Enacts new GS 90-18.5A requiring a certified registered nurse anesthetist to be under the direct supervision of an anesthesiologist when conducting anesthesia activities (as defined) for and during a surgical procedure (defined as any medical procedure requiring deep sedation or analgesia, major conduction blockade, or general anesthesia, whether conducted in a hospital, ambulatory surgical facility, or other health care facility, or a Level III procedure in an office-based setting). Requires the supervisor to be physically present during the performance of anesthesia activities. 

Requires the North Carolina Medical Board and North Carolina Board of Nursing to adopt temporary rules to implement this act.

Effective October 1, 2023.