CRNA · Utah
Collaborative Practice Agreement for Certified Registered Nurse Anesthetists in Utah
No. Certified Registered Nurse Anesthetists practice independently here. Utah does not require one.
S.B. 36 (2023) eliminated the collaborating-physician contract requirement for CRNAs along with other APRN roles. Uniquely among Utah APRNs, CRNAs are licensed as 'APRN-CRNA without prescriptive practice' (§ 58-31b-301) — full independence from a supervision standpoint, but no prescriptive authority at all, by design of the license classification itself.
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
No proximity requirement
No collaborating-physician relationship required post-S.B. 36. Rural/critical-access hospitals may separately rely on the CMS anesthesia supervision opt-out for Medicare billing purposes — a federal reimbursement condition distinct from Utah's own state-law supervision requirement (which S.B. 36 already removed).
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
Covered by the practice agreement · no controlled-substance authority
Utah licenses CRNAs specifically as 'without prescriptive practice' (§ 58-31b-301) — CRNAs administer anesthesia-related drugs under standing orders/protocols rather than independent DEA prescriptive authority, unlike NP/CNM/CNS in Utah.
Written agreement
Not required
Unconditional since S.B. 36 (2023) for the supervisory/collaborative relationship. This is distinct from CRNAs' lack of prescriptive authority (see below), which is a scope-of-license limit, not a supervision requirement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Corporation (Title 16, Ch. 11) or Professional LLC (§ 48-3a-1106) — a CRNA may independently own a single-profession nursing PC/PLLC; non-licensees may not hold equity.
What a collaborating physician costs here
Typical monthly cost in Utah
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Utah's rules
S.B. 36 (2023) eliminated the physician-collaboration/contract requirement for ALL APRN roles (NP, CRNA, CNM, CNS), not just NPs — Utah is a full-independence state across the APRN scope. PAs remain on a separate, hours-tiered collaboration model (Utah Code § 58-70a-307) with no numeric ratio cap or chart-review percentage codified.
Other clinicians in Utah: see the state overview.