I love that mid level provider term. AAs are nothing more than assistants. To dress up the CRNA wannabe AA with the term midlevel provider is nothing short of comical. You obviously have limited understanding of anesthesia delivery in this country including the role of CRNAs. No "change" is required since no MDA supervision of CRNAs is required now. As a matter of fact, in over 25% of all the states in this country thanks to the opt out (look it up), no physician supervision of CRNAs is required period. Take yourself to school at www.aana.com .