Oregon has become the 11th state to opt out of the federal physician supervision requirement for nurse anesthetists, according to the American Association of Nurse Anesthetists.
The opt-out is effective immediately, the Park Ridge, Ill.-based organization says in a release from Tuesday.
In a letter informing CMS of the opt-out, Oregon Gov. Theodore Kulongoski wrote that nurse anesthetists are the only anesthesia providers in many small rural hospitals in the state, AANA says.
Since the opt-out became available in December 2001, 10 other states have used it: Iowa, Nebraska, Idaho, Minnesota, New Hampshire, New Mexico, Kansas, North Dakota, Washington and Alaska.