I am a Certified Registered Nurse Anesthetist (CRNA) and your constituent and am writing today to ask for your support of House Bill 4359, the Access to Safe Anesthesia Care Act. The bill received overwhelming and bipartisan support in the Health Policy Committee on March 9th (14-2-2), the full House on March 24th (82-25) and the Senate Health Policy and Human Services Committee on June 10 (7-3). This bipartisan legislation, which also received more than 20 co-sponsors in the House, improves access to care, maintains patient safety, and reduces healthcare costs by eliminating the requirement for physician "supervision" of Certified Registered Nurse Anesthetists (CRNAs). As a CRNA, I can tell you first-hand that HB 4359 puts Michigan patients first by: • Aligning Michigan's anesthesia model with 42 other states and the District of Columbia that have already chosen not to require wasteful, bureaucratic "supervision" of high quality CRNA services • Making permanent in Michigan an anesthesia-delivery model put in place during the early weeks of the COVID-19 pandemic by Gov. Whitmer and other Democratic and Republican governors. • Ensuring patient access to quality care, especially in rural and medically underserved areas • Helping contain, and even lower, health care costs and out of pocket expenses related to anesthesia and surgeries. Peer-reviewed medical research finds no differences in patient safety and surgical outcomes in states with and without the meaningless CRNA supervision model that would no longer be required in Michigan under HB 4359. Again, I am hoping you will vote for HB 4359. Thank you for considering my perspective as a constituent and CRNA.

I am a Certified Registered Nurse Anesthetist (CRNA) and your constituent and am writing today to ask for your support of House Bill 4359, the Access to Safe Anesthesia Care Act. The bill received overwhelming and bipartisan support in the Health Policy Committee on March 9th (14-2-2), the full House on March 24th (82-25) and the Senate Health Policy and Human Services Committee on June 10 (7-3). Please support the bill when it comes before the Senate. This bipartisan legislation, which also received more than 20 co-sponsors in the House, improves access to care, maintains patient safety, and reduces healthcare costs by eliminating the requirement for physician "supervision" of Certified Registered Nurse Anesthetists (CRNAs). As a CRNA, I can tell you first-hand that HB 4359 puts Michigan patients first by: • Aligning Michigan's anesthesia model with 42 other states and the District of Columbia that have already chosen not to require wasteful, bureaucratic "supervision" of high quality CRNA services • Making permanent in Michigan an anesthesia-delivery model put in place during the early weeks of the COVID-19 pandemic by Gov. Whitmer and other Democratic and Republican governors. • Ensuring patient access to quality care, especially in rural and medically underserved areas • Helping contain, and even lower, health care costs and out of pocket expenses related to anesthesia and surgeries. Peer-reviewed medical research finds no differences in patient safety and surgical outcomes in states with and without the meaningless CRNA supervision model that would no longer be required in Michigan under HB 4359. Again, I am hoping you will vote for HB 4359. Thank you for considering my perspective as a constituent and CRNA.

I am a Certified Registered Nurse Anesthetist (CRNA) and your constituent and am writing today to ask for your support of House Bill 4359, the Access to Safe Anesthesia Care Act. The bill received overwhelming and bipartisan support in the Health Policy Committee on March 9th (14-2-2), the full House on March 24th (82-25) and the Senate Health Policy and Human Services Committee on June 10 (7-3). Please support the bill when it comes before the Senate. This bipartisan legislation, which also received more than 20 co-sponsors in the House, improves access to care, maintains patient safety, and reduces healthcare costs by eliminating the requirement for physician "supervision" of Certified Registered Nurse Anesthetists (CRNAs). As a CRNA, I can tell you first-hand that HB 4359 puts Michigan patients first by: • Aligning Michigan's anesthesia model with 42 other states and the District of Columbia that have already chosen not to require wasteful, bureaucratic "supervision" of high quality CRNA services • Making permanent in Michigan an anesthesia-delivery model put in place during the early weeks of the COVID-19 pandemic by Gov. Whitmer and other Democratic and Republican governors. • Ensuring patient access to quality care, especially in rural and medically underserved areas • Helping contain, and even lower, health care costs and out of pocket expenses related to anesthesia and surgeries. Peer-reviewed medical research finds no differences in patient safety and surgical outcomes in states with and without the meaningless CRNA supervision model that would no longer be required in Michigan under HB 4359. Again, I am hoping you will vote for HB 4359. Thank you for considering my perspective as a CRNA and constituent.

I am a Certified Registered Nurse Anesthetist and your constituent and am writing today to ask for your support of House Bill 4359, the Access to Safe Anesthesia Care Act. The bill received overwhelming and bipartisan support in the Health Policy Committee on March 9th (14-2-2), the full House on March 24th (82-25) and the Senate Health Policy and Human Services Committee on June 10 (7-3). Please support the bill when it comes before the Senate. This bipartisan legislation, which also received more than 20 co-sponsors in the House, improves access to care, maintains patient safety, and reduces healthcare costs by eliminating the requirement for physician "supervision" of Certified Registered Nurse Anesthetists (CRNAs). As a CRNA, I can tell you first-hand that HB 4359 puts Michigan patients first by: • Aligning Michigan's anesthesia model with 42 other states and the District of Columbia that have already chosen not to require wasteful, bureaucratic "supervision" of high quality CRNA services • Making permanent in Michigan an anesthesia-delivery model put in place during the early weeks of the COVID-19 pandemic by Gov. Whitmer and other Democratic and Republican governors. • Ensuring patient access to quality care, especially in rural and medically underserved areas • Helping contain, and even lower, health care costs and out of pocket expenses related to anesthesia and surgeries. Peer-reviewed medical research finds no differences in patient safety and surgical outcomes in states with and without the meaningless CRNA supervision model that would no longer be required in Michigan under HB 4359. Again, I am hoping you will vote for HB 4359. Thank you for considering my perspective as a constituent and CRNA.

I am a Certified Registered Nurse Anesthetist (CRNA) and your constituent and am writing today to ask for your support of House Bill 4359, the Access to Safe Anesthesia Care Act. The bill received overwhelming and bipartisan support in the Health Policy Committee on March 9th (14-2-2), the full House on March 24th (82-25) and the Senate Health Policy and Human Services Committee on June 10 (7-3). Please support the bill when it comes before the Senate. This bipartisan legislation, which also received more than 20 co-sponsors in the House, improves access to care, maintains patient safety, and reduces healthcare costs by eliminating the requirement for physician "supervision" of Certified Registered Nurse Anesthetists (CRNAs). As a CRNA, I can tell you first-hand that HB 4359 puts Michigan patients first by: • Aligning Michigan's anesthesia model with 42 other states and the District of Columbia that have already chosen not to require wasteful, bureaucratic "supervision" of high quality CRNA services • Making permanent in Michigan an anesthesia-delivery model put in place during the early weeks of the COVID-19 pandemic by Gov. Whitmer and other Democratic and Republican governors. • Ensuring patient access to quality care, especially in rural and medically underserved areas • Helping contain, and even lower, health care costs and out of pocket expenses related to anesthesia and surgeries. Peer-reviewed medical research finds no differences in patient safety and surgical outcomes in states with and without the meaningless CRNA supervision model that would no longer be required in Michigan under HB 4359. Again, I am hoping you will vote for HB 4359. Thank you for considering my perspective as a CRNA and constituent.