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The political and legal landscape of nurse anesthesia is constantly shifting for CRNAs and the threats to our autonomy are real. But so are the opportunities. That’s why we wanted Elizabeth Bamgbose, PhD, CRNA to join us for this conversation. She’s a CRNA, educator, practice owner, and a fierce political advocate, and we’re going to break down everything CRNAs must understand about scope of practice, opt-out rules, bylaws, credentialing, and how power structures shape your daily practice more than most realize.
Liz explains why state Nurse Practice Acts, CMS rules, and institutional bylaws don’t always align, and why misunderstanding any of the three can put your practice (and patients) at risk. You’ll also hear eye-opening stories from California, where outdated bylaws, political attacks, and regulatory blind spots have forced CRNAs to become more informed and involved.
If you want to protect your practice, don’t miss this episode.
Here’s some of what you’ll hear in this episode:
🏛️ Know Your Regulators - State Nurse Practice Acts, Boards of Nursing, and CMS rules all affect scope — and don’t always agree.
📜 Bylaws = Your Real Power - Institutional bylaws can override practical independence, even in opt-out states.
🗳️ Opt-Out Isn’t a Free Pass - Federal opt-out removes supervision defaults but hospitals can still require supervision internally.
🧭 Political Literacy Matters - CRNAs who avoid politics still live inside political decisions. Knowing the system protects your practice.
🤝 Use Your Practice Division - Your state practice division and lobbyists are crucial allies when your institution or regulators push back.
Important Links:
- About our guest, Elizabeth Bamgbose
- The 1099 CRNA Institute
- Earn MAC Dev Credit
"Protecting our scope isn't just about defense. It's about leading with confidence, clarity, and purpose."
-Elizabeth Bamgbose, PhD, CRNA
