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Texas Practice Law & Requirements

Are advanced degrees currently required?

An advanced practice registered nurse “has completed a graduate-level education program accredited by an organization recognized by the Board that
prepares him/her for one of the four following recognized advanced practice roles [including “nurse anesthetist”]….” [Board of Nursing Rules and
Regulations § 221.1(4)] The Texas Association of Nurse Anesthetists has confirmed with the Texas Board of Nursing (BON) that the BON will grandfather both in-state and out-of-state CRNAs without master’s degrees after the implementation date.
Out-of-State Applicants: No explicit reference. However, the Texas Association of Nurse Anesthetists has confirmed with the Texas Board of Nursing (BON) that the BON will grandfather both in-state and out-of-state CRNAs without master’s degrees after the implementation date.

Is there an explicit new graduate provision?

APRNs, including CRNAs, may not practice in Texas prior to passing the certification examination, effective July 2011.

Do dentists require a permit/training to use a CRNA?

State Dental Board Permit Status for CRNA Practice in Dental Offices Map

Do CRNAs have prescriptive authority?

 

CRNA Prescriptive Authority Map

New DEA MATE Act Requirements

Congress has passed the MATE Act requiring all CRNAs who need to renew or are applying for a DEA license to complete a one-time training (totaling 8 hours) on managing patients with substance use disorders. View our FAQs below to learn more about this requirement and for information about our new DEA Bundle to help you meet this requirement.

FAQs

  • Who is required to complete these requirements?
    CRNAs renewing their DEA license or applying for an initial DEA license.
  • Can AANA help me fulfill these requirements?
    Yes, AANA has developed a collection of CE offerings to satisfy these requirements which includes 8 Class A CE (designated as 8 pharmacology credits). This bundle will be available to stream starting June 7 but can be preordered through CKN.
  • When do I need to complete these requirements?
    Starting on June 27, 2023, all CRNAs who are applying for a new DEA license or are renewing their DEA license.
  • The AANA is not listed as an approved provider. Will CE offered by the AANA meet this requirement?
    Yes, through our accreditation with the American Nurses Credentialing Center (ANCC), AANA meets the requirements to offer these CE credits.
  • How do I report the completion of this requirement?
    CRNAs will self-report completion during their DEA licensing process. CRNAs who complete DEA Bundle through the AANA will receive individual certificates documenting the completion of the training. This should be retained as proof of training.

Do Anesthesiologist Assistants (AAs) have authority to practice?

Anesthesiologist Assistants Map - July 2025

Has Texas opted out of the federal supervision requirement?

Opt-Out Map

 

 

Are physician office settings regulated in my state?

CRNA Physician Office Setting Map

State Licensure

CRNAs are a type of “advanced practice registered nurse.”
The Texas Board of Nursing will license a registered professional nurse to practice as an advanced practice registered nurse if the nurse meets certain educational and administrative requirements established by the Board. [Texas Board of Nursing Rules and Regulations, sec. 221.4]