Capitol News

State Representative Dave Prestin has announced new legislation aimed at expanding Michigan’s healthcare workforce by establishing a state licensure for anesthesiologist assistants (AAs). The proposal comes as the state continues to face significant staffing shortages in healthcare, particularly across the Upper Peninsula.

“We’re still seeing critical healthcare staffing shortages across the Upper Peninsula and Michigan as a whole,” said Prestin, R-Cedar River. “That’s why I’m going to continue beating the drum for incremental changes that clear the path for qualified and talented healthcare professionals to either continue or bring their skills to Michigan. By creating a license for anesthesiologist assistants, we’re showing these valuable healthcare professionals that Michigan recognizes the unique nature of their work and is willing to protect that work under state law.”

The proposed bill would formally recognize certified AAs through a licensing process, providing clarity and legal standing for their role in medical teams. Under current practice, AAs operate under the supervision of licensed anesthesiologists, a condition that would remain unchanged with this legislation. The measure does not alter their scope of practice but instead codifies their status within state regulations.

To qualify for licensure, AAs must complete an accredited graduate program after undergraduate studies focused on pre-med or science fields. They are also required to obtain certification from national accrediting organizations and participate in ongoing education—40 hours every two years—as well as periodic demonstrations of qualifications every six years. Unlike physician assistants who provide general care, AAs specialize in anesthesia.

Prestin’s plan outlines rigorous requirements: accredited higher education, certification by the National Commission of Anesthesiologist Assistants, and Advanced Cardiac Life Support training. It ensures continued direct oversight by anesthesiologists.

Supporters of the bill include several prominent groups such as the Michigan Health and Hospital Association, Michigan State Medical Society, and Michigan Society of Anesthesiologists. If enacted, Michigan would become the nineteenth state to license AAs—a group already recognized in neighboring states like Indiana, Ohio, and Wisconsin.