Recent modifications to the Oklahoma Nursing Practice Act (Act), along with actions taken by the governor, have resulted in Oklahoma hospitals being exempt from federal Certified Registered Nurse Anesthetist (CRNA) physician supervision requirements. Oklahoma joins 18 other states across the country in adopting this exemption, in what the governor describes as an effort to “enhance and improve access to care throughout Oklahoma, particularly in the rural areas.” While the more burdensome supervision requirements have been removed, CRNAs are still required to “collaborate” with a physician on the administration of anesthesia. More.