Certified Registered Nurse Anesthetist Cheat Sheet for Pennsylvania
Requirements for Supervising Physician agreements in Pennsylvania, plus a free agreement builder tailored to Pennsylvania law.
Provider supervision requirements in Pennsylvania
Updated 2026-09-03
Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.
Pennsylvania has no independent-practice pathway for CRNPs — SB 25-style full-practice-authority bills have been introduced every session without passing. PA (physician assistant) reform via Acts 78/79 of 2021 removed prior Board pre-approval of written agreements and the flat 100%-countersignature rule after the first year, but a written agreement and supervision remain mandatory. PA is a CPOM state: only licensed physicians may own a medical professional corporation.
Certified Registered Nurse Anesthetist
CRNAs practice 'in cooperation with' a physician, dentist, or podiatrist under Act 60 (S.B. 416, 2021), which formally recognized CRNAs in the Professional Nursing Law. No independent-practice pathway exists. Pennsylvania has not opted out of the CMS Medicare physician-supervision requirement for anesthesia services.
Proximity
Not codified — left to the practice agreement
Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · no controlled-substance authority
CRNAs administer anesthesia-related drugs under standing orders/protocols in cooperation with a supervising physician/dentist/podiatrist rather than under independent DEA prescriptive authority; Act 60 does not grant CRNAs a separate prescriptive-authority statute the way it does for CRNPs.Practice ownership (CPOM)
Licensee-only ownership required — Same physician and licensee-only ownership regime as PAs and NPs; no CRNA-specific provision
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
$500–$700/mo
Estimated CRNA supervision cost in Pennsylvania
Available Supervising Physicians in Pennsylvania
Browse supervising physicians open to new collaborations near you.