19 CSR 30-20.001 Anesthesiologist Assistants in Hospitals
PURPOSE: This rule allows the use of anesthesiologist assistants in hospitals.
(1) Anesthesiologist assistant—A person who meets each of the following conditions:
(A) Has graduated from an anesthesiologist assistant program accredited by the American
Medical Association’s Committee on Allied Health Education and Accreditation or by its
successor agency;
(B) Has passed the certifying examination administered by the National Commission on
Certification of Anesthesiologist Assistants;
(C) Has active certification by the National Commission on Certification of Anesthesiologist
Assistants;
(D) Is currently licensed as an anesthesiologist assistant in the state of Missouri; and
(E) Provides health care services delegated by a licensed anesthesiologist.
(2) Notwithstanding any other rule in this chapter, anesthesia in hospitals shall be administered
only by qualified anesthesiologists, physicians or dentists trained in anesthesia, certified nurse
anesthetists, anesthesiologist assistants or supervised students in an approved educational
program. Notwithstanding the provisions of sections 334.400 to 334.430, RSMo, or the rules of
the Missouri State Board of Registration for the Healing Arts, the governing body of every
hospital shall have full authority to limit the functions and activities that an anesthesiologist
assistant performs in such hospital. Nothing in this section shall be construed to require any
hospital to hire an anesthesiologist who is not already employed as a physician prior to August
28, 2003.
AUTHORITY: sections 192.006 and 197.080, RSMo 2000.* Original rule filed Jan. 16, 2007,
effective Aug. 30, 2007.
*Original authority: 192.006, RSMo 1993, amended 1995 and 197.080, RSMo 1953, amended
1993, 1995.