In a disappointing turn of events.  PAs lost miserably in the Senate.  The Senate Bill 3184 morphed into a different version which was, in theory, designed to appease the majority but still included major language flaws.  The biggest flaw was that it still excluded PAs as providers able to provide sedation in RI.  Other flaws limited where sedation could be used and who exactly could use it.  Why did the bill pass?  There are several reasons but the most important one is that the CRNAs are a strong vocal group that supports their organization.  What happens now? The bill moves over to the House to be voted on.  Since there is still a House bill 7740 that is different than the Senate bill, the House has to reconcile, merge or harmonize the differences between these two bills and then vote on it.  If the resulting bill is different than the Senate bill then the senate must vote on that bill again before it can go to the Governor.  We are watching this very closely.