Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2005

        [Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2716 Introduced in House (IH)]

109th CONGRESS
1st Session
H. R. 2716

To amend title XIX of the Social Security Act to improve access to
advanced practice nurses and physician assistants under the Medicaid
Program.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

May 26, 2005

Mr. Olver (for himself, Mr. Boehlert, Mrs. Capps, Mr. LaTourette, Mr.
Towns, Mrs. Johnson of Connecticut, Mr. Waxman, Mrs. Kelly, Ms.
Herseth, Mr. English of Pennsylvania, Mr. Markey, and Mr. Platts)
introduced the following bill; which was referred to the Committee on
Energy and Commerce

_______________________________________________________________________

A BILL

To amend title XIX of the Social Security Act to improve access to
advanced practice nurses and physician assistants under the Medicaid
Program.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Medicaid Advanced Practice Nurses
and Physician Assistants Access Act of 2005''.

SEC. 2. IMPROVED ACCESS TO SERVICES OF ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS UNDER STATE MEDICAID PROGRAMS.

(a) Primary Care Case Management.--Section 1905(t)(2) of the Social
Security Act (42 U.S.C. 1396d(t)(2)) is amended by striking
subparagraph (B) and inserting the following:
``(B) A nurse practitioner (as defined in section
1861(aa)(5)(A)).
``(C) A certified nurse-midwife (as defined in section
1861(gg)).
``(D) A physician assistant (as defined in section
1861(aa)(5)(A)).''.
(b) Fee-for-Service Program.--Section 1905(a)(21) of such Act (42
U.S.C. 1396d(a)(21)) is amended--
(1) by inserting ``(A)'' after ``(21)'';
(2) by striking ``services furnished by a certified
pediatric nurse practitioner or certified family nurse
practitioner (as defined by the Secretary) which the certified
pediatric nurse practitioner or certified family nurse
practitioner'' and inserting ``services furnished by a nurse
practitioner (as defined in section 1861(aa)(5)(A)) or by a
clinical nurse specialist (as defined in section
1861(aa)(5)(B)) which the nurse practitioner or clinical nurse
specialist'';
(3) by striking ``the certified pediatric nurse
practitioner or certified family nurse practitioner'' and
inserting ``the nurse practitioner or clinical nurse
specialist''; and
(4) by inserting before the semicolon at the end the
following: ``and (B) services furnished by a physician
assistant (as defined in section 1861(aa)(5)) with the
supervision of a physician which the physician assistant is
legally authorized to perform under State law''.
(c) Including in Mix of Service Providers Under Medicaid Managed
Care Organizations.--Section 1932(b)(5)(B) of such Act (42 U.S.C.
1396u-2(b)(5)(B)) is amended by inserting ``, with such mix including
nurse practitioners, clinical nurse specialists, physician assistants,
certified nurse midwives, and certified registered nurse anesthetists
(as defined in section 1861(bb)(2))'' after ``services''.
(d) Effective Date.--The amendments made by this section shall
apply to items and services furnished in calendar quarters beginning on
or after 90 days after the date of the enactment of this Act, without
regard to whether or not final regulations to carry out such amendments
have been promulgated by such date.
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