Text: S.1361 — 115th Congress (2017-2018)All Information (Except Text)

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Introduced in Senate (06/15/2017)


115th CONGRESS
1st Session
S. 1361


To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.


IN THE SENATE OF THE UNITED STATES

June 15, 2017

Mr. Crapo (for himself, Ms. Klobuchar, and Ms. Stabenow) introduced the following bill; which was read twice and referred to the Committee on Finance


A BILL

To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017”.

SEC. 2. Allowing physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.

(a) Cardiac and intensive cardiac rehabilitation programs.—Section 1861(eee) of the Social Security Act (42 U.S.C. 1395x(eee)) is amended—

(1) in paragraph (1)—

(A) by striking “physician-supervised”; and

(B) by inserting “under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5))” before the period at the end;

(2) in paragraph (2)—

(A) in subparagraph (A)(iii), by striking the period at the end and inserting a semicolon; and

(B) in subparagraph (B), by striking “a physician” and inserting “a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5))”; and

(3) in paragraph (4)(A), in the matter preceding clause (i)—

(A) by striking “physician-supervised”; and

(B) by inserting “under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5))” after “paragraph (3)”.

(b) Pulmonary rehabilitation programs.—Section 1861(fff)(1) of the Social Security Act (42 U.S.C. 1395x(fff)(1)) is amended—

(1) by striking “physician-supervised”; and

(2) by inserting “under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5))” before the period at the end.

(c) Effective date.—The amendments made by this section shall apply to items and services furnished on or after the date that is one year after the date of the enactment of this Act.