TN HB0758

Creates a new licensure framework for anesthesiologist assistants in Tennessee, requiring graduation from an accredited program, passing a national certification exam, and board approval to practice under physician supervision

Anesthesiologist assistants must work under the direct supervision of a licensed anesthesiologist who must be immediately available to intervene, with supervision ratios consistent with federal reimbursement rules

Permits anesthesiologist assistants to perform delegated duties including administering anesthesia, ordering medications (including controlled substances), performing airway interventions, placing arterial and central lines, and managing epidural/spinal anesthesia

Prohibits practice in counties with populations of 85,000 or less based on the 2020 census, and establishes unauthorized practice as a Class B misdemeanor punishable by up to $1,000 fine and/or one year imprisonment

Licenses are valid for two years with biennial renewal by January 31; temporary one-year licenses available for recent graduates who have not yet passed the certification exam; effective January 1, 2026