ARIZONA HOUSE OF REPRESENTATIVES

Fifty-seventh Legislature

First Regular Session

Senate: HHS DPA 7-0-0-0 | APPROP DP 8-0-2-0 | 3rd Read 24-3-3-0
House: APPROP DP 15-3-0-0

☐ Prop 105 (45 votes)	     ☐ Prop 108 (40 votes)      ☐ Emergency (40 votes)	☐ Fiscal Note


SB 1446: appropriations; anesthesia; rotations

Sponsor: Senator Shamp, LD 29

Caucus & COW

Overview

Establishes the Student Registered Nurse Anesthetist Clinical Rotation Program (Program) for FY 2026 within the Arizona State Board of Nursing (AZBN). Appropriates $3,000,000 from the state General Fund (GF) in FY 2026 to AZBN to expand the capacity of preceptor training programs.

History

The AZBN Education Department currently regulates six Certified Registered Nurse Anesthetist (CRNA) education programs. The Board provides regulatory information to nursing programs, nursing students and the public. AZBN is responsible for 1): reviewing program applications and changes; 2) completing education program site visits; 3) conducting program investigations; 4) monitoring program trends; 5) maintaining and updating the AZBN Nurse Practice Act Test; and 6) performing other duties related to liaising with such programs (AZBN Education Department).

Statute allows AZBN to certify a registered nurse anesthetist if the nurse meets the following requirements: 1) submits an application as prescribed by AZBN; 2) has completed an accredited program in the science of anesthesia; 3) is certified by a national certifying body recognized by AZBN; and 4) pays the certification fee (A.R.S. § 31-1634.03).

Provisions

1.   Establishes the Program within AZBN for FY 2026 to expand the capacity of preceptor training programs at health care institutions for registered nurse anesthetist students. (Sec. 1)

2.   Appropriates $3,000,000 from the state GF in FY 2026 to AZBN to expand the capacity of preceptor training programs and exempts the appropriation from lapsing. (Sec. 2)

3.   Directs the Board to develop a grant program for FY 2026 to distribute the appropriated monies to licensed health care institutions to pay for costs related to expanding or developing clinical training placements for registered nurse anesthetist students. (Sec. 1)

4.   Specifies the AZBN grant program should give preference to expanding or developing clinical rotations in obstetrics, pediatrics, cardiovascular, thoracic and neurological care. (Sec. 1)

5.   States the grant program monies are intended to supplement and not supplant existing training program expenses covered by the health care institution grantee. (Sec. 1)

6.   Allows a grant to fund a clinical training placement through an anesthesia provider group contracted with a health care institution, through an authorized preceptor or though a health care institution directly. (Sec. 1)

7.   Prohibits more than 20% of a grant award from being spent on the indirect costs of expanding or developing clinical training placements. (Sec. 1)

8.   Requires grant monies be distributed to grantees before the expenses for expanding or developing clinical rotations are incurred. (Sec. 1)

9.   Directs grantees to return all monies to AZBN that are not spent on the direct and indirect costs related to expanding or developing clinical rotations. (Sec. 1)

10.  Outlines the factors AZBN is required to consider when determining grant awards to include:

a)   the geographic and population distribution;

b)   the number of registered nurse anesthetist students expected to be trained and retained; and

c) the cost of the proposal for the number of registered nurse anesthetist students expected to participate and be retained compared to other proposals. (Sec. 1)

11.  Defines terms. (Sec. 1)

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15.                    SB 1446

16.  Initials JB/GG     Page 0 Caucus & COW

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