,,ii ,calendar ,no4 #gje #aahth         
,,congress  #b;d ,session  ,s4 #aca     
,report ,no4 #aah-bii ,,in ,,the        
,,senate ,,of ,,the ,,united ,,states   
,january #cj1 #bjbc,mr4 ,brown 7for     
himself1 ,ms4 ,collins1 ,mr4            
,whitehouse1 ,ms4 ,warren1 ,mrs4        
,shaheen1 ,mr4 ,sanders1 ,mr4           
,blumenthal1 ,mr4 ,hickenlooper1 and    
,mr4 ,merkley7 introduced the following 
bill2 which was read twice and referred 
to the ,committee on ,homeland ,security
 and ,governmental ,affairs  ,december  
#ag 7legislative day1 ,december #af71   
#bjbd,reported by ,mr4 ,peters1 with an 
amendment,strike out all after the      
enacting clause and insert the part     
printed in italic  ,a ,,bill  ,to amend 
chapter #ha of title #e1 ,united ,states
 ,code1 to cover1 for purposes of       
workers' compensation under such        
chapter1 services by physician          
assistants and nurse practitioners      
provided to injured ,federal workers1   
and for other purposes4  #a4 ,short     

title ,this ,act may be cited as the    
,improving ,access to ,workers'         
,compensation for ,injured ,federal     
,workers ,act of #bjbc4  #b4 ,inclusion 
of physician assistants and nurse       
practitioners in ,federal ,employees'   
,compensation ,act  7a7 ,inclusion      
,section #haja of title #e1 ,united     
,states ,code1 is amended-- 7#a7 in     
paragraph 7#c71 by inserting 1 other    
eligible providers1 after osteopathic   
practitioners2  7#b7 by striking and at 
the end of paragraphs 7#ah7 and 7#ai72  
7#c7 by striking the period at the end  
of paragraph 7#bj7 and inserting 2 and2 
and  7#d7 by adding at the end the      
following3  7#ba7 other eligible        
provider means a nurse practitioner or  
physician assistant within the scope of 
their practice as defined by ,state law4
  4  7b7 ,conforming amendments ,chapter
 #ha of title #e1 ,united ,states ,code1
 is amended-- 7#a7 in section           
#hajc7;a7-- 7,a7 by inserting or other  
eligible provider after physician in    

each instance2 and  7,b7 in paragraph   
7#c71 by inserting or other eligible    
providers after physicians2  7#b7 in    
section #haba7f71 by inserting or other 
eligible provider after physician2 and  
7#c7 in section #habc7;a7-- 7,a7 by     
inserting or other eligible provider    
after ,the employee may have a          
physician2 and  7,b7 by inserting or    
other eligible provider after ,united   
,states and the physician4  7c7         
,regulations ,not later than #f months  
after the date of enactment of this     
,act1 the ,secretary shall finalize     
rules to carry out the amendments made  
by this ,act4  #c4 ,determination of    
budgetary effects ,the budgetary effects
 of this ,act1 for the purpose of       
complying with the ,statutory           
,pay-,as-,you-,go ,act of #bjaj1 shall  
be determined by reference to the latest
 statement titled ,budgetary ,effects of
 ,,paygo ,legislation for this ,act1    
submitted for printing in the           
,congressional ,record by the ,chairman 

of the ,house ,budget ,committee1       
provided that such statement has been   
submitted prior to the vote on passage4 
#a4 ,short title ,this ,act may be cited
 as the ,improving ,access to ,workers' 
,compensation for ,injured ,federal     
,workers ,act4  #b4 ,inclusion of       
physician assistants and nurse          
practitioners in ,federal ,employees'   
,compensation ,act  7a7 ,inclusion      
,section #haja of title #e1 ,united     
,states ,code1 is amended-- 7#a7 in     
paragraph 7#c71 by inserting 1 other    
eligible providers1 after osteopathic   
practitioners2  7#b7 in paragraph 7#ah71
 by striking and at the end2  7#c7 in   
paragraph 7#ai71 by striking and at the 
end2  7#d7 in paragraph 7#bj71 by       
striking the period at the end and      
inserting 2 and2 and  7#e7 by adding at 
the end the following3  7#ba7 other     
eligible provider means a nurse         
practitioner or physician assistant     
within the scope of the practice of that
 individual as defined by ,state law4  4

  7b7 ,conforming amendments ,subchapter
 ,i of chapter #ha of title #e1 ,united 
,states ,code1 is amended-- 7#a7 in     
section #hajc7;a7-- 7,a7 by inserting or
 other eligible provider after physician
 each place that term appears2 and  7,b7
 in paragraph 7#c71 by inserting 7or    
other eligible providers7 after         
physicians2  7#b7 in section #haba7f71  
by inserting or other eligible provider 
after physician2 and  7#c7 in section   
#habc7;a7-- 7,a7 in the second sentence1
 by inserting or other eligible provider
 after ,the employee may have a         
physician2 and  7,b7 in the third       
sentence1 by inserting or other eligible
 provider after ,united ,states and the 
physician4  7c7 ,regulations ,not later 
than #ahj days after the date of        
enactment of this ,act1 the ,secretary  
of ,labor shall finalize rules to carry 
out the amendments made by this ,act4   
,december #ag 7legislative day1         
,december #af71 #bjbd,reported with an  
amendment