Bill Commons

CA AB 876

enacted

Nurse anesthetists: scope of practice.

California · 2025-2026 Regular Session · lower

Quick answers

Did CA AB 876 pass?

Yes. CA AB 876 has been enacted into law as of 2025-10-01. Latest recorded action (2025-10-01): Chaptered by Secretary of State - Chapter 169, Statutes of 2025.

What is CA AB 876 about?

Existing law, the Nurse Anesthetists Act, provides for the certification and regulation of nurse anesthetists by the Board of Registered Nursing. Existing law requires the utilization of a nurse anesthetist to provide anesthesia services in an acute care facility to be approved by the acute care facility administration and the appropriate committee, as defined, and at the discretion of the physician, dentist, or podiatrist. Existing law makes a nurse anesthetist who is not an employee of an acute care facility subject to the bylaws of the facility. This bill would expressly provide that a nurse anesthetist is authorized to perform anesthesia services. The bill would define "anesthesia services" for purposes of the act to mean, among other things, preoperative, intraoperative, and postoperative care and pain management provided by a nurse anesthetist for patients receiving anesthesia pursuant to an order by a physician, dentist, or podiatrist for anesthesia services. Under the bill, an order by a physician, dentist, or podiatrist for anesthesia services for a specific patient would be deemed the authorization for the nurse anesthetist to select and implement the modality of anesthesia for the patient and to abort or modify the modality of anesthesia during the course of care. The bill would provide that the selection and administration of medication by a nurse anesthetist for preoperative, intraoperative, and postoperative care and for pain management purposes pursuant to an order by a physician, dentist, or podiatrist shall not constitute a prescription as that term is defined in a specified provision of federal law. The bill would state that the provisions of the Nurse Anesthetists Act are declaratory of existing law and of an advisory opinion, including specified case law.

Who sponsors CA AB 876?

Flora is the primary sponsor of CA AB 876.

Description

Existing law, the Nurse Anesthetists Act, provides for the certification and regulation of nurse anesthetists by the Board of Registered Nursing. Existing law requires the utilization of a nurse anesthetist to provide anesthesia services in an acute care facility to be approved by the acute care facility administration and the appropriate committee, as defined, and at the discretion of the physician, dentist, or podiatrist. Existing law makes a nurse anesthetist who is not an employee of an acute care facility subject to the bylaws of the facility. This bill would expressly provide that a nurse anesthetist is authorized to perform anesthesia services. The bill would define "anesthesia services" for purposes of the act to mean, among other things, preoperative, intraoperative, and postoperative care and pain management provided by a nurse anesthetist for patients receiving anesthesia pursuant to an order by a physician, dentist, or podiatrist for anesthesia services. Under the bill, an order by a physician, dentist, or podiatrist for anesthesia services for a specific patient would be deemed the authorization for the nurse anesthetist to select and implement the modality of anesthesia for the patient and to abort or modify the modality of anesthesia during the course of care. The bill would provide that the selection and administration of medication by a nurse anesthetist for preoperative, intraoperative, and postoperative care and for pain management purposes pursuant to an order by a physician, dentist, or podiatrist shall not constitute a prescription as that term is defined in a specified provision of federal law. The bill would state that the provisions of the Nurse Anesthetists Act are declaratory of existing law and of an advisory opinion, including specified case law.

Introduced
2025-04-22
Latest action
2025-10-01 — Chaptered by Secretary of State - Chapter 169, Statutes of 2025.
Bill type
bill
Last updated

Subjects

Sponsors

  • Floraauthor

Committees

Not provided by source.

Action timeline

  1. 2025-02-19

    Read first time. To print.

    reading-1

  2. 2025-02-20

    From printer. May be heard in committee March 22.

  3. 2025-03-03

    Referred to Com. on B. & P.

    referral-committee

  4. 2025-04-22

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 1.) (April 22).

    amendment-introduction,amendment-passage,committee-passage,referral-committee

  5. 2025-04-23

    Read second time and amended.

    amendment-passage,reading-1,reading-2

  6. 2025-04-24

    Re-referred to Com. on APPR.

    referral-committee

  7. 2025-05-07

    From committee: Do pass. (Ayes 14. Noes 0.) (May 7).

    committee-passage,committee-passage-favorable

  8. 2025-05-08

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  9. 2025-05-15

    Read third time. Passed. Ordered to the Senate. (Ayes 61. Noes 1. Page 1563.)

    passage,reading-1,reading-3

  10. 2025-05-15

    In Senate. Read first time. To Com. on RLS. for assignment.

    reading-1,referral-committee

  11. 2025-05-28

    Referred to Com. on B. P. & E.D.

    referral-committee

  12. 2025-07-09

    From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B. P. & E.D.

    amendment-introduction,amendment-passage,committee-passage,reading-1,reading-2,referral-committee

  13. 2025-07-14

    From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 14). Re-referred to Com. on APPR.

    committee-passage,committee-passage-favorable,referral-committee

  14. 2025-08-25

    From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

    committee-passage,reading-1,reading-2

  15. 2025-08-26

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  16. 2025-09-03

    Reconsideration granted. (Ayes 40. Noes 0. Page 2438.)

  17. 2025-09-03

    Read third time. Passed. Ordered to the Assembly. (Ayes 38. Noes 0. Page 2438.).

    passage,reading-1,reading-3

  18. 2025-09-03

    Read third time. Passed. Ordered to the Assembly. (Ayes 33. Noes 0. Page 2437.).

    passage,reading-1,reading-3

  19. 2025-09-03

    In Assembly. Concurrence in Senate amendments pending.

  20. 2025-09-04

    Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 70. Noes 1. Page 2929.).

    amendment-passage,committee-passage,committee-passage-favorable

  21. 2025-09-11

    Enrolled and presented to the Governor at 4 p.m.

    executive-receipt

  22. 2025-10-01

    Approved by the Governor.

    executive-signature

  23. 2025-10-01

    Chaptered by Secretary of State - Chapter 169, Statutes of 2025.

    became-law

Versions

  • 02/19/25 - Introduced — 2025-02-19Compare
  • 04/23/25 - Amended Assembly — 2025-04-23Compare
  • 07/09/25 - Amended Senate — 2025-07-09Compare
  • 09/08/25 - Enrolled — 2025-09-08Compare
  • 10/01/25 - Chaptered — 2025-10-01Compare
  • AB876Compare
  • (document, no version)Compare

Documents

Votes

  • Do pass as amended and be re-referred to the Committee on [Appropriations]

    2025-04-22 · pass · 15-1

    Member-level votes (18)
    • Lowenthal: yes
    • Elhawary: yes
    • Ahrens: yes
    • Bauer-Kahan: yes
    • Berman: yes
    • Flora: yes
    • Haney: yes
    • Macedo: yes
    • Krell: yes
    • Alanis: yes
    • Chen: yes
    • Caloza: yes
    • Jackson: yes
    • Pellerin: yes
    • Hadwick: yes
    • Bains: no
    • Irwin: other
    • Nguyen: other
  • Do pass.

    2025-05-07 · pass · 14-0

    Member-level votes (15)
    • Calderon: yes
    • Solache: yes
    • Elhawary: yes
    • Fong: yes
    • Sanchez: yes
    • Wicks: yes
    • Mark González: yes
    • Pacheco: yes
    • Ta: yes
    • Hart: yes
    • Caloza: yes
    • Pellerin: yes
    • Tangipa: yes
    • Dixon: yes
    • Arambula: other
  • AB 876 Flora Assembly Third Reading

    2025-05-15 · pass · 61-1

    Member-level votes (79)
    • Alvarez: yes
    • Gabriel: yes
    • Ortega: yes
    • Petrie-Norris: yes
    • Tangipa: yes
    • Sanchez: yes
    • Gipson: yes
    • Carrillo: yes
    • Fong: yes
    • Calderon: yes
    • Lackey: yes
    • Ransom: yes
    • Bonta: yes
    • Garcia: yes
    • Ávila Farías: yes
    • Hoover: yes
    • Schultz: yes
    • Chen: yes
    • Flora: yes
    • Patel: yes
    • Ta: yes
    • Wilson: yes
    • Connolly: yes
    • Boerner: yes
    • Aguiar-Curry: yes
    • DeMaio: yes
    • Gallagher: yes
    • Wallis: yes
    • Hadwick: yes
    • Rogers: yes
    • Bryan: yes
    • Addis: yes
    • Krell: yes
    • Solache: yes
    • Bauer-Kahan: yes
    • Celeste Rodriguez: yes
    • Elhawary: yes
    • Soria: yes
    • Jackson: yes
    • Papan: yes
    • Ward: yes
    • Harabedian: yes
    • Macedo: yes
    • Wicks: yes
    • Zbur: yes
    • Caloza: yes
    • Patterson: yes
    • Rivas: yes
    • Schiavo: yes
    • Blanca Rubio: yes
    • Lowenthal: yes
    • Pellerin: yes
    • Kalra: yes
    • Muratsuchi: yes
    • Ahrens: yes
    • Berman: yes
    • Pacheco: yes
    • Davies: yes
    • Dixon: yes
    • Ellis: yes
    • Lee: yes
    • Bains: no
    • Alanis: other
    • Irwin: other
    • Stefani: other
    • Bennett: other
    • McKinnor: other
    • Nguyen: other
    • Valencia: other
    • Mark González: other
    • Hart: other
    • Arambula: other
    • Sharp-Collins: other
    • Haney: other
    • Jeff Gonzalez: other
    • Michelle Rodriguez: other
    • Quirk-Silva: other
    • Castillo: other
    • Ramos: other
  • Do pass, but first be re-referred to the Committee on [Appropriations]

    2025-07-14 · pass · 9-0

    Member-level votes (11)
    • Ashby: yes
    • Archuleta: yes
    • Arreguín: yes
    • Smallwood-Cuevas: yes
    • Niello: yes
    • Menjivar: yes
    • Grayson: yes
    • Umberg: yes
    • Strickland: yes
    • Weber Pierson: other
    • Choi: other
  • 3rd Reading AB876 Flora By Ashby

    2025-09-03 · pass · 33-0

    Member-level votes (40)
    • Becker: yes
    • Arreguín: yes
    • Stern: yes
    • Cabaldon: yes
    • Blakespear: yes
    • Rubio: yes
    • Hurtado: yes
    • Ashby: yes
    • Limón: yes
    • Wiener: yes
    • Allen: yes
    • Valladares: yes
    • Padilla: yes
    • McNerney: yes
    • Pérez: yes
    • Cortese: yes
    • Dahle: yes
    • Strickland: yes
    • Grayson: yes
    • McGuire: yes
    • Niello: yes
    • Cervantes: yes
    • Richardson: yes
    • Archuleta: yes
    • Laird: yes
    • Ochoa Bogh: yes
    • Seyarto: yes
    • Jones: yes
    • Alvarado-Gil: yes
    • Grove: yes
    • Umberg: yes
    • Reyes: yes
    • Caballero: yes
    • Durazo: other
    • Gonzalez: other
    • Wahab: other
    • Weber Pierson: other
    • Smallwood-Cuevas: other
    • Choi: other
    • Menjivar: other
  • 3rd Reading AB876 Flora By Ashby Reconsider

    2025-09-03 · pass · 40-0

    Member-level votes (40)
    • Becker: yes
    • Arreguín: yes
    • Durazo: yes
    • Gonzalez: yes
    • Stern: yes
    • Cabaldon: yes
    • Blakespear: yes
    • Rubio: yes
    • Hurtado: yes
    • Ashby: yes
    • Limón: yes
    • Wiener: yes
    • Allen: yes
    • Valladares: yes
    • Padilla: yes
    • McNerney: yes
    • Pérez: yes
    • Cortese: yes
    • Smallwood-Cuevas: yes
    • Dahle: yes
    • Choi: yes
    • Menjivar: yes
    • Strickland: yes
    • Grayson: yes
    • McGuire: yes
    • Niello: yes
    • Cervantes: yes
    • Weber Pierson: yes
    • Richardson: yes
    • Archuleta: yes
    • Laird: yes
    • Ochoa Bogh: yes
    • Seyarto: yes
    • Jones: yes
    • Alvarado-Gil: yes
    • Grove: yes
    • Wahab: yes
    • Umberg: yes
    • Reyes: yes
    • Caballero: yes
  • AB 876 Flora Concurrence in Senate Amendments

    2025-09-04 · pass · 70-1

    Member-level votes (79)
    • Sharp-Collins: yes
    • Krell: yes
    • Bennett: yes
    • Berman: yes
    • Michelle Rodriguez: yes
    • Ward: yes
    • Nguyen: yes
    • Pellerin: yes
    • Schultz: yes
    • Calderon: yes
    • Boerner: yes
    • Caloza: yes
    • Patterson: yes
    • Rivas: yes
    • Harabedian: yes
    • Pacheco: yes
    • Dixon: yes
    • Hadwick: yes
    • Jackson: yes
    • Aguiar-Curry: yes
    • Ellis: yes
    • Ta: yes
    • Ávila Farías: yes
    • Blanca Rubio: yes
    • Wallis: yes
    • Lackey: yes
    • Soria: yes
    • Castillo: yes
    • Macedo: yes
    • Flora: yes
    • Sanchez: yes
    • Haney: yes
    • Kalra: yes
    • Fong: yes
    • Patel: yes
    • Ortega: yes
    • Chen: yes
    • Rogers: yes
    • Gallagher: yes
    • Solache: yes
    • Wilson: yes
    • Quirk-Silva: yes
    • Tangipa: yes
    • Bauer-Kahan: yes
    • Schiavo: yes
    • Elhawary: yes
    • Petrie-Norris: yes
    • Garcia: yes
    • Zbur: yes
    • Connolly: yes
    • McKinnor: yes
    • Carrillo: yes
    • Gipson: yes
    • Lowenthal: yes
    • Bonta: yes
    • Papan: yes
    • Ransom: yes
    • Valencia: yes
    • Addis: yes
    • Wicks: yes
    • Alanis: yes
    • Muratsuchi: yes
    • Stefani: yes
    • Bryan: yes
    • Hoover: yes
    • Jeff Gonzalez: yes
    • DeMaio: yes
    • Davies: yes
    • Celeste Rodriguez: yes
    • Gabriel: yes
    • Bains: no
    • Irwin: other
    • Mark González: other
    • Alvarez: other
    • Arambula: other
    • Lee: other
    • Hart: other
    • Ramos: other
    • Ahrens: other

Related bills

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Official source

Attribution

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