Bill > S5212

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, certified registered nurse anesthetists, and certified nurse-midwives, under the Medicare and Medicaid programs. The key provisions of the bill include: - Allowing nurse practitioners, clinical nurse specialists, and physician assistants to prescribe exercise for cardiac and pulmonary rehabilitation programs under Medicare. - Allowing nurse practitioners and physician assistants to satisfy the Medicare documentation requirement for coverage of certain shoes for individuals with diabetes. - Improving the assignment of beneficiaries to accountable care organizations (ACOs) under the Medicare Shared Savings Program to include primary care services provided by APRNs. - Expanding the availability of medical nutrition therapy services under Medicare to include nurse practitioners and clinical nurse specialists. - Allowing applicable providers, including nurse practitioners, to establish home infusion therapy plans under Medicare. - Increasing the role of nurse practitioners in providing hospice care services and certifying patients for post-hospital extended care services under Medicare. - Authorizing nurse practitioners to provide and supervise care in skilled nursing facilities and nursing facilities under Medicare and Medicaid. - Clarifying that certified registered nurse anesthetists can be reimbursed by Medicare for evaluation and management services and revising conditions of payment to allow them to order, certify, and refer services. - Designating certified registered nurse anesthetist services as a required Medicaid benefit. - Improving access to training in maternity care for certified nurse-midwives and expanding their role in providing home health services and durable medical equipment under Medicare. - Revising the local coverage determination process under Medicare to increase transparency and prohibit limitations on APRN qualifications.

Budget and Finance

https://www.congress.gov/bill/117th-congress/senate-bill/5212/all-info