1.This Act may be cited as the
Home Health Care Planning Improvement
Act of 2007
.
2.Improving care planning for Medicare home
health services
(a)Section 1814(a)(2) of the Social Security
Act (42 U.S.C. 1395f(a)(2)), in the matter preceding subparagraph (A), is
amended—
(1)by inserting (as those terms are
defined in section 1861(aa)(5))
after clinical nurse
specialist
; and
(2)by inserting , or in the case of
services described in subparagraph (C), a physician, or a nurse practitioner or
clinical nurse specialist who is working in collaboration with a physician in
accordance with State law, or a certified nurse-midwife (as defined in section
1861(gg)) as authorized by State law, or a physician assistant (as defined in
section 1861(aa)(5)) under the supervision of a physician
after
collaboration with a physician
.
(b)(1)Section 1814(a) of the Social Security Act
(42 U.S.C. 1395f(a)) is amended—
(A)in
paragraph (2)(C), by inserting , a nurse practitioner, a clinical nurse
specialist, a certified nurse-midwife, or a physician assistant (as the case
may be)
after physician
each place it appears;
(B)in
the second sentence, by striking or clinical nurse specialist
and inserting clinical nurse specialist, certified nurse-midwife, or
physician assistant
;
(C)in
the third sentence—
(i)by striking physician
certification
and inserting certification
;
(ii)by inserting (or on January 1, 2008,
in the case of regulations to implement the amendments made by section 2 of the
Home Health Care Planning Improvement Act of
2007)
after 1981
; and
(iii)by striking a physician who
and inserting a physician, nurse practitioner, clinical nurse
specialist, certified nurse-midwife, or physician assistant who
;
and
(D)in
the fourth sentence, by inserting , nurse practitioner, clinical nurse
specialist, certified nurse-midwife, or physician assistant
after
physician
.
(2)Section 1835(a) of the Social Security Act
(42 U.S.C. 1395n(a)) is amended—
(A)in
paragraph (2)—
(i)in the matter preceding subparagraph (A),
by inserting or, in the case of services described in subparagraph (A),
a physician, or a nurse practitioner or clinical nurse specialist (as those
terms are defined in 1861(aa)(5)) who is working in collaboration with a
physician in accordance with State law, or a certified nurse-midwife (as
defined in section 1861(gg)) as authorized by State law, or a physician
assistant (as defined in section 1861(aa)(5)) under the supervision of a
physician
after a physician
; and
(ii)in each of clauses (ii) and (iii) of
subparagraph (A) by inserting , a nurse practitioner, a clinical nurse
specialist, a certified nurse-midwife, or a physician assistant (as the case
may be)
after physician
;
(B)in
the third sentence, by inserting , nurse practitioner, clinical nurse
specialist, certified nurse-midwife, or physician assistant (as the case may
be)
after physician;
(C)in
the fourth sentence—
(i)by striking physician
certification
and inserting certification
;
(ii)by inserting (or on January 1, 2008,
in the case of regulations to implement the amendments made by section 2 of the
Home Health Care Planning Improvement Act of
2007)
after 1981
; and
(iii)by striking a physician who
and inserting a physician, nurse practitioner, clinical nurse
specialist, certified nurse-midwife, or physician assistant who
;
and
(D)in
the fifth sentence, by inserting , nurse practitioner, clinical nurse
specialist, certified nurse-midwife, or physician assistant
after
physician
.
(3)Section 1861 of the Social Security Act (42
U.S.C. 1395x) is amended—
(A)in
subsection (m)—
(i)in the matter preceding paragraph
(1)—
(I)by inserting a nurse practitioner or
a clinical nurse specialist (as those terms are defined in subsection (aa)(5)),
a certified nurse-midwife (as defined in section 1861(gg)), or a physician
assistant (as defined in subsection (aa)(5))
after
physician
the first place it appears; and
(II)by inserting a nurse practitioner, a
clinical nurse specialist, a certified nurse-midwife, or a physician
assistant
after physician
the second place it appears;
and
(ii)in paragraph (3), by inserting a
nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or
a physician assistant
after physician
; and
(B)in
subsection (o)(2)—
(i)by inserting , nurse practitioners
or clinical nurse specialists (as those terms are defined in subsection
(aa)(5)), certified nurse-midwives (as defined in section 1861(gg)), or
physician assistants (as defined in subsection (aa)(5))
after
physicians
; and
(ii)by inserting , nurse practitioner,
clinical nurse specialist, certified nurse-midwife, physician
assistant,
after physician
.
(4)Section 1895 of the Social Security Act (42
U.S.C. 1395fff) is amended—
(A)in
subsection (c)(1), by inserting , the nurse practitioner or clinical
nurse specialist (as those terms are defined in section 1861(aa)(5)), the
certified nurse-midwife (as defined in section 1861(gg)), or the physician
assistant (as defined in section 1861(aa)(5)),
after
physician
; and
(B)in
subsection (e)—
(i)in paragraph (1)(A), by inserting ,
a nurse practitioner or clinical nurse specialist (as those terms are defined
in section 1861(aa)(5)), a certified nurse-midwife (as defined in section
1861(gg)), or a physician assistant (as defined in section 1861(aa)(5))
after physician
; and
(ii)in paragraph (2)—
(I)in the heading, by striking
Physician
certification
and inserting Rule of construction regarding requirement for
certification
; and
(II)by striking
physician
.
(c)The amendments made by
this section shall apply to items and services furnished on or after January 1,
2008.