CERTIFICATION OF ENROLLMENT
ENGROSSED SUBSTITUTE SENATE BILL 6286
Chapter 363, Laws of 2024
68TH LEGISLATURE
2024 REGULAR SESSION
ANESTHESIA WORKFORCE SHORTAGE—CERTIFIED REGISTERED NURSE ANESTHETISTS
EFFECTIVE DATE: June 6, 2024
Passed by the Senate February 7, 2024
  Yeas 44  Nays 4
DENNY HECK

President of the Senate
Passed by the House February 29, 2024
  Yeas 96  Nays 0
LAURIE JINKINS

Speaker of the House of Representatives
CERTIFICATE
I, Sarah Bannister, Secretary of the Senate of the State of Washington, do hereby certify that the attached is ENGROSSED SUBSTITUTE SENATE BILL 6286 as passed by the Senate and the House of Representatives on the dates hereon set forth.
SARAH BANNISTER

Secretary
Secretary
Approved March 29, 2024 11:03 AM
FILED
April 1, 2024
JAY INSLEE

Governor of the State of Washington
Secretary of State
State of Washington

ENGROSSED SUBSTITUTE SENATE BILL 6286

Passed Legislature - 2024 Regular Session
State of Washington
68th Legislature
2024 Regular Session
BySenate Ways & Means (originally sponsored by Senators Rivers, Cleveland, Dhingra, Dozier, Nobles, Padden, Robinson, Wellman, and L. Wilson)
READ FIRST TIME 02/05/24.
AN ACT Relating to addressing the anesthesia workforce shortage by reducing barriers and expanding educational opportunities to increase the supply of certified registered nurse anesthetists in Washington; creating new sections; and providing an expiration date.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION.  Sec. 1. The health care system faces increasing costs and workforce shortages. Health care facilities are facing a shortage of anesthesia providers. The legislature recognizes certified registered nurse anesthetists as essential providers of safe, cost-effective, and accessible anesthesia care for Washington residents. It is the intent of the legislature to encourage an ongoing supply and improve the pipeline of certified registered nurse anesthetists in Washington state through educational promotion and expansion.
NEW SECTION.  Sec. 2. Subject to amounts appropriated specifically for this purpose, the Washington state board of nursing shall develop and manage a grant process for the purposes of providing incentives to certified registered nurse anesthetists to precept nurse anesthesia residents in health care settings. The board of nursing shall ensure the funds in the grant process are distributed equally among the total qualified applicant preceptors that dedicate at least 80 hours per year to precepting any nurse anesthesia residents. The goal of the grant program is to create more clinical placements for nurse anesthesia residents to complete required clinical hours to earn their degree and related licensure.
NEW SECTION.  Sec. 3. (1) The University of Washington center for health workforce studies, in collaboration with the Washington state board of nursing, the Washington medical commission, and the department of health, shall study the workforce shortages in anesthesia care in each facility providing anesthesia services in Washington state, and shall submit an initial report to the legislature beginning June 30, 2025, with an update report annually thereafter. The center for health workforce studies shall submit a final report due June 30, 2029, detailing the progress made in the previous five years and any findings and policy recommendations to further address the workforce shortages and barriers to further expanding education of certified registered nurse anesthetists. The initial and each subsequent report shall include, but are not limited to, the following:
(a) Identifying the factors and barriers to entry into the profession of nurse anesthesiology;
(b) Evaluating and assessing the current training and pipeline for certified registered nurse anesthetists;
(c) Developing recommendations that reduce barriers for individuals who want to become certified registered nurse anesthetists and increasing the available clinical training slots for nurse anesthesia residents;
(d) Creating and maintaining an implementation plan to improve the pipeline of certified registered nurse anesthetists in the state;
(e) Identifying the number of qualified anesthesia providers, including, at a minimum, physician anesthesiologists and certified registered nurse anesthetists, who may practice independently in the state of Washington at each facility providing anesthesia services; and
(f) Providing policy recommendations to expand the nurse anesthesia workforce and optimize the cost of providing anesthesia services, including initiatives for all practicing independent anesthesia providers to practice at the top of their license.
(2) This section expires June 30, 2030.
Passed by the Senate February 7, 2024.
Passed by the House February 29, 2024.
Approved by the Governor March 29, 2024.
Filed in Office of Secretary of State April 1, 2024.
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