H.3451 would allow a supervising anesthesiologist to supervise up to 4 anesthesiologist assistants instead of the 2 currently permitted by state law. Permitting anesthesiologists to supervise an increased number of assistants will allow them to become more productive and will raise the effective cap on anesthesiologist assistants dictated by the number of licensed practicing anesthesiologists. Both of these changes will increase the supply of anesthesiologist services. And an increase in supply of a good or service will necessarily bring down the price/cost of that good or service. Allowing anesthesiologist to supervise more assistants would be another market oriented reform to decrease healthcare costs.