Advocacy and Policy

Advocacy Updates

On November 1, 2018, CMS released the CY 2019 Final Rule outlining changes to the Merit-based Incentive Payment System under Year 3 of the Quality Payment Program. Along with the Final Rule, CMS released an  Executive Summary and Overview and Fact Sheet highlighting the finalized policies. The AANA Research and Quality Division is diligently working to inform AANA members about the pertinent changes applicable to CRNAs. For questions about the 2018 MIPS, please call the AANA Quality and Reimbursement staff at (847) 655-1199 or email

Guam Opts Out

On June 30, 2016, Guam opted out of the federal CMS supervision requirement.  There are now 17 states and Guam which have attained this tremendous achievement.


An Advocate for CRNAs

The AANA is a determined advocate for CRNAs concerning issues such as patient safety, access to quality healthcare services, scope of practice, educational funding, reimbursement, and many other legislative and regulatory matters in Washington, D.C. and in states across the country. 

Federal Government Affairs

  • Federal Government AffairsCRNA Fast Facts
  • Comment Letters
  • CRNA Advocacy & CRNA PAC
  • Hotline
View Resources

Quality Reimbursement

  • Quality ReimbursementMACRA and Quality Payment Program
  • MIPS and APM Resources
  • Public Reporting
  • CMS Registries
View Resources

State Government Affairs

  • State UpdateState Government Affairs
  • Summaries of Relevant State Laws and Regulations
  • Information on State Opt-Outs
    From the Federal Supervision Rule 
  • State Advocacy Videos
View Resources


  • Research Surveys & ServicesResearch
  • Funding Opportunities
  • Research Resources
  • Publications

View Resources


 Learn more about the CRNA-PAC, our advocacy efforts, and how to provide support by donating or getting involved.