S. 575
Introduced in Senate · March 13, 2025February 13, 2025
Mr. Merkley (for himself and Ms. Lummis) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend titles XVIII and XIX of the Social Security Act to increase access to services provided by advanced practice registered nurses under the Medicare and Medicaid programs, and for other purposes.
1. Short title; table of contents; TITLE I—REMOVAL OF BARRIERS TO PRACTICE ON NURSE PRACTITIONERS; 101. Expanding access to cardiac rehabilitation programs and pulmonary rehabilitation programs under Medicare program; 102. Permitting nurse practitioners and physician assistants to satisfy Medicare documentation requirement for coverage of certain shoes for individuals with diabetes; 103. Improvements to the assignment of beneficiaries under the Medicare shared savings program; 104. Expanding the availability of medical nutrition therapy service Medicare program; 105. Preserving access to home infusion therapy; 106. Increasing access to hospice care services; 107. Streamlining care delivery in skilled nursing facilities and nursing facilities; authorizing Medicare and Medicaid inpatient hospital patients to be under the care of a nurse practitioner; 108. Improving access to Medicaid clinic services; TITLE II—REMOVAL OF BARRIERS TO PRACTICE ON CERTIFIED REGISTERED NURSE ANESTHETISTS; 201. Clarifying that certified registered nurse anesthetists can be reimbursed by Medicare for evaluation and management services; 202. Revision of conditions of payment relating to services ordered and referred by certified registered nurse anesthetists; 203. Special payment rule for teaching student registered nurse anesthetists; 204. Removing unnecessary and costly supervision of certified registered nurse anesthetists; 205. CRNA services as a Medicaid-required benefit; TITLE III—REMOVAL OF BARRIERS TO PRACTICE ON CERTIFIED NURSE-MIDWIVES; 301. Improving access to training in maternity care; 302. Improving Medicare patient access to home health services provided by certified nurse-midwives; 303. Improving access to DMEPOS for Medicare beneficiaries; 304. Technical changes to qualifications and conditions with respect to the services of certified nurse-midwives; TITLE IV—IMPROVING FEDERAL HEALTH PROGRAMS FOR ALL ADVANCED PRACTICE REGISTERED NURSES; 401. Revising the local coverage determination process under the Medicare program; 402. Locum tenens; TITLE V—EFFECTIVE DATE; 501. Effective date
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,