United States HR 1317: I CAN Act

Bill Text

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119TH CONGRESS
1ST SESSION H. R. 1317
To amend titles XVIII and XIX of the Social Security Act to increase
access to services provided by advanced practice registered nurses under
the Medicare and Medicaid programs, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 13, 2025
Mr. JOYCE of Ohio (for himself, Ms. BONAMICI, Mrs. KIGGANS of Virginia,
Ms. UNDERWOOD, and Mr. ROGERS of Alabama) introduced the following
bill; which was referred to the Committee on Energy and Commerce, and
in addition to the Committee on Ways and Means, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of
such provisions as fall within the jurisdiction of the committee concerned
A BILL
To amend titles XVIII and XIX of the Social Security Act
to increase access to services provided by advanced prac-
tice registered nurses under the Medicare and Medicaid
programs, and for other purposes.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 3
(a) SHORT TITLE.—This Act may be cited as the 4
‘‘Improving Care and Access to Nurses Act’’ or the ‘‘I 5
CAN Act’’. 6
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(b) TABLE OF CONTENTS.—The table of contents of 1
this Act is as follows: 2
Sec. 1. Short title; table of contents.
TITLE I—REMOVAL OF BARRIERS TO PRACTICE ON NURSE
PRACTITIONERS
Sec. 101. Expanding access to cardiac rehabilitation programs and pulmonary
rehabilitation programs under Medicare program.
Sec. 102. Permitting nurse practitioners and physician assistants to satisfy
Medicare documentation requirement for coverage of certain
shoes for individuals with diabetes.
Sec. 103. Improvements to the assignment of beneficiaries under the Medicare
shared savings program.
Sec. 104. Expanding the availability of medical nutrition therapy service Medi-
care program.
Sec. 105. Preserving access to home infusion therapy.
Sec. 106. Increasing access to hospice care services.
Sec. 107. Streamlining care delivery in skilled nursing facilities and nursing fa-
cilities; authorizing Medicare and Medicaid inpatient hospital
patients to be under the care of a nurse practitioner.
Sec. 108. Improving access to Medicaid clinic services.
TITLE II—REMOVAL OF BARRIERS TO PRACTICE ON CERTIFIED
REGISTERED NURSE ANESTHETISTS
Sec. 201. Clarifying that certified registered nurse anesthetists can be reim-
bursed by Medicare for evaluation and management services.
Sec. 202. Revision of conditions of payment relating to services ordered and re-
ferred by certified registered nurse anesthetists.
Sec. 203. Special payment rule for teaching student registered nurse anes-
thetists.
Sec. 204. Removing unnecessary and costly supervision of certified registered
nurse anesthetists.
Sec. 205. CRNA services as a Medicaid-required benefit.
TITLE III—REMOVAL OF BARRIERS TO PRACTICE ON CERTIFIED
NURSE-MIDWIVES
Sec. 301. Improving access to training in maternity care.
Sec. 302. Improving Medicare patient access to home health services provided
by certified nurse-midwives.
Sec. 303. Improving access to DMEPOS for Medicare beneficiaries.
Sec. 304. Technical changes to qualifications and conditions with respect to the
services of certified nurse-midwives.
TITLE IV—IMPROVING FEDERAL HEALTH PROGRAMS FOR ALL
ADVANCED PRACTICE REGISTERED NURSES
Sec. 401. Revising the local coverage determination process under the Medicare
program.
Sec. 402. Locum tenens.
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TITLE V—EFFECTIVE DATE
Sec. 501. Effective date.
TITLE I—REMOVAL OF BAR-1
RIERS TO PRACTICE ON 2
NURSE PRACTITIONERS 3
SEC. 101. EXPANDING ACCESS TO CARDIAC REHABILITA-4
TION PROGRAMS AND PULMONARY REHA-5
BILITATION PROGRAMS UNDER MEDICARE 6
PROGRAM. 7
(a) CARDIAC REHABILITATION PROGRAMS.—Section 8
1861(eee) of the Social Security Act (42 U.S.C. 9
1395x(eee)) is amended— 10
(1) in paragraph (2)— 11
(A) in subparagraph (A)(i), by striking ‘‘a 12
physician’s office’’ and inserting ‘‘the office set-13
ting’’; and 14
(B) in subparagraph (C), by inserting after 15
‘‘physician’’ the following: ‘‘(as defined in sub-16
section (r)(1)) or a physician assistant, nurse 17
practitioner, or clinical nurse specialist (as 18
those terms are defined in subsection (aa)(5))’’; 19
(2) in paragraph (3)(A), by striking ‘‘physician- 20
prescribed exercise’’ and inserting ‘‘exercise pre-21
scribed by a physician (as defined in subsection 22
(r)(1)) or a physician assistant, nurse practitioner, 23
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or clinical nurse specialist (as those terms are de-1
fined in sub