S. 1515Senate109th Congress (2005-2007)In Committee

Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2005

Introduced July 27, 2005

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S9186)

July 27, 2005

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SenateIntro Referral

Introduced in Senate

July 27, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S9186)

July 27, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S9186)

July 27, 2005

Floor Debate

10 members

What members said about S. 1515 on the floor

4 Republicans5 Democrats1 Independent
John McCain
Sen. John McCainR-AZ · Jul 27, 2005

Mr. President, once again, I am proud to join my friend Senator Feingold as a co-sponsor of legislation that will require Senate candidates to file campaign finance reports in electronic form. This…

Paul S. Sarbanes
Sen. Paul S. SarbanesD-MD · Jul 27, 2005

Mr. President, today I am once again introducing legislation together with Senators Mikulski, Biden, Clinton, Murkowski, Murray, Wyden, Lautenberg, Schumer, and Durbin which would grant a Federal…

George V. Voinovich
Sen. George V. VoinovichR-OH · Jul 27, 2005

Mr. President, I rise today to introduce legislation with Senator DeWine which will close a loophole in the Indian Gaming Regulatory Act (IGRA). By clarifying this statute, a State's right to prevent…

James M. Jeffords
Sen. James M. JeffordsI-VT · Jul 27, 2005

Mr. President, I rise today to introduce the ``Captive Primate Safety Act of 2005''. I am joined by Senators Chafee, Lieberman and Lautenburg. Non-human primates in homes and communities pose serious…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Jul 27, 2005

Mr. President, today I will once again introduce with the Senator from Arizona, Mr. McCain, a bill to bring Senate campaigns into the 21st century by requiring that Senate candidates file their…

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Bill Nelson
Sen. Bill NelsonD-FL · Jul 27, 2005

Mr. President, I am pleased to join my colleague Senator Jim DeMint as we introduce the OTC Medicine Tax Fairness Act of 2005. Health care costs are continuing to climb across America and the medical…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · Jul 27, 2005

Mr. President, today I introduce the ``Medicaid Advanced Practice Nurse and Physician Assistants Access Act of 2005.'' This legislation would change Federal law to expand fee-for-service Medicaid to…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · Jul 27, 2005

Mr. President, today I introduce the ``Medicaid Advanced Practice Nurse and Physician Assistants Access Act of 2005.'' This legislation would change Federal law to expand fee-for-service Medicaid to…

Jim DeMint
Sen. Jim DeMintR-SC · Jul 27, 2005

I rise today to offer a bill that would amend the medical and dental expense income tax deduction so that nonprescription or over-the-counter drugs would be allowed as a deductible expense for…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jul 27, 2005

Mr. President, today I am pleased to submit a resolution expressing the sense of the Congress that a commemorative United States postage stamp should be issued to promote public awareness of Down…

William H. Frist
Sen. William H. FristR-TN · Jul 27, 2005

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

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Introduced in SenateIssued July 27, 2005

II

109th CONGRESS

1st Session

S. 1515

IN THE SENATE OF THE UNITED STATES

July 27, 2005

Mr. Inouye introduced the following bill; which was read twice and referred to the Committee on Finance

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.

1.

Short title

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

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.