Which statement is true regarding physician supervision of CRNAs across states?

• A. All states require supervision by an anesthesiologist.
• B. Some states require supervision by an anesthesiologist.
• C. No state requires supervision by an anesthesiologist.
• D. Only a few states require supervision by a physician other than an anesthesiologist.

Answer: (C)

Supervision requirements for CRNAs vary by state and are not the same nationwide. Some states mandate physician supervision of anesthesia care, and in many of those cases the supervising physician is an anesthesiologist. Other states allow CRNAs to practice independently or under protocols with limited or no physician involvement. Because of this patchwork of laws, the true statement is that some states require supervision by an anesthesiologist. The other options overstate or misstate the landscape, as there are states with no supervision requirements and others with different supervision structures, not a single uniform rule across all states.