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II
113th CONGRESS
1st Session
S. 382
IN THE SENATE OF THE UNITED STATES
February 26, 2013
Mr. Schumer (for himself
and Mr. Crapo) introduced the following
bill; which was read twice and referred to the
Committee on
Finance
A BILL
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.
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.