The Missouri General Assembly recently approved SB 682, which prohibits non-physicians from performing fluoroscopic injections around the spinal cord. The bill, which does not apply to surgical or obstetrical anesthesia services or post-operative pain control by a nurse anesthetist or anesthesiologist assistant, awaits Governor Jay Nixon’s signature.
Tennessee enacted legislation that restricts who can perform or supervise interventional pain management in unlicensed facilities. The law, effective July 1, 2013, prohibits advanced practices nurses and physician assistants from administering steroidal spinal injections in an unlicensed facility unless under the direct supervision of a Tennessee physician. The supervising physician must hold privileges to practice spinal injections at a licensed facility. Several efforts to exclude nurse anesthetists from the legislation failed.
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