South Carolina law has CRNAs practice under written guidelines developed under the supervision of a licensed physician or dentist, who must be named on the anesthesia record (S.C. Code 40-33-20, 40-47-197). South Carolina has not opted out of the Medicare supervision rule. As of October 2026, 16 of the 50 states and D.C. give CRNAs full practice authority, 10 give partial authority, and 25 require physician supervision, direction or collaboration.
Reviewed October 2026 against state statutes and rules and the AANA state opt-out fact sheet. Hospitals and surgery centers can set stricter terms in their bylaws. This summary is general information, not legal advice.