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GORDON ROBERTSON LEGISLATIVE RESEARCH INTERN |
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LIAM MAHER |
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LEGISLATIVE RESEARCH ANALYST APPROPRIATIONS COMMITTEE Telephone: (602) 926-3171 |
ARIZONA STATE SENATE
RESEARCH STAFF
TO: MEMBERS OF THE SENATE
APPROPRIATIONS COMMITTEE
DATE: February 21, 2023
SUBJECT: Strike everything amendment to S.B. 1282, relating to 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 Health Care Cost Containment System (AHCCCS) for Program administration.
Background
Statute allows the Board of Nursing (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).
The strike-everything amendment to S.B. 1282 appropriates $200,000 from the state GF in FY 2024 to the Administration.
Provisions
1. Establishes the Program in AHCCCS to expand the capacity of preceptor training programs at health care institutions for nurse anesthetist students.
2. Requires AHCCCS 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 AHCCCS to establish an application process for Program grants.
5. Allows AHCCCS to award grants for multiyear programs.
6. Requires AHCCCS 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 AHCCCS for administration of the program.
8. Exempts the appropriation from lapsing.
9. Defines administration as the AHCCCS Administration.
10. 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.
11. Includes, in the definition of health care institution, home health agencies, outdoor behavioral health care programs and hospice service agencies.
12. Makes conforming changes.
13. Becomes effective of the general effective date.
