What does Preamble of I CAN Act do?

This bill, formally titled '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,' aims to modify the Social Security Act. The proposed legislation intends to increase access to services provided by advanced practice registered nurses within the Medicare and Medicaid programs.

What does PERMITTING NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS TO of I CAN Act do?

This section amends Section 1861(s)(12) of the Social Security Act. The amendment expands the list of practitioners who can satisfy Medicare documentation requirements for coverage of certain shoes for individuals with diabetes. Specifically, it adds 'nurse practitioner' and 'physician assistant' to the list of covered practitioners.

What does IMPROVEMENTS TO THE ASSIGNMENT OF BENEFICIARIES UNDER THE of I CAN Act do?

This section amends Section 1899(c)(1) of the Social Security Act. Subparagraph (A) of Section 1899(c)(1) is modified by removing the word 'and'. Subparagraph (B) of Section 1899(c)(1) is modified by replacing the period at the end with '; and'. A new subparagraph (C) is added to Section 1899(c)(1), applying to performance years beginning on or after January 1, 2026. The new subparagraph (C) includes primary care services provided by an ACO professional described in subsection (h)(1)(B).

What does EXPANDING THE AVAILABILITY OF MEDICAL NUTRITION THERAPY of I CAN Act do?

This section amends Section 1861(vv)(1) of the Social Security Act. The amendment expands the availability of Medical Nutrition Therapy services within the Medicare program. It allows nurse practitioners, clinical nurse specialists, or physician assistants to provide these services, in addition to current providers.

What does PRESERVING ACCESS TO HOME INFUSION THERAPY. of I CAN Act do?

This section amends the Social Security Act to allow 'applicable providers' rather than just physicians to establish home infusion therapy plans. Specifically, Section 1861(iii)(1)(B) is amended to replace references to 'a physician' with 'an applicable provider'. Section 1834(u)(6) is also amended to replace 'physician' with 'applicable provider (as defined in section 1861(iii)(3)(A))'.

What does INCREASING ACCESS TO HOSPICE CARE SERVICES. of I CAN Act do?

This section amends the Social Security Act to expand the roles of nurse practitioners in hospice care. Specifically, it modifies sections 1814(a)(7)(A) and 1861(dd)(1)(C) to include nurse practitioners alongside physicians in definitions and eligibility criteria. The Secretary of Health and Human Services is directed to revise regulations (section 418.304 of title 42, Code of Federal Regulations) within 90 days of enactment to allow nurse practitioners to bill for services similarly to physicians. Reimbursement for services provided by nurse practitioners will be at the physician fee schedule percentage specified in section 1833(a)(1)(O) of the Social Security Act.

What does STREAMLINING CARE DELIVERY IN SKILLED NURSING FACILITIES AND of I CAN Act do?

This section amends the Social Security Act to expand the roles of nurse practitioners in Medicare and Medicaid inpatient care settings. It modifies various sections related to certification of post-hospital extended care services, allowing nurse practitioners to certify services in accordance with state law. The legislation alters supervision requirements in skilled nursing facilities, replacing 'physician supervision' with 'supervision' and including nurse practitioners. Amendments are made to provisions concerning the administration of Part B and the provision of medical and other health services, explicitly including nurse practitioners. The bill grants privileges to nurse practitioners in specific contexts, aligning their authority with physicians. For Medicaid, the section revises certification authority to include nurse practitioners alongside physicians, and clarifies supervision requirements, allowing for clinical nurse specialists working in collaboration with physicians in certain facilities.

What does IMPROVING ACCESS TO MEDICAID CLINIC SERVICES. of I CAN Act do?

This section amends Section 1905(a)(9) of the Social Security Act. The amendment adds 'or nurse practitioner' after 'physician' in two instances within the specified section.

What does CLARIFYING THAT CERTIFIED REGISTERED NURSE ANESTHETISTS CAN of I CAN Act do?

This section amends Section 1861(bb)(1) of the Social Security Act. The amendment inserts language to clarify that Certified Registered Nurse Anesthetists (CRNAs) can be reimbursed by Medicare for evaluation and management services. Specifically, the amendment adds “including pre-anesthesia evaluation and management services” after “and related care” within the existing statutory language.

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I CAN Act

Q: What does EXPANDING ACCESS TO CARDIAC REHABILITATION PROGRAMS AND of I CAN Act do?

This section amends sections 1861(eee) and 1861(fff) of the Social Security Act. The amendments modify requirements for cardiac rehabilitation programs and pulmonary rehabilitation programs under the Medicare program. Changes expand the types of healthcare professionals who can prescribe exercise for these programs. The definition of 'physician' is referenced as subsection (r)(1). The definition of 'physician assistant, nurse practitioner, or clinical nurse specialist' is referenced as subsection (aa)(5).

Last updated: 2/13/2025 · Introduced: 2/13/2025

Author: Jeff Merkley (D-OR)

TL;DR (AI)

The bill expands access to cardiac and pulmonary rehabilitation programs by allowing nurse practitioners, physician assistants, and clinical nurse specialists to prescribe exercise.
It broadens the types of healthcare professionals, including nurse practitioners and physician assistants, who can satisfy Medicare documentation requirements for diabetic shoe coverage.
The bill modifies Medicare payment rules for Accountable Care Organizations (ACOs) to include primary care services provided by ACO professionals.
It expands the availability of Medical Nutrition Therapy services under Medicare to include nurse practitioners, clinical nurse specialists, and physician assistants.
The bill removes physician supervision requirements for Certified Registered Nurse Anesthetists (CRNAs) in many circumstances, allowing them to provide services independently.

119th Congressin committeeHR. 1317(In Committee)Official page

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Other Sections

Includes provisions on preamble, expanding access to cardiac rehabilitation programs and, and 7 more.

9 sections