[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2295 Introduced in House (IH)]






108th CONGRESS
  1st Session
                                H. R. 2295

  To amend title XIX of the Social Security Act to improve access to 
          advanced practice nurses under the Medicaid Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 2, 2003

 Mr. Olver (for himself, Mr. Meehan, Mr. Towns, Mr. Markey, Mr. Lynch, 
  Ms. Norton, Mr. Frost, Mr. Frank of Massachusetts, Mr. Capuano, Mr. 
 Hinchey, Mr. Serrano, and Mr. Kildee) introduced the following bill; 
       which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To amend title XIX of the Social Security Act to improve access to 
          advanced practice nurses under the Medicaid Program.

    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 ``Medicaid Nursing Incentive Act of 
2003''.

SEC. 2. IMPROVED ACCESS TO SERVICES OF ADVANCED PRACTICE NURSES UNDER 
              STATE MEDICAID PROGRAMS.

    (a) Primary Care Case Management.--Section 1905(t)(2) of the Social 
Security Act (42 U.S.C. 1396d(t)(2)) is amended by striking 
subparagraph (B) and inserting the following:
            ``(B) A nurse practitioner.
            ``(C) A certified nurse-midwife (as defined in section 
        1861(gg)).
            ``(D) A physician assistant (as defined in section 
        1861(aa)(5)).''.
    (b) Fee-For-Service Program.--Section 1905(a)(21) of such Act (42 
U.S.C. 1396d(a)(21)) is amended--
            (1) by striking ``services furnished by a certified 
        pediatric nurse practitioner or certified family nurse 
        practitioner (as defined by the Secretary) which the certified 
        pediatric nurse practitioner or certified family nurse 
        practitioner'' and inserting ``services furnished by a 
        certified nurse practitioner (as defined by the Secretary) or a 
        clinical nurse specialist (as defined in section 
        1861(aa)(5)(B)) which the practitioner or specialist''; and
            (2) by striking ``certified pediatric nurse practitioner or 
        certified family nurse practitioner'' and inserting 
        ``practitioner or specialist''.
    (c) Including in Mix of Service Providers Under Medicaid Managed 
Care Organizations.--Section 1932(b)(5)(B) of such Act (42 U.S.C. 
1396u-2(b)(5)(B)) is amended by inserting ``, with such mix including 
certified nurse practitioners and clinical nurse specialists'' after 
``services''.
    (d) Effective Date.--The amendments made by this section shall 
apply to items and services furnished in calendar quarters beginning on 
or after 90 days after the date of the enactment of this Act, without 
regard to whether or not final regulations to carry out such amendments 
have been promulgated by such date.
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