,,ii  #aacth ,,congress  #ast ,session  
,s4 #chb  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #bf1 #bjac
 ,mr4 ,schumer 7for himself and ,mr4    
,crapo7 introduced the following bill2  
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       
assistants1 nurse practitioners1 and    
clinical nurse specialists to supervise 
cardiac1 intensive cardiac1 and         
pulmonary rehabilitation programs4  #a4 
,allowing physician assistants1 nurse   
practitioners1 and clinical nurse       
specialists to supervise cardiac1       
intensive cardiac1 and pulmonary        
rehabilitation programs  7a7 ,cardiac   
and intensive cardiac rehabilitation    
programs ,section #ahfa7;eee7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7eee77 is amended--  7#a7 in      
paragraph 7#a7--  7,a7 by striking      
physician-supervised2 and  7,b7 by      
inserting under the supervision of a    

physician 7as defined in subsection     
7r77#a77 or a physician assistant1 nurse
 practitioner1 or clinical nurse        
specialist 7as those terms are defined  
in subsection 7aa77#e77 before the      
period at the end2  7#b7 in paragraph   
7#b7--  7,a7 in subparagraph 7,a77iii71 
by striking the period at the end and   
inserting a semicolon2 and  7,b7 in     
subparagraph 7,b71 by striking a        
physician and inserting a physician 7as 
defined in subsection 7r77#a77 or a     
physician assistant1 nurse practitioner1
 or clinical nurse specialist 7as those 
terms are defined in subsection         
7aa77#e772 and  7#c7 in paragraph       
7#d77;,a71 in the matter preceding      
clause 7i7--  7,a7 by striking          
physician-supervised2 and  7,b7 by      
inserting under the supervision of a    
physician 7as defined in subsection     
7r77#a77 or a physician assistant1 nurse
 practitioner1 or clinical nurse        
specialist 7as those terms are defined  
in subsection 7aa77#e77 after paragraph 

7#c74  7b7 ,pulmonary rehabilitation    
programs ,section #ahfa7;fff77#a7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciex7fff77#a77 is amended--  7#a7 by  
striking physician-supervised2 and  7#b7
 by inserting under the supervision of a
 physician 7as defined in subsection    
7r77#a77 or a physician assistant1 nurse
 practitioner1 or clinical nurse        
specialist 7as those terms are defined  
in subsection 7aa77#e77 before the      
period at the end4  7c7 ,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 ,act4