Bill > S575

This bill, known as the "Improving Care and Access to Nurses Act" (I CAN Act), aims to expand the roles and capabilities of advanced practice registered nurses (APRNs) in Medicare and Medicaid programs. The bill makes numerous changes across several key areas: for nurse practitioners, it expands their ability to provide and certify various medical services, including cardiac and pulmonary rehabilitation, home health services, and hospice care; for certified registered nurse anesthetists, it clarifies reimbursement rules and removes unnecessary physician supervision requirements; and for certified nurse-midwives, it improves access to training and expands their ability to provide home health and other medical services. Additionally, the bill includes provisions to revise the local coverage determination process for Medicare and allow for more flexible billing and practice arrangements. The changes are designed to increase healthcare access, reduce administrative barriers, and recognize the expanded capabilities of advanced practice nurses across different medical settings. The bill will apply to services furnished 90 days after its enactment, with the Secretary of Health and Human Services authorized to implement the changes through interim rules if necessary.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/575/all-info