,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #bihf  ,,in ,,the ,,house ,,of  
,,representatives  ,august #b1 #bjac    
,ms4 ,bonamici 7for herself and ,mr4    
,jones7 introduced the following bill2  
which was referred to the ,committee on 
,energy and ,commerce  ,a ,,bill  ,to   
amend title ,,xix of the ,social        
,security ,act to extend the temporary  
,medicare payment rate floor for primary
 care services of primary care          
physicians to nurse practitioners1      
clinical nurse specialists1 physician   
assistants1 and certified nurse-midwives
 under the ,medicaid program1 and for   
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,protecting    
,access to ,primary ,care ,act4  #b4    
,extension of temporary ,medicare       
payment rate floor to primary care      
services furnished by health care       
practitioners under ,medicaid  7a7 ,in  
general ,section #aijb7;a77#ac77;,c7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7a77#ac77;,c77 is      

amended--  7#a7 by inserting or a health
 care practitioner who is a nurse       
practitioner1 physician assistant1 or   
clinical nurse specialist 7as such terms
 are defined in section #ahfa7;aa77#e77 
or a certified nurse midwife 7as defined
 in section #ahfa7;gg77#b77 after       
pediatric medicine2 and  7#b7 by        
striking such services and physician and
 inserting such services and physician  
or health care practitioner4  7b7       
,effective date ,the amendments made by 
subsection 7a7 shall apply to items and 
services furnished on or after the first
 day of the first calendar quarter that 
begins after the date of the enactment  
of this ,act4