[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 309 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 309

To amend titles XVIII and XIX of the Social Security Act to provide for 
 inclusion of the services of registered professional nurses under the 
                    medicare and medicaid programs.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 5, 1993

 Mr. Quillen introduced the following bill; which was referred jointly 
      to the Committees on Energy and Commerce and Ways and Means

_______________________________________________________________________

                                 A BILL


 
To amend titles XVIII and XIX of the Social Security Act to provide for 
 inclusion of the services of registered professional nurses under the 
                    medicare and medicaid programs.

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

SECTION 1. COVERAGE UNDER MEDICARE PROGRAM.

    Section 1861(s) of the Social Security Act (42 U.S.C. 1395x(s)) is 
amended by inserting immediately before the matter following paragraph 
(14) the following: ``The term `medical and other health services' also 
includes medical care, or any other type of remedial care recognized 
under State law, furnished by registered professional nurses within the 
scope of their practice as defined by State law.''.

SEC. 2. COVERAGE UNDER MEDICAID PROGRAM.

    (a) In General.--Section 1905(a) of the Social Security Act (42 
U.S.C. 1396d(a)), as amended by the Omnibus Budget Reconciliation Act 
of 1990, is amended--
            (1) by striking ``and'' at the end of paragraph (21);
            (2) in paragraph (24), by striking the comma at the end and 
        inserting a semicolon;
            (3) by redesignating paragraphs (22), (23), and (24) as 
        paragraphs (25), (22), and (23), respectively, and by 
        transferring and inserting paragraph (25) after paragraph (23), 
        as so redesignated; and
            (4) by inserting after paragraph (23) the following new 
        paragraph:
            ``(24) medical care, or any other type of remedial care 
        recognized under State law furnished by registered professional 
        nurses within the scope of their practice as defined by State 
        law; and''.
    (b) Conforming Amendments.--(1) Section 1902(a)(10)(A) of such Act 
(42 U.S.C. 1396a(a)(10)(A)) is amended by striking ``(17) and (21)'' 
and inserting ``(17), (21), and (24)''.
    (2) Section 1902(a)(10)(C)(iv)) (42 U.S.C. 1396a(a)(10)(C)(iv)) is 
amended--
            (A) by striking ``(5) and (17)'' and inserting ``(5), (17), 
        and (24)''; and
            (B) by striking ``through (21)'' and inserting ``through 
        (24)''.
    (3) Section 1902(j) (42 U.S.C. 1396a(j)) is amended by striking 
``through (22)'' and inserting ``through (25)''.
    (4) Sections 1916(a)(2)(D) and 1916(b)(2)(D) (42 U.S.C. 
1396o(a)(2)(D), 1396o(b)(2)(D)) are each amended by inserting 
``services described in section 1905(a)(24),'' before ``family planning 
services''.

SEC. 3. EFFECTIVE DATE.

    The amendments made by this Act shall be effective with respect to 
payments under titles XVIII and XIX of the Social Security Act for 
calendar quarters commencing with the first calendar quarter beginning 
after the date of the enactment of this Act.

                                 <all>