,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #dffc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ae1 #bjad ,mrs4 
,black 7= h]self & ,ms4 ,s*ak[sky7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to p]mit c]ta9   
nurse practition]s1 cl9ical nurse       
speciali/s1 physician assi/ants1 &      
c]tifi$ nurse-midwives to provide c]ta9 
c]tifications ) respect to inpati5t     
hospital s]vices "u ! ,m$ic>e program4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,protect ,pati5t ,access & ,promote   
,hospital ,effici5cy ,act4  #b4 ,p]mitt+
 c]ta9 nurse practition]s1 cl9ical nurse
 speciali/s1 physician assi/ants1 &     
c]tifi$ nurse-midwives to provide c]ta9 
c]tifications ) respect to inpati5t     
hospital s]vices "u ! ,m$ic>e program   
7a7 ,9 g5]al ,section #ahad7;a77#c7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie;f7a77#c77 is am5d$ by ins]t+ 7or1 
9 ! case ( su* inpati5t hospital s]vices

 ord]$ by a nurse practition]1 cl9ical  
nurse speciali/1 physician assi/ant 7z  
su* t]ms are def9$ 9 section            
#ahfa7;aa77#e771 or a c]tifi$           
nurse-midwife 7z su* t]m is def9$ 9     
section #ahfa7;gg77 :o is privileg$ &   
cr$5tial$ at ! hospital at :i* su*      
s]vices are to be furni%$1 ! nurse      
practition]1 cl9ical nurse speciali/1   
physician assi/ant1 or c]tifi$          
nurse-midwife7 aft] a physician4  7b7   
,no effect on ,/ate scope ( practice law
 ,no?+ 9 ?is section1 includ+ ! am5dm5t 
made by ?is section1 %all be con/ru$ z1 
or h ! effect (1 *ang+ any ,/ate scope (
 practice law = any heal? c>e           
pr(essional4