Newly announced bill would create a state licensure for anesthesiologist assistants

State Rep. Dave Prestin this week announced the continuation of his plan to build capacity in Michigan’s healthcare industry, which faces an ever-increasing patient load, by next creating a state licensure for anesthesiologist assistants (AAs).

“We’re still seeing critical healthcare staffing shortages across the Upper Peninsula and Michigan as a whole,” said Prestin, R-Cedar River. “That’s why I’m going to continue beating the drum for incremental changes that clear the path for qualified and talented healthcare professionals to either continue or bring their skills to Michigan. By creating a license for anesthesiologist assistants, we’re showing these valuable healthcare professionals that Michigan recognizes the unique nature of their work and is willing to protect that work under state law.”

Prestin’s plan would create licensure for certified AAs, allowing these highly trained professionals certainty in their practice in Michigan. AAs currently practice under the full supervision and delegation authority of a licensed anesthesiologist and would continue to do so under Prestin’s legislation. The bill does not affect AAs’ scope of practice; it just codifies their positions with a license.

AAs are required to complete a nationally accredited graduate program in their specialties. As they prepare for that program, they typically study pre-med or other sciences when obtaining their bachelor’s degree. They are also required to be tested and certified by national accrediting organizations, with AAs undertaking 40 hours of continuing medical education for recertification every 2 years and Continued Demonstration of Qualifications every 6 years. While PAs have a wider range to provide general care, AAs are specialists.

Prestin’s plan would require a rigorous certification process for AAs, including accredited higher education, certification by the National Commission of Anesthesiologist Assistants, and Advanced Cardiac Life Support. It will also ensure that AAs continue to operate under the direct supervision and authority of anesthesiologists.

This legislation is supported by a growing list of important healthcare stakeholders, including the Michigan Health and Hospital Association, the Michigan State Medical Society, and the Michigan Society of Anesthesiologists, among others. If passed, Michigan would join 18 other states that have licensed AAs, including Indiana, Ohio, and Wisconsin.

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