CRNA · New Jersey
Collaborative Practice Agreement for Certified Registered Nurse Anesthetists in New Jersey
Yes, a written physician agreement is required. New Jersey does not name a specific instrument.
Nurse anesthesia is not one of S2996's qualifying population foci (family/individual, adult-gerontology, pediatrics, women's health, behavioral health) — CRNAs are not covered by the new independent-practice pathway and remain under anesthesia-specific physician-supervision rules with no experience-based exit.
What the collaboration must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
administering/monitoring general anesthesia: On-site presence required
The supervising physician must be physically present and immediately available to diagnose and treat an emergency, without concurrent responsibilities (N.J.A.C. 13:35-4A).
regional anesthesia or moderate sedation: Available remotely (no on-site requirement)
A qualified supervising physician is required, but this research pass did not confirm whether NJ codifies an on-site standard for these modalities the way it does for general anesthesia — treat the exact proximity standard here as unconfirmed rather than settled.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
NJ's APN framework includes CRNA as a certified APN category, but this research pass could not confirm a specific statutory citation for CRNA prescriptive authority distinct from the anesthesia-supervision rules above — flag for verification before relying on it.
Written agreement
Required
NJ regulates CRNA oversight through anesthesia-specific physical-presence rules (N.J.A.C. 13:35-4A), not the general APN joint-protocol statute used for NP/CNS — there is a real, mandatory supervision requirement, but whether it takes the form of a discrete written 'agreement' document (vs. facility/medical-staff policy) was not confirmed in this research pass.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same Professional Corporation same-profession-only rule as the `np` entry (N.J.S.A. 14A:17-1 et seq.) — a CRNA is not licensed to practice medicine.
Legal sources for these rules (3)
What a collaborating physician costs here
Typical monthly cost in New Jersey
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About New Jersey's rules
S2996/A4052 (signed 3/30/2026) grants APNs in primary/behavioral-health population foci independent practice at ≥5,000 hours, ending the COVID-era waiver — but implementing regulations were not yet adopted at this writing, so several details below rely on bill text/press coverage, not a finalized rule. NJ's Professional Service Corporation Act (N.J.S.A. 14A:17-1 et seq.) is notably strict CPOM: only physicians may hold equity in a medical PC.
Other clinicians in New Jersey: see the state overview.