,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bhia  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjah,mr4    
,grassley 7= himself1 ,mr4 ,br[n1 & ,mr4
 ,blum5?al7 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,f9ance  ,a ,,bill  ,to am5d title   
,,xi ( ! ,social ,security ,act to      
require applicable manufactur]s to      
include in=mation reg>d+ paym5ts made to
 physician assi/ants1 nurse             
practition]s1 & o!r advance practice    
nurses 9 transp>5cy reports submitt$ "u 
section #aabh;,g ( su* ,act4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,fight+ 
! ,opioid ,epidemic ) ,sun%9e ,act (    
#bjah4  #b4 ,improvem5ts to transp>5cy  
reports  7a7 ,inclusion ( in=mation     
reg>d+ paym5ts to advance practice      
nurses  7#a7 ,9 g5]al ,section          
#aabh;,g7e77#f7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acbj;a-#g;h7e77#f77
 is am5d$-- 7,a7 9 subp>agraph 7,a71 by 
add+ at ! end ! foll[+ new clauses3     
7iii7 ,a physician assi/ant1 nurse      

practition]1 or cl9ical nurse speciali/ 
7z su* t]ms are def9$ 9 section         
#ahfa7;aa77#e774  7iv7 ,a c]tifi$       
regi/]$ nurse ane/heti/ 7z def9$ 9      
section #ahfa7;bb77#b774  7v7 ,a c]tifi$
 nurse-midwife 7z def9$ 9 section       
#ahfa7;gg77#b774  2 &  7,b7 9           
subp>agraph 7,b71 by ins]t+ 1 physician 
assi/ant1 nurse practition]1 cl9ical    
nurse speciali/1 c]tifi$ nurse          
ane/heti/1 or c]tifi$ nurse-midwife aft]
 physician4  7#b7 ,effective date ,!    
am5dm5ts made by ?is subsection %all    
apply ) respect to in=mation requir$ to 
be submitt$ "u section #aabh;,g ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;a-#g;h7 on or aft] ,janu>y #a1    
#bjbj4  7b7 ,sunset ( exclusion (       
,national ,provid] ,id5tifi] ( cov]$    
recipi5t 9 in=mation made publicly      
available ,section                      
#aabh;,g7c77#a77;,c77viii7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;h7c77#a77;,c77viii77 is am5d$
 by /rik+ does n conta9 & ins]t+ 9 !    

case ( in=mation made available "u ?is  
subp>agraph prior to ,janu>y #a1 #bjbj1 
does n conta94  7c7 ,adm9i/ration ,*apt]
 #ce ( title #dd1 ,unit$ ,/ates ,code1  
%all n apply to ?is section or !        
am5dm5ts made by ?is section4