The bill introduces a new chapter in Title 5 of the General Laws to regulate Certified Surgical First Assistants (CSFAs). It defines the role of CSFAs, the concept of "surgical assisting," and what constitutes a "surgical facility." The legislation requires that only licensed individuals can be employed as CSFAs in surgical facilities, with exceptions for certain healthcare professionals and those granted waivers. A board of licensure, consisting of seven members appointed by the governor, will oversee the certification and practice of CSFAs. This board will be responsible for various administrative tasks, including evaluating applicant qualifications, supervising examinations, and recommending disciplinary actions.

The bill sets forth the requirements for obtaining a CSFA license, which include having a recognized credential, completing a military training program, or possessing relevant experience. Applicants must be at least 18 years old, of good moral character, and meet specific educational and professional criteria. License renewal will require 38 hours of continuing education, and licensees must maintain records for four years. The board has the authority to audit compliance and take disciplinary action if necessary. The bill also outlines the board's power to recommend actions regarding licensure and to approve continuing medical education programs. It establishes grounds for disciplinary actions and requires maintaining a confidential file on malpractice and disciplinary records against CSFAs. The act will become effective on July 1, 2025, and includes a severability clause to maintain the validity of the remaining provisions if any part is declared unconstitutional.