RECERTIFICATION REQUIREMENTS
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![Alabama Yes The Council on Recertification of Nurse Anesthetists. [Alabama Board of Nursing Admin. Code, sec. 610-X-9-.01(1)(d)] Alaska Yes Current national certification.](/docs-images/74/70140663/images/1-0.jpg "[Professional Regulations, Board of Nursing, 12 AAC 44.")
1 Alabama Yes The Council on Recertification of Nurse Anesthetists. [Alabama Board of Nursing Admin. Code, sec. 610-X-9-.01(1)(d)] Alaska Yes Current national certification. [Professional Regulations, Board of Nursing, 12 AAC (2)(A)] Arizona Yes The National Board of Certification and Recertification for Nurse Anesthetists or another national certifying body recognized by the board of nursing. [Arizona Rev. Stat. Ann., vol. 10, Title 32, ch. 15, sec (A)(3)] Arkansas Yes A national certifying body recognized by the board of nursing. [Arkansas Code Ann., sec (a)(2)(B)] California Yes The Council on Recertification of Nurse Anesthetists. [California Nurse Anesthetists Act, sec. 2826; see also application form 15A-411.NA1 (Rev. 3/88)] Colorado No reference Connecticut Yes The American Association of Nurse Anesthetists. [Conn. Gen. Stat. sec a(a)(2)] Delaware Yes Current certification by a national certifying body in the appropriate APRN role and at least one population focus. [24 Del. Code, subsection 1902(b)(1)] The American Association of Nurse Anesthetists Council on Certification of Nurse Anesthetists or other nationally recognized, Board of Nursing approved certifying agency. [Board of Nursing Rules and Regulations, sec. 8.4]
2 District of Columbia Yes The Council on Certification of Nurse Anesthetists or other national certifying body. [DCMR, Title 17, sec (b)] Florida Yes A professional or national nursing specialty board recognized by the board of nursing, which includes, but is not limited to, the Council on Recertification of Nurse Anesthetists, or its predecessor. [Rules of the Florida Department of Health, Board of Nursing, sec. 64B (2) and sec. 64B (3)(a)] Georgia Yes The Council on Recertification of Nurse Anesthetists. [Rules and Regulations of the Georgia Board of Nursing, sec (1) and (1)] Hawaii Yes Requirements for recognition as an advanced practice registered nurse include [m]aintained continued competencies through recertification in role and population-focused competencies through a national certification program recognized by the board; [Hawaii Rev. Stat., ch. 457, sec (6)] Applicants for renewal of recognition as an APRN must provide "[e]vidence of current national certification if the advanced practice registered nurse does not hold a master's degree in clinical nursing or nursing science in a board recognized practice specialty...." [Hawaii Administrative Rules, sec (1)] Idaho Yes A national organization recognized by the Board of Nursing. [Administrative Rules of the Board of Nursing, IDAPA , sec ] Page 2
3 Illinois Yes The Council on Recertification of the American Association of Nurse Anesthetists. [68 Ill. Adm. Code 1305, sec (a)(2)(C)(ii)] Indiana Yes The Council on Recertification of Nurse Anesthetists. [Indiana Code Ann., sec (3)] Iowa Yes A national professional nursing certifying body approved by the board; includes the Council on Recertification of Nurse Anesthetists. [Iowa Admin. Code sec and (7)] Kansas No reference Kentucky Yes The National Board on Certification and Recertification of Nurse Anesthetists. [201 KAR 20:056, sec. 3(2)(c)] Louisiana Yes A nationally recognized certifying body such as the Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists. [Louisiana Rev. Stat. 37:913(b)] Maine Yes The Council on Recertification of Nurse Anesthetists. [Rules and Regulations of the Maine State Board of Nursing, ch. 8, sec. 4(3)(B)] Maryland Yes A certifying body acceptable to the Board. [Regulations Governing the Practice of the Nurse Anesthetist, , sec.02(a)(5), and sec. 02(A)(5)] Massachusetts Yes A nationally recognized accrediting body. [244 CMR 4.13(4)(a)(2)] Page 3
4 Michigan Yes, under certain circumstances For renewal of specialty certification, having obtained recertification or maintained certification from the National Board on Certification and Recertification of Nurse Anesthetists (NBCRNA), or a successor organization, is required. [Board of Nursing Admin. Rules, R (2)] Minnesota Yes A nationally accredited certifying body recognized by the board. [Minnesota Statutes, sec (1)(c)] Mississippi Yes A national certification organization recognized by the board of nursing. [Rules and Regulations of the Mississippi Board of Nursing, ch. IV, sec. 2.1(c)(4)] Missouri Yes The Council on Recertification of Nurse Anesthetists, or other nationally recognized certifying body approved by the board of nursing... [RSMo, sec (8)] Montana Yes "The APRN shall submit to the board verification of recertification by the national certifying body within 30 days of its expiration." [Montana Board of Nursing Rules, sec (1)] Nebraska Yes The Council on Recertification of Nurse Anesthetists. [Dept. of Health Professional and Occupational Licenses Regulations, Title 172, ch. 103, sec C1 and ] Nevada Yes Renewal of a certificate to practice as a CRNA requires "current certification as a nurse anesthetist from the Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists...." [Regulations of the Board of Nursing, sec (2)(b)] Page 4
5 New Hampshire Yes No reference. [Administrative Rules of the Board of Nursing, Nur (a)(2) and Nur (b)(3)] New Jersey Yes An advanced practice nurse who seeks renewal of the certificate shall submit proof that the applicant is currently certified by a national certifying agency that is accredited by the American Board of Nursing Specialties and/or the National Commission for Certifying Agencies [N.J.A.C. 13:37-7.7(a)] New Mexico Yes National board on certification & recertification of nurse anesthetists [NMAC sec (K)(1)] New York Yes The Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists or other accrediting body which the commissioner finds to be substantially equivalent. [10 NYCRR 700.2(22)(iii)] (NOTE: This provision is found in the state hospital code, not in the nurse practice act or the board of nursing rules.) North Carolina Yes The Council on Recertification of Nurse Anesthetists. [North Carolina Administrative Code, T21:36, sec (b)(1)] North Dakota Yes No reference. Must submit evidence of "current" certification for license renewal. [North Dakota Board of Nursing Administrative Rules, sec ] Page 5
6 Ohio Yes Renewal requirements include [d]ocumentation satisfactory to the board that the holder has maintained certification in the nursing specialty with a national certifying organization approved by the board under section of the Revised Code. [Ohio Revised Code, sec (B)(2)] The board of nursing shall establish a list of national certifying organizations approved by the board to examine and certify registered nurses to practice nursing specialties. [Ohio Revised Code, sec (A)] Oklahoma Yes The Council on Recertification of Nurse Anesthetists. [Oklahoma Nursing Practice Act, sec a(10)(a)(1)] Oregon Yes The American Association of Nurse Anesthetists (AANA) Council on Re-Certification. [Oregon State Board of Nursing Rules, OAR sec (3)] Pennsylvania Yes The Council on Recertification of Nurse Anesthetists of the American Association of Nurse Anesthetists. [State Board of Nursing Rules and Regulations, Title 49, sec (a)(2)] Puerto Rico No reference Rhode Island Yes The American Association of Nurse Anesthetists Council on Recertification of Nurse Anesthetists or its predecessors or successors. [Rhode Island General Laws, sec (c)] South Carolina Yes A national certifying body recognized by the board of nursing. [Code of Laws of South Carolina, sec (A)(3)(b) and sec (B)(1)(b)] Page 6
7 South Dakota Yes The Council on Recertification of Nurse Anesthetists. [South Dakota Board of Nursing Administrative Rules, 20:48:05:06] Tennessee No reference Texas Yes, under certain circumstances 1 The appropriate certifying body recognized by the board of nursing. Utah Yes No reference. [Nurse Practice Act Rules, Utah Admin. Code, sec. R156-31b-303(3)(c)(i)] Vermont Ambiguous 2 The appropriate national certifying organization. [Board of Nursing Administrative Rules, Chapter 4, Subch. 8(IV)(C)(2)(a)] Virginia Yes, under certain circumstances 3 The Council on Certification of Nurse Anesthetists, or other agency accepted by the Board of Nursing on the recommendation of the Committee of the Joint Boards of Nursing and Medicine. [Nurse Practitioner Regulations, 18 VAC (A)(3)] 1 "The registered professional nurse seeking to maintain authorization as an advanced practice nurse shall... provide evidence of current national certification or certification maintenance by the appropriate certifying body recognized by the board, if graduated from an advanced practice nurse program on or after January 1, A copy of the certification or certification maintenance document shall be presented at the time of the renewal and with each subsequent renewal...." [Board of Nurse Examiners for the State of Texas Rules and Regulations sec (a)(1)] 2 An applicant renewing registration and endorsement as an advanced practice registered nurse must show evidence of "[c]urrent certification by the national certifying organization; or if waived, evidence of continued competency as required for recertification by the appropriate national certifying organization." [Board of Nursing Administrative Rules, Chapter 4, Subch. 8(IV)(C)(2)(a)] 3 To renew a license biennially, a nurse practitioner (includes CRNAs) initially licensed on or after May 8, 2002 must "hold current professional certification in the area of specialty practice." In order to renew a license biennially on or after January 1, 2004, nurse practitioners licensed prior to May 8, 2002 must either "hold current professional certification in the area of specialty practice" or "complete 40 hours of continuing education in the area of specialty practice." [Nurse Practitioner Regulations 18 VAC (A) and (B)] Page 7
8 Virgin Islands Ambiguous 4 Washington Yes An ARNP must maintain current certification by an accredited certifying body [f]or CRNA designation, the Council on Certification of Nurse Anesthetists. [WAC (2)] West Virginia Yes, under certain circumstances 5 No reference. Wisconsin Yes A national certifying body approved by the board of nursing. [Wisconsin Admin. Code, ch. N8, sec. N 8.02] Wyoming No reference. TOTALS: 45 states and the District of Columbia require recertification. Four states and Puerto Rico do not refer to recertification requirements. One state and the Virgin Islands are ambiguous regarding recertification requirements. 4 It is unclear whether recertification is required. The rules merely state that a "Certified Registered Nurse Anesthetist shall be afforded every opportunity to maintain his/her certification status. This included participation in programs of continuing education, i.e. seminars, workshops and lectures, in order to earn forty continuing education credits annually. These credits are a prerequisite for annual recertification by the American Association of Nurse Anesthetists." [Virgin Island Nurse Anesthetist Rules] 5 "Announcement" of advanced practice requires "Current National Certification in an area recognized by the West Virginia Board of Examiners for Registered Professional Nurses...." [Legislative Rules, sec ] Page 8
CERTIFICATION REQUIREMENTS
Alabama Yes The Council on Certification of Nurse Anesthetists. [Alabama Board of Nursing Admin. Code, 610-X-9-.01(1)(d)] Alaska Yes Current national certification or recertification. [Professional Regulations,
EDUCATIONAL REQUIREMENTS
Alabama Yes Yes The Council on Accreditation of Nurse Anesthesia Educational Programs/Schools or its predecessor, the American Association of Nurse Anesthetists. [Alabama Board of Nursing Admin. Code,
STATUTORY/REGULATORY NURSE ANESTHETIST RECOGNITION
Alabama NPA and SBON R&R CRNAs are a type of advanced practice nurse. Advanced practice nurses are "certified by the Board of Nursing to engage in the practice of advanced practice nursing." [Alabama Nurse
3+ 3+ N = 155, 442 3+ R 2 =.32 < < < 3+ N = 149, 685 3+ R 2 =.27 < < < 3+ N = 99, 752 3+ R 2 =.4 < < < 3+ N = 98, 887 3+ R 2 =.6 < < < 3+ N = 52, 624 3+ R 2 =.28 < < < 3+ N = 36, 281 3+ R 2 =.5 < < < 7+
ADVANCED EDUCATION REQUIREMENTS
EDUCATION REQUIREMENTS STATE Alabama Yes The applicant for approval to practice as a certified registered nurse anesthetist shall have... [e]arned at least a master's degree, or post-master's certificate
NEW GRADUATE PROVISIONS
Alabama Yes A nurse anesthetist "may request Provisional Approval for practice as a graduate nurse anesthetist by submitting: (a) Official evidence of authorization to test from the Council on Certification
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TABLE 3c: Congressional Districts with Number and Percent of Hispanics* Living in Hard-to-Count (HTC) Census Tracts**
living Alaska 00 47,808 21,213 44.4 Alabama 01 20,661 3,288 15.9 Alabama 02 23,949 6,614 27.6 Alabama 03 20,225 3,247 16.1 Alabama 04 41,412 7,933 19.2 Alabama 05 34,388 11,863 34.5 Alabama 06 34,849 4,074
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Rank State District Count (HTC) 1 New York 05 150,499 141,567 94.1 2 New York 08 133,453 109,629 82.1 3 Massachusetts 07 158,518 120,827 76.2 4 Michigan 13 47,921 36,145 75.4 5 Illinois 04 508,677 379,527
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Unemployment Rate (%) Rank State. Unemployment
States Ranked by November 2015 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.7 19 Indiana 4.4 37 Georgia 5.6 2 Nebraska 2.9 20 Ohio 4.5 37 Tennessee 5.6
Unemployment Rate (%) Rank State. Unemployment
States Ranked by April 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Colorado 2.3 17 Virginia 3.8 37 California 4.8 2 Hawaii 2.7 20 Massachusetts 3.9 37 West Virginia
Unemployment Rate (%) Rank State. Unemployment
States Ranked by August 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.3 18 Maryland 3.9 36 New York 4.8 2 Colorado 2.4 18 Michigan 3.9 38 Delaware 4.9
Unemployment Rate (%) Rank State. Unemployment
States Ranked by March 2016 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 South Dakota 2.5 19 Delaware 4.4 37 Georgia 5.5 2 New Hampshire 2.6 19 Massachusetts 4.4 37 North
Unemployment Rate (%) Rank State. Unemployment
States Ranked by September 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.4 17 Indiana 3.8 36 New Jersey 4.7 2 Colorado 2.5 17 Kansas 3.8 38 Pennsylvania
Unemployment Rate (%) Rank State. Unemployment
States Ranked by December 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Hawaii 2.0 16 South Dakota 3.5 37 Connecticut 4.6 2 New Hampshire 2.6 20 Arkansas 3.7 37 Delaware
Unemployment Rate (%) Rank State. Unemployment
States Ranked by September 2015 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.8 17 Oklahoma 4.4 37 South Carolina 5.7 2 Nebraska 2.9 20 Indiana 4.5 37 Tennessee
Unemployment Rate (%) Rank State. Unemployment
States Ranked by November 2014 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.7 19 Pennsylvania 5.1 35 New Mexico 6.4 2 Nebraska 3.1 20 Wisconsin 5.2 38 Connecticut
Unemployment Rate (%) Rank State. Unemployment
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