This letter is dated January 11th, 2017.

The PDF version may be downloaded.  The copy is as follows:

January 11th, 2017

The Honorable Robert A. McDonald Secretary of Veterans Affairs
810 Vermont Avenue
Washington, DC 20420

Dear Secretary McDonald:

During the last two years the Association of VA Anesthesiologists (AVAA) and over 200 VA physician anesthesiologists have written several letters regarding our serious concerns with the proposal to establish full practice authority for nurse anesthetists. The majority of VA Chiefs of Anesthesiology have also expressed these same concerns. The physician anesthesiologists that AVAA represents would like to express their gratitude for publishing a final rule that does not include full practice authority for nurse anesthetists. We believe that continuing with the team care model in Anesthesiology will provide the safest and best care for Veterans that need anesthesia services.