S. 63Senate111th Congress (2009-2011)In Committee

Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2009

Introduced January 6, 2009

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S67)

January 6, 2009

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SenateIntro Referral

Introduced in Senate

January 6, 2009

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S66-67)

January 6, 2009

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S67)

January 6, 2009

Floor Debate

13 members

What members said about S. 63 on the floor

4 Republicans9 Democrats
Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Jan 6, 2009

Mr. President, I am pleased to join Senators Schumer, Snowe, and Boxer in introducing legislation to prohibit the selling and counterfeiting of tickets to the Presidential inaugural ceremony. The…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · Jan 6, 2009

Mr. President, today I introduce the Clinical Social Workers' Recognition Act to correct a continuing problem in the Federal Employees Compensation Act. This bill will also provide clinical social…

John McCain
Sen. John McCainR-AZ · Jan 6, 2009

Mr. President, I am pleased to be joined by Senator Ensign in introducing the Abolishing Aviation Barriers Act of 2009. This bill would remove the arbitrary restrictions that prevent Americans from…

Herb Kohl
Sen. Herb KohlD-WI · Jan 6, 2009

Mr. President, I rise today to introduce the Generics First Act. This legislation requires the Federal Government's Medicare Part D prescription drug program to use generic drugs whenever available,…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Jan 6, 2009

Mr. Presdient, as we begin the 111th Congress, we will try, once again, to enact comprehensive immigration reforms that have eluded us in the past several years. With an administration that…

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John F. Kerry
Sen. John F. KerryD-MA · Jan 6, 2009

Mr. President, it is my great hope that Congress will move this year to see that the successful, bipartisan State Children's Health Insurance Program, SCHIP, is allowed the opportunity to fulfill its…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Jan 6, 2009

Mr. President, I rise today to reintroduce a bill I offered last December that will provide much-needed relief to struggling families across America. The Unemployment Benefit Tax Suspension Act of…

Joseph I. Lieberman
Sen. Joseph I. LiebermanD-CT · Jan 6, 2009

Mr. President, I am honored to have the opportunity today, obviously early on this first day of this new session of Congress, together with my colleague from Utah, Senator Hatch, to introduce…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jan 6, 2009

Mr. President, as the 111th Congress begins, the most important item on our agenda is to help end the worst economic crisis America has faced since the Great Depression. I look forward to working…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Jan 6, 2009

Mr. President, I would like to thank the senior Senator from Wisconsin for his hard work to address antitrust issues in the rail industry along with other industries as Chairman of the Antitrust,…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Jan 6, 2009

Mr. President, as I did in the last Congress, I am cosponsoring the legislation introduced today by the Senator from Connecticut to provide a House seat for the District of Columbia and an additional…

Kay Bailey Hutchison
Sen. Kay Bailey HutchisonR-TX · Jan 6, 2009

Mr. President, I am pleased to introduce a bill to permanently correct an injustice in the tax code that has harmed citizens in many States of this great Nation. State and local governments have…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · Jan 6, 2009

Mr. President, today, I, again, introduce the Medicaid Advanced Practice Nurse and Physician Assistants Access Act of 2009. This legislation would change the Federal law to expand fee-for-service…

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Harry Reid
Sen. Harry ReidD-NV · Jan 6, 2009

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

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued January 6, 2009
        [Congressional Bills 111th Congress]
[From the U.S. Government Printing Office]
[S. 63 Introduced in Senate (IS)]

111th CONGRESS
1st Session
S. 63

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 SENATE OF THE UNITED STATES

January 6, 2009

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.

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 2009''.

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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