Bill > HR8812

This bill, the Improving Care and Access to Nurses Act (I CAN Act), aims to increase access to services provided by advanced practice registered nurses (APRNs), including nurse practitioners, clinical nurse specialists, and certified nurse-midwives, under the Medicare and Medicaid programs. The key provisions of the bill include: 1. Expanding access to cardiac and pulmonary rehabilitation programs by allowing nurse practitioners, clinical nurse specialists, and physician assistants to prescribe exercise. 2. Allowing nurse practitioners and physician assistants to satisfy the Medicare documentation requirement for coverage of certain shoes for individuals with diabetes. 3. Improving the assignment of beneficiaries under the Medicare Shared Savings Program to include primary care services provided by APRNs. 4. Expanding the availability of medical nutrition therapy services under Medicare to include nurse practitioners and clinical nurse specialists. 5. Allowing applicable providers, including nurse practitioners, to establish home infusion therapy plans and authorizing Medicare and Medicaid inpatient hospital patients to be under the care of a nurse practitioner. 6. Clarifying that certified registered nurse anesthetists (CRNAs) can be reimbursed by Medicare for evaluation and management services, and revising conditions of payment to authorize CRNAs to order, certify, and refer services. 7. Removing unnecessary supervision requirements for CRNAs and establishing CRNA services as a Medicaid-required benefit. 8. Improving access to maternity care by allowing certified nurse-midwife services to be supervised by interns or residents-in-training and clarifying the permissibility of using certain grants for clinical training by certified nurse-midwives. 9. Improving Medicare patient access to home health services and durable medical equipment provided by certified nurse-midwives. 10. Revising the local coverage determination process under the Medicare program to increase transparency and prohibit the imposition of practitioner qualifications.

Business and Industry, Health and Social Services

https://www.congress.gov/bill/117th-congress/house-bill/8812/all-info