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Federal Physician Supervision Opt-Out

As of 2026, 29 jurisdictions (27 states, the District of Columbia, and Guam) have opted out of the federal physician supervision requirement for CRNAs.

Quicklinks

• Opt-out map | Fact Sheet
  (States That Have Opted Out of the Federal Supervision Requirement Since Publication of the November 13, 2001 CMS Rule Permitting Such Opt-Outs)
• Prescriptive authority map
• Dental permit map
• Physician office settings map
• AA map
• Legislative tracking