[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[S. 466 Introduced in Senate (IS)]

103d CONGRESS
  1st Session
                                 S. 466

 To amend title XIX of the Social Security Act to provide for medicaid 
   coverage of all certified nurse practitioners and clinical nurse 
                         specialists services.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

             February 25 (legislative day, January 5), 1993

Mr. Daschle (for himself and Mr. Inouye) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to provide for medicaid 
   coverage of all certified nurse practitioners and clinical nurse 
                         specialists services.

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

SECTION 1. MEDICAID COVERAGE OF ALL CERTIFIED NURSE PRACTITIONER AND 
              CLINICAL NURSE SPECIALIST SERVICES.

    (a) In General.--Section 1905(a) of the Social Security Act (42 
U.S.C. 1396d(a)) is amended--
            (1) by amending paragraph (21) to read as follows:
            ``(21) services furnished by all certified nurse 
        practitioners (as defined by the Secretary) or clinical nurse 
        specialists (as defined in subsection (t)) which the certified 
        nurse practitioner or clinical nurse specialist is legally 
        authorized to perform under State law (or the State regulatory 
        mechanism provided by State law), whether or not the certified 
        nurse practitioner or clinical nurse specialist is under the 
        supervision of, or associated with, a physician or other health 
        care provider;'';
            (2) in paragraph (24) by striking the comma at the end; and
            (3) by redesignating paragraphs (22), (23), and (24) as 
        paragraphs (24), (22), and (23), respectively, and by 
        transferring and inserting paragraph (24) after paragraph (23), 
        as so redesignated.
    (b) Clinical Nurse Specialist Defined.--Section 1905 of such Act 
(42 U.S.C. 1396) is amended by adding at the end the following new 
subsection:
    ``(t) The term `clinical nurse specialist' means an individual 
who--
            ``(1) is a registered nurse and is licensed to practice 
        nursing in the State in which the clinical nurse specialist 
        services are performed; and
            ``(2)(A) holds a master's degree in a defined clinical area 
        of nursing from an accredited educational institution.''.
    (c) Effective Date.--The amendments made by this section shall 
become effective with respect to payments for calendar quarters 
beginning on or after January 1, 1994.

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