MSMS Testifies in Opposition of SB 4359, Scope of Practice Thursday, May 20, 2021 On Thursday, May 20, the Senate Health Policy and Human Services Committee heard testimony on House Bill 4359, dangerous legislation which would expand the scope of practice for Certified Registered Nurse Anesthetists (CRNAs). Under the bill, in addition to duties within the scope of practice of nursing, a CRNA would be responsible for the development of a plan of care; performance of all patient assessments, procedures, and monitoring to implement the plan of care or to address patient emergencies that arise; and the selection, ordering, or prescribing and the administration of anesthesia and analgesic agents, including prescription drugs or controlled substances.