US Codex
Bill
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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.

S. 488 · 114th Congress · Feb 12, 2015 · Lineage

A BILL

Section 1 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.