,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bihf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #b1 #bjac ,ms4 
,bonamici 7= h]self & ,mr4 ,jones7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to ext5d ! tempor>y     
,m$ic>e paym5t rate floor = prim>y c>e  
s]vices ( prim>y c>e physicians to nurse
 practition]s1 cl9ical nurse speciali/s1
 physician assi/ants1 & c]tifi$         
nurse-midwives "u ! ,m$icaid program1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,protect+ ,access  
to ,prim>y ,c>e ,act4  #b4 ,ext5sion (  
tempor>y ,m$ic>e paym5t rate floor to   
prim>y c>e s]vices furni%$ by heal? c>e 
practition]s "u ,m$icaid  7a7 ,9 g5]al  
,section #aijb7;a77#ac77;,c7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;a7a77#ac77;,c77 is am5d$--  7#a7  
by ins]t+ or a heal? c>e practition] :o 
is a nurse practition]1 physician       
assi/ant1 or cl9ical nurse speciali/ 7z 

su* t]ms are def9$ 9 section            
#ahfa7;aa77#e77 or a c]tifi$ nurse      
midwife 7z def9$ 9 section              
#ahfa7;gg77#b77 aft] p$iatric m$ic9e2 & 
7#b7 by /rik+ su* s]vices & physician & 
ins]t+ su* s]vices & physician or heal? 
c>e practition]4  7b7 ,effective date ,!
 am5dm5ts made by subsection 7a7 %all   
apply to items & s]vices furni%$ on or  
aft] ! fir/ day ( ! fir/ cal5d> qu>t] t 
beg9s aft] ! date ( ! enactm5t ( ?is    
,act4