SB 1446
Initials JB/GG Page 1 Caucus & COW
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-seventh Legislature
First Regular Session
Senate: HHS DPA 7-0-0-0 | APPROP DP 8-0-2-0 | 3
rd
Read 24-3-3-0
House: APPROP DP 15-3-0-0
SB 1446: appropriations; anesthesia; rotations
Sponsor: Senator Shamp, LD 29
Caucus & COW
Overview
Establishes the Student Registered Nurse Anesthetist Clinical Rotation Program (Program)
for FY 2026 within the Arizona State Board of Nursing (AZBN). Appropriates $3,000,000
from the state General Fund (GF) in FY 2026 to AZBN to expand the capacity of preceptor
training programs.
History
The AZBN Education Department currently regulates six Certified Registered Nurse
Anesthetist (CRNA) education programs. The Board provides regulatory information to
nursing programs, nursing students and the public. AZBN is responsible for 1): reviewing
program applications and changes; 2) completing education program site visits; 3) conducting
program investigations; 4) monitoring program trends; 5) maintaining and updating the
AZBN Nurse Practice Act Test; and 6) performing other duties related to liaising with such
programs (AZBN Education Department).
Statute allows AZBN to certify a registered nurse anesthetist if the nurse meets the following
requirements: 1) submits an application as prescribed by AZBN; 2) has completed an
accredited program in the science of anesthesia; 3) is certified by a national certifying body
recognized by AZBN; and 4) pays the certification fee (A.R.S. § 31-1634.03).
Provisions
1. Establishes the Program within AZBN for FY 2026 to expand the capacity of preceptor
training programs at health care institutions for registered nurse anesthetist students.
(Sec. 1)
2. Appropriates $3,000,000 from the state GF in FY 2026 to AZBN to expand the capacity
of preceptor training programs and exempts the appropriation from lapsing. (Sec. 2)
3. Directs the Board to develop a grant program for FY 2026 to distribute the appropriated
monies to licensed health care institutions to pay for costs related to expanding or
developing clinical training placements for registered nurse anesthetist students. (Sec. 1)
4. Specifies the AZBN grant program should give preference to expanding or developing
clinical rotations in obstetrics, pediatrics, cardiovascular, thoracic and neurological care.
(Sec. 1)
5. States the grant program monies are intended to supplement and not supplant existing
training program expenses covered by the health care institution grantee. (Sec. 1)
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note SB 1446
Initials JB/GG Page 2 Caucus & COW
6. Allows a grant to fund a clinical training placement through an anesthesia provider group
contracted with a health care institution, through an authorized preceptor or though a
health care institution directly. (Sec. 1)
7. Prohibits more than 20% of a grant award from being spent on the indirect costs of
expanding or developing clinical training placements. (Sec. 1)
8. Requires grant monies be distributed to grantees before the expenses for expanding or
developing clinical rotations are incurred. (Sec. 1)
9. Directs grantees to return all monies to AZBN that are not spent on the direct and indirect
costs related to expanding or developing clinical rotations. (Sec. 1)
10. Outlines the factors AZBN is required to consider when determining grant awards to
include:
a) the geographic and population distribution;
b) the number of registered nurse anesthetist students expected to be trained and
retained; and
c) the cost of the proposal for the number of registered nurse anesthetist students
expected to participate and be retained compared to other proposals. (Sec. 1)
11. Defines terms. (Sec. 1)