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<bill bill-stage="Introduced-in-Senate" public-private="public">
	<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>113 S382 IS: 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.</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2013-02-26</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>113th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 382</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20130226">February 26, 2013</action-date>
			<action-desc><sponsor name-id="S270">Mr. Schumer</sponsor> (for himself
			 and <cosponsor name-id="S266">Mr. Crapo</cosponsor>) introduced the following
			 bill; which was read twice and referred to the
			 <committee-name committee-id="SSFI00">Committee on
			 Finance</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>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.</official-title>
	</form>
	<legis-body>
		<section id="idA0DBB05DD7F541589847CB2F054F6AB7" section-type="section-one"><enum>1.</enum><header>Allowing physician
			 assistants, nurse practitioners, and clinical nurse specialists to supervise
			 cardiac, intensive cardiac, and pulmonary rehabilitation programs</header>
			<subsection id="id962697947BF64F14A0553FB57A99113E"><enum>(a)</enum><header>Cardiac and
			 intensive cardiac rehabilitation programs</header><text>Section 1861(eee) of
			 the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(eee)</external-xref>) is amended—</text>
				<paragraph id="id52EBF01AA1334DAEBD0B0B6E8B440DD8"><enum>(1)</enum><text>in paragraph
			 (1)—</text>
					<subparagraph id="id5920D4D23064424C9DAAA4A35B1BBE20"><enum>(A)</enum><text>by striking
			 <quote>physician-supervised</quote>; and</text>
					</subparagraph><subparagraph id="id727B2E7E45F343BAB9307C5DEF71926C"><enum>(B)</enum><text>by inserting
			 <quote>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))</quote> before the period at the
			 end;</text>
					</subparagraph></paragraph><paragraph id="id26A7A6423AD14907950A8EC7FA1DA439"><enum>(2)</enum><text>in paragraph
			 (2)—</text>
					<subparagraph id="id974A8AFBF8C941608A40AF1620AF2F55"><enum>(A)</enum><text>in subparagraph
			 (A)(iii), by striking the period at the end and inserting a semicolon;
			 and</text>
					</subparagraph><subparagraph id="idE26E7631484F44EF94ECFE9688FD6853"><enum>(B)</enum><text>in subparagraph
			 (B), by striking <quote>a physician</quote> and inserting <quote>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))</quote>; and</text>
					</subparagraph></paragraph><paragraph id="idB822AC497B4143718396D41FB0C9D758"><enum>(3)</enum><text>in paragraph
			 (4)(A), in the matter preceding clause (i)—</text>
					<subparagraph id="idA37619B0919D4147B97C71CC2C208CB8"><enum>(A)</enum><text>by striking
			 <quote>physician-supervised</quote>; and</text>
					</subparagraph><subparagraph id="id9A93BBC957B640B4B36729CFC260AA07"><enum>(B)</enum><text>by inserting
			 <quote>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))</quote> after <quote>paragraph
			 (3)</quote>.</text>
					</subparagraph></paragraph></subsection><subsection id="id5592D4F7645D49EDB9DD7F82CD13664B"><enum>(b)</enum><header>Pulmonary
			 rehabilitation programs</header><text>Section 1861(fff)(1) of the Social
			 Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(fff)(1)</external-xref>) is amended—</text>
				<paragraph id="idC9BC422EE7D0405B844A658E470EB1D9"><enum>(1)</enum><text>by striking
			 <quote>physician-supervised</quote>; and</text>
				</paragraph><paragraph id="idD5BC13F85D154B78B75B5CE48CF112B6"><enum>(2)</enum><text>by inserting
			 <quote>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))</quote> before the period at the
			 end.</text>
				</paragraph></subsection><subsection id="idA25368FBE2F44625B138249A12B32C18"><enum>(c)</enum><header>Effective
			 date</header><text>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.</text>
			</subsection></section></legis-body>
</bill>


