The bill proposes the establishment of a new chapter, CHAPTER 54.1, titled "Certified Surgical First Assistants," within Title 5 of the General Laws concerning businesses and professions. This chapter outlines definitions, requirements, and a regulatory framework for the licensure of certified surgical first assistants, who assist in surgeries under the direct supervision of licensed medical professionals.

A board of licensure, consisting of seven members appointed by the governor, will be created to oversee the licensing process, evaluate applicants, and enforce compliance with the chapter's provisions. The board will include two licensed physicians who have actively engaged in the practice of surgery, two representatives of the general public not employed in any health-related field, and three certified surgical first assistants or health care practitioners with at least three years of practice in the state.

The bill specifies the qualifications necessary for licensure, which include completion of recognized training programs or relevant experience, and mandates continuing education for license renewal. Surgical facilities will not be allowed to employ surgical assistants who are not licensed by the board, although exceptions are made for registered nurses and other licensed healthcare providers acting within their scope of practice.

The board will have the authority to investigate unprofessional conduct and recommend disciplinary actions, including the suspension or revocation of licenses. The act is set to take effect on July 1, 2026, allowing time for the establishment of the necessary regulatory framework and processes.