CRNAdvocacy Alert: Ask your U.S. Representative to cosponsor H.R. 833 to eliminate supervision

Last week, U.S. Representatives Sam Graves (R-MO) and Jared Huffman (D-CA) reintroduced the “Save America’s Rural Hospitals Act” (H.R. 833). The AANA is thrilled to announce that this legislation now includes a provision that would permanently remove physician supervision of CRNAs under Medicare Part A conditions of participation. 

Endorsed by the National Rural Health Association, this legislation comes at a time when rural hospitals and health centers are facing unprecedented challenges and struggling to keep their lights on. CRNAs are the predominant providers of anesthesia in rural areas, and removing supervision will ensure that all patients, especially those in rural areas, have access to high-quality, cost-effective care. 

We need your help to get as many cosponsors on this important legislation as possible. Please follow the instructions below to email your U.S. Representative today!


1. Click here or text HR833 to 52886. 

2. Follow the prompts to be directed to a draft email to your Representative. Please personalize this email as much as possible so that it is not seen as a form letter. 

3. Click “send letter.”

4. Ask your family, friends, and colleagues to write their legislators as well!

If you have any questions, please contact AANA Federal Government Affairs at or 202-484-8400. Thank you for taking the time to be a CRNAdvocate!

(Copy provided by AANA)