CRNA · Illinois
Supervision Agreement for Certified Registered Nurse Anesthetists in Illinois
Yes, a written supervising-physician agreement is required. Illinois does not name a specific instrument.
CRNAs were not included in the 2017 full-practice-authority attestation pathway (P.A. 100-0513) available to NP/CNM/CNS — no independent-practice pathway exists for CRNAs in Illinois; a written collaborative agreement remains required.
What the supervision must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Not codified — left to the agreement
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
CRNA prescribing is scoped in practice to the periprocedural/anesthesia context under the collaborative agreement; a CRNA-specific schedule restriction was not confirmed in this research pass.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional service corporation (805 ILCS 10) or PLLC (805 ILCS 185) held by nursing licensees; excluded from the physician-only Medical Corporation Act.
Legal sources for these rules (2)
- 225 ILCS 65 — Nurse Practice Act
- 225 ILCS 65/65-43 — Full Practice Authority (excludes CRNAs from the attestation pathway)
What a supervising physician costs here
Typical monthly cost in Illinois
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Illinois's rules
The 2017 Nurse Practice Act reform (P.A. 100-0513) lets NP/CNM/CNS attest to full practice authority after 4,000 hours under a written collaborative agreement plus 250 hours of CE — CRNAs are not included in that attestation pathway. The Medical Corporation Act (805 ILCS 15) restricts clinical-entity ownership to physicians; APRNs/PAs may still use a professional service corporation or PLLC of their own licensees.
Other clinicians in Illinois: see the state overview.