[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 1361 Introduced in Senate (IS)]

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115th CONGRESS
  1st Session
                                S. 1361

  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.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 15, 2017

Mr. Crapo (for himself, Ms. Klobuchar, and Ms. Stabenow) introduced the 
 following bill; which was read twice and referred to the Committee on 
                                Finance

_______________________________________________________________________

                                 A BILL


 
  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.

    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 ``Improving Access to Cardiac and 
Pulmonary Rehabilitation Act of 2017''.

SEC. 2. ALLOWING PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND 
              CLINICAL NURSE SPECIALISTS TO SUPERVISE CARDIAC, 
              INTENSIVE CARDIAC, AND PULMONARY REHABILITATION PROGRAMS.

    (a) Cardiac and Intensive Cardiac Rehabilitation Programs.--Section 
1861(eee) of the Social Security Act (42 U.S.C. 1395x(eee)) is 
amended--
            (1) in paragraph (1)--
                    (A) by striking ``physician-supervised''; and
                    (B) by inserting ``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))'' before the period at the end;
            (2) in paragraph (2)--
                    (A) in subparagraph (A)(iii), by striking the 
                period at the end and inserting a semicolon; and
                    (B) in subparagraph (B), by striking ``a 
                physician'' and inserting ``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))''; and
            (3) in paragraph (4)(A), in the matter preceding clause 
        (i)--
                    (A) by striking ``physician-supervised''; and
                    (B) by inserting ``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))'' after ``paragraph (3)''.
    (b) Pulmonary Rehabilitation Programs.--Section 1861(fff)(1) of the 
Social Security Act (42 U.S.C. 1395x(fff)(1)) is amended--
            (1) by striking ``physician-supervised''; and
            (2) by inserting ``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))'' before the period at the end.
    (c) Effective Date.--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.
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