Bill > HR2713

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, certified registered nurse anesthetists, 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, allowing APRNs to prescribe exercise and provide services. 2. Permitting nurse practitioners to satisfy Medicare documentation requirements 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 APRNs. 5. Allowing APRNs to establish home infusion therapy plans and provide hospice care services. 6. Streamlining care delivery in skilled nursing facilities and nursing facilities by authorizing APRNs to provide certain services. 7. Improving access to Medicaid clinic services by adding nurse practitioners. 8. Clarifying that certified registered nurse anesthetists can be reimbursed by Medicare for evaluation and management services, and removing unnecessary supervision requirements. 9. Requiring Medicaid to cover certified registered nurse anesthetist services and provide payment at the same rates as Medicare. 10. Improving access to maternity care services provided by certified nurse-midwives under Medicare and Medicaid. 11. Revising the local coverage determination process under the Medicare program to increase transparency and prohibit limitations on practitioner qualifications. The bill aims to enhance the role of APRNs in the healthcare system, increasing patient access to their services and reducing unnecessary barriers.