CAA Guide

Can CAAs practice in Ohio?

Licensed

Yes — CAAs are licensed in Ohio.

Ohio is one of the oldest CAA licensure states: the State Medical Board of Ohio has licensed AAs under ORC Chapter 4760 since 2000. Practice is restricted to hospitals and ambulatory surgical facilities under the direct, immediate-presence supervision of an anesthesiologist.

Legal authority
Ohio Rev. Code ch. 4760
Effective
2000
Supervision
Direct supervision in the immediate presence of a supervising anesthesiologist under a written practice protocol (ORC 4760.08); practice limited to hospitals and ambulatory surgical facilities; no statutory ratio.
Last verified
2026-08-12

Notes

Core supervision section ORC 4760.08 effective May 31, 2000; other sections re-amended repeatedly (2018, 2019, 2023, 2025). Two-year licenses; NCCAA certification must be maintained. HB 52 (2026) affects CRNAs, not CAAs. It is included because it reshapes Ohio anesthesia care teams; ASA notes physician-led supervision of CAAs is unchanged. No AA-specific practice-expansion bill found in the 136th GA.

Active legislation

  • HB 96 Enacted; ORC 4760.13 changes effective Sept 30, 2025

    Operating budget, 136th General Assembly (amended ORC 4760.13 disciplinary provisions for AAs)

    Last action: Amendments to ORC 4760.13 took effect September 30, 2025

  • HB 52 Enacted

    Modernize CRNA practice law (replaces CRNA physician supervision with collaboration; does not amend ORC ch. 4760)

    Last action: Signed by Governor March 10, 2026; effective June 8, 2026

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