01/12/2026
One of the easiest ways CRNAs get tripped up is working in multiple states and assuming payroll handled everything.
Sometimes it did. Sometimes it absolutely did not.
With locums work, mixed W-2 and 1099 income, or an S Corp, state compliance is more than just withholding. Certain states expect registrations, filings, or disclosures that never show up on a paycheck. That is usually discovered the hard way, right around tax season.
I have seen CRNAs work just a handful of shifts in another state and be shocked when letters start showing up months later. Nothing shady. Just rules no one bothered to explain.
If you are bouncing between states, stacking contracts, or planning to expand where you work this year, a little awareness now can save a lot of cleanup later.
I broke it all down here in plain English:
https://onpointcrna.com/multi-state-compliance-crnas/
Disclaimer:
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