,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #ciaa  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bc1 #bjai,mr4 
,lewis 7for himself and ,mr4 ,smith of  
,nebraska7 introduced the following     
bill2 which was referred to the         
,committee on ,energy and ,commerce1 and
 in addition to the ,committee on ,ways 
and ,means1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act and the      
,bipartisan ,budget ,act of #bjah to    
expand and expedite access to cardiac   
rehabilitation programs and pulmonary   
rehabilitation programs under the       
,medicare program1 and for other        
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,increasing ,access 
to ,quality ,cardiac ,rehabilitation    
,care ,act of #bjai4  #b4 ,expanding    
access to cardiac rehabilitation        

programs and pulmonary rehabilitation   
programs under ,medicare program  7a7   
,cardiac rehabilitation programs        
,section #ahfa7;eee7 of the ,social     
,security ,act 7#db ,u4,s4,c4           
#aciex7eee77 is amended--  7#a7 in      
paragraph 7#b7-- 7,a7 in subparagraph   
7,a77i71 by striking a physician's      
office and inserting the office of a    
physician 7as defined in subsection     
7r77#a77 or the office of a physician   
assistant1 nurse practitioner1 or       
clinical nurse specialist 7as those     
terms are defined in subsection         
7aa77#e772 and  7,b7 in subparagraph    
7,c71 by inserting after physician the  
following3 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  7#b7 in       
paragraph 7#c77;,a71 by striking        
physician-prescribed exercise and       
inserting exercise prescribed by 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#e71 by inserting after      
physician the following3 7as defined in 
subsection 7r77#a77 or a physician      
assistant1 nurse practitioner1 or       
clinical nurse specialist 7as those     
terms are defined in subsection         
7aa77#e774  7b7 ,pulmonary              
rehabilitation programs ,section        
#ahfa7;fff7 of the ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7fff77 is     
amended-- 7#a7 in paragraph 7#b77;,a71  
by striking physician-prescribed        
exercise and inserting exercise         
prescribed by 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#b7 in paragraph 7#c71 
by inserting after physician the        
following3 7as defined in subsection    

7r77#a77 or a physician assistant1 nurse
 practitioner1 or clinical nurse        
specialist 7as those terms are defined  
in subsection 7aa77#e774  7c7 ,effective
 date ,the amendments made by this      
section shall apply with respect to     
items and services furnished on or after
 ,january #a1 #bjbj4  #c4 ,expediting   
access to cardiac rehabilitation        
programs and pulmonary rehabilitation   
programs under ,medicare program        
,section #eajjh7;c7 of the ,bipartisan  
,budget ,act of #bjah 7,public ,law     
#aae-abc2 #db ,u4,s4,c4 #aciex note7 is 
amended by striking ,january #a1 #bjbd  
and inserting ,january #a1 #bjbj4