or agency, whether organized for profit or not, that provides facilities with:
a) medical services;
b) nursing services;
c) behavioral health services;
d) health screening services;
e) other health-related services;
f) supervisory care services;
g) personal care services; or
h) directed care services.
10. Includes, in the definition of health care institution, home health agencies, outdoor behavioral health care programs and hospice service agencies.
11. Makes conforming changes.
12. Becomes effective of the general effective date.
Amendments Adopted by Committee
ˇ Adopted the strike-everything amendment.
Amendments Adopted by Committee of the Whole
1. Requires the Board, rather than the Arizona Health Care Cost Containment System (AHCCCS), to administer the program.
2. Appropriates, to the Board rather than to AHCCCS, $200,000 from the state GF in FY 2024 for the program.
3. Makes conforming changes.
Senate Action
APPROP 2/23/23 DPA/SE 7-2-1
Prepared by Senate Research
March 14, 2023
LMM/GHR/sr