Comment Letters

• AANA submitted a comment letter to the FDA regarding draft guidance on the development of non-opioid analgesics for chronic pain, highlighting CRNAs’ knowledge and expertise in chronic pain delivery.
• AANA submitted a sign on letter, signed by 85 CRNA program directors, to the Under Secretary of Education Nicholas Kent at the Department of Education explaining how SRNAs must qualify as professional students for the purposes of new student loan caps established in H.R. 1, the One Big Beautiful Bill Act.
• AANA signed onto a coalition letter via the Patient Access to Responsible Care Alliance (PARCA) to the Department of Education urging the Department adopt a broad definition of “professional student” that would include advanced degrees in health professions when implementing student loan caps established in H.R. 1, the One Big Beautiful Bill Act.
• AANA signed onto a follow up coalition letter via the Nursing Community Coalition to the Department of Education urging the Department include advanced nursing degrees in the definition of “professional student” when implementing student loan caps established in H.R. 1, the One Big Beautiful Bill Act in continued efforts this week.
• AANA signed onto a follow up coalition letter with a broad array of healthcare professions urging the Department of Education to ensure advanced degrees in these professions will be considered “professional degrees” as the Department continues implementation efforts this week of H.R. 1, the One Big Beautiful Bill Act.
• AANA submits comments on various Medicare Administrative Contractors’ draft policies for peripheral nerve blocks for use in chronic pain.  (October 29, 2025)
• AANA, as part of a coalition of provider and patient groups, urges Federal Agencies to intervene on UnitedHealthcare’s anesthesia reimbursement policy.
• AANA comment letter responding to CMS’ CY 2026 Medicare Part B Physician Fee Schedule proposed rule. (September 8, 2025)
• AANA comment letter responding to CMS’ CY 2026 Hospital Outpatient Prospective Payment System proposed rule. (September 3, 2025)
• AANA signed onto a group comment letter with a broad array of healthcare professions, urging the Department of Education to ensure advanced degrees in these professions will be considered “professional degrees” as the Department implements H.R. 1, the One Big Beautiful Bill Act. (August 25, 2025)
• AANA signed onto the Nursing Community Coalition comment letter urging the Department of Education to ensure that nursing degrees are considered “professional degrees” as the Department implements H.R. 1, the One Big Beautiful Bill Act. (August 25, 2025)
• AANA comment letter responding to the Department of Health and Human Services’ request for information on deregulation. (June 27, 2025)
• AANA comment letter responding to the Fiscal Year 2026 Inpatient Prospective Payment Systems Proposed Rule. (June 9, 2025)
• AANA comment letter responding to the Centers for Medicare & Medicaid Services (CMS) Request for Information on regulatory burdens in CMS programs. (June 3, 2025)
• AANA comment letter responding to the Department of Justice Anticompetitive Regulations Task Force Request for Information on eliminating anticompetitive state and federal laws and regulations. (May 22, 2025)
• AANA comment letter responding to the Federal Trade Commission Request for Information on Reducing Anticompetitive Regulatory Barriers. (May 22, 2025)
• AANA comments on National Science Foundation’s Request for Information on AI Action Plan (March 12, 2025)

• AANA Congressional Letter (December 4, 2024)
• AANA Submits Comments on CMS Request for Information on the Consolidation of Medicare Administrative Contractor Jurisdictions
• AANA Submits Comments on the CMS Physician Fee Schedule Proposed Rule” (September 6, 2024).
• AANA Submits Comments on the CMS Hospital Outpatient Prospective Payment System Proposed Rule” ( September 6, 2024)
• AANA Comments on CMS Hospital Inpatient Prospective Payment System Proposed Rule (June 5, 2024)

• AANA Recommends Providers Ability to Negotiate for Reasonable and Fair Rates to Provide Anesthesia and Pain Management Services (December 19, 2023)
• AANA Calls for Network Adequacy and Refrainment of Violation of Federal Non discrimination Laws in Medicaid and CHIP Plans” (Dec. 4, 2023)
• AANA, APRN workgroup, and PARCA each Weigh in on how Promulgation of the Provider Nondiscrimination Regulation Will Increase Access to Mental Health and SUD Services, Oct 17, 2023
• AANA Presses for CRNA Autonomous Practice in VA Facilities During VA National Standards of Practice Listening Session
• AANA Calls for Recommendations to Reduce Barriers to Care in Medicare Advantage Plans, Feb. 8, 2023
• AANA Comments on HHS Action Alliance to Advance Patient Safety Request for Information, Jan. 23, 2023
• AANA Recommends Promulgation of a Regulation on Provider Nondiscrimination as Solution to Patient Access, Jan. 23, 2023
• AARP endorses I CAN Act HR 2713, Aug. 16, 2023
• AANA Submits Comments on Medicare Agency Episode-Payment Model Request for Information, Aug. 17, 2023
• AANA-ANA Joint Letter on FDA Guidelines for Psychedelic Drugs: Considerations for Clinical Investigations, Aug. 24, 2023
• AANA Supports Creating Separate Billing Codes for Non-Opioid Anesthesia Services and Treatments for Pain in the Hospital Outpatient and ASC Proposed Payment Rules, Sept. 4, 2023
• AANA and AANA as Part of APRN Coalition Submit Comments on Medicare Physician Fee Schedule proposed rule, September 11, 2023

• AANA Requests Inclusion of CRNAs in Non-Physician to Receive Bonuses When Practicing in Shortage Areas, Dec. 19, 2022
• AANA Urges Special Consideration of CRNAs in DOL’s Determination on Classifying Employees as Independent Contractors, Dec. 14, 2022
• AANA Joins Coalition Letter on Department of Labor Proposed Rule Related to Independent Contractors, Dec. 13, 2022
• AANA as Part of APRN Workgroup Urges Inclusion in CMS Request for Information for Directory on Healthcare Providers, Dec. 5, 2022
• AANA Joins Letter Encouraging Passage of Inpatient Opioid Safety Act, Nov. 23, 2022
• AANA Urges Inclusion in CMS Request for Information for Directory of Healthcare Providers, Nov. 22, 2022
• AANA Sends Letter to Congressional Leaders Outlining End of Session Priorities, Nov. 18, 2022
• AANA Joins PARCA Coalition Letter to Agencies on Provider Nondiscrimination, Nov. 18, 2022
• AANA Asks to Partner with the Agency for Healthcare Research and Quality as Acute and Chronic Pain Experts in Policy Development, Nov. 13, 2022
• AANA and APRN Coalition Send Letters to Federal Agencies Urging Prompt Promulgation of a Provider Nondiscrimination Rule, Oct. 26, 2022
• AANA Comments on Congressional Request for Feedback on MACRA, Oct. 25, 2022
• Bipartisan Group of Members of the House send Letter to the VA on Anesthesia Practice and CRNAs, Oct. 25, 2022
• AANA Requests the VA Ensure Inclusion of CRNAs in Updated Definitions of Health Professionals Who Practice Via Telehealth, Oct. 14, 2022
• AANA Sends Letter in Response to Senate Hearing on Wait Times within the VA, Oct. 12, 2022
• AANA and APRN Coalition Ask for Removal of the use of Mid-Level Practitioner in Clinical Laboratory Improvement Regulations, Sept. 28, 2022
• AANA Comments on Novitas Draft Local Coverage Determination on Nerve Stimulators for Pain, Sept. 21, 2022
• AANA Supports CRNA Payment and Reducing Barriers for Non-Opioid Treatments for Patients in Response to Hospital Outpatient and ASC Proposed Payment Rules, Sept. 12, 2022
• AANA Comments on CMS Physician Fee Schedule Proposed Rule, Sept. 2, 2022
• AANA Joins APRN and Advanced Nursing Education Coalition in Opposing Physician Supervision Requirements in the Proposed Rules for Rural Emergency Hospital Conditions of Participation, Aug. 25, 2022
• AANA Urges CMS to Remove Supervision Requirement from Proposed Rules for Rural Emergency Hospitals Conditions of Participation, Aug. 5, 2022
• AANA Congratulates Newly Confirmed Under Secretary of Health and the VA and Recommends Permanent CRNA Full Practice Authority, Aug. 1, 2022
• AANA Recommends Permanent Supervision Removal in Comments on HHS Initiative to Strengthen Primary Health Care, July 25, 2022
• AANA Submits Comments to the Centers for Medicare and Medicaid’s Behavioral Health Strategy, July 13, 2022
• AANA Comments on CMS Inpatient Prospective Payment System Proposed Rule, June 10, 2022
• AANA Recommends Research on Permanent Supervision Removal to AHRQ Proposed Patient-Centered Outcomes Research Trust Fund Framework, May 16, 2022
• AANA Sends Comment Letter to House Veterans’ Affairs Technology Modernization Subcommittee in Response to Hearing on Electronic Health Records, May 2, 2022
• AANA Sends Comment Letter to House Energy & Commerce Health Subcommittee in Response to Hearing of HHS FY23 budget, May 2, 2022
• AANA Recommends to FDA that Use of Non-Opioid Alternatives for Pain Treatments Help Decrease Prescription Opioid Use and Addiction, April 7, 2022
• AANA Requests that the CDC Acknowledge the Role of CRNAs in Pain Management in draft Updated Practice Guidelines for Prescribing Opioids, April 1, 2022
• AANA Recommends Permanent Full Practice Authority for CRNAs in the VHA to VA Special Medical Advisory Group, March 30, 2022
• AANA Provides Feedback to CMS on Possible Episode-Based Cost Measure on Anesthesia in the MIPS Program, March 25, 2022
• AANA Supports Strong Network Adequacy Standards in Comments to the Department of Health and Human Services, March 22, 2022
• AANA Submits Comments for the Record on House Veterans Affairs Committee Hearing on VA Workforce, March 17, 2022
• AANA Sends Letter In Response to Senate Healthcare Workforce Shortage Hearing, Feb. 17, 2022
• AANA Asks HHS to Require CRNAs be Included in Qualified Health Plan Networks that Participate in Federally Facilitated and State Exchanges, Jan. 26, 2022