H.R. 1155House115th Congress (2017-2019)In Committee

To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.

Introduced February 16, 2017

AI-Generated Summary

Updated April 15, 2026 at 12:57 PM UTC

The bill changes the Social Security Act so that cardiac, intensive cardiac, and pulmonary rehabilitation programs can be supervised not only by physicians but also by qualified physician assistants, nurse practitioners, and clinical nurse specialists. This expands who may oversee these rehab services for Medicare beneficiaries. The change takes effect one year after the law is enacted.

Key Provisions

  • Amends the definition of supervision for cardiac and intensive cardiac rehab programs, replacing “physician‑supervised” with “under the supervision of a physician or a physician assistant, nurse practitioner, or clinical nurse specialist.”
  • Amends the definition of supervision for pulmonary rehab programs in the same way, allowing the same non‑physician providers to supervise.
  • Sets the effective date of the new supervision rules to be one year after the law’s enactment.

Legislative Activity

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3 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

March 3, 2017

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HouseIntro Referral

Introduced in House

February 16, 2017

HouseIntro Referral

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

February 16, 2017

HouseCommittee

Referred to the Subcommittee on Health.

February 17, 2017

HouseCommittee

Referred to the Subcommittee on Health.

March 3, 2017

Floor Debate

23 members

What members said about H.R. 1155 on the floor

11 Republicans12 Democrats
Henry C. "Hank" Johnson, Jr.

Mr. Chairman, I yield myself such time as I may consume. I listened intently to my colleague's opening remarks, and he seemed to try to justify the passage of the REINS Act, which I rise in…

Tom Marino
Rep. Tom MarinoR-PA-10 · Jan 5, 2017

Mr. Chairman, I rise today in strong support of the REINS Act. I would like to thank my colleague from Georgia (Mr. Collins) for taking charge of this bill in the 115th Congress and Judiciary…

Bob Goodlatte
Rep. Bob GoodlatteR-VA-6 · Jan 5, 2017

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and to include extraneous material on H.R. 26. Mr. Chairman, I yield…

Dennis A. Ross
Rep. Dennis A. RossR-FL-15 · Feb 28, 2017

Mr. Chairman, I thank the chairman for allowing me this opportunity. Mr. Chairman, I yield 2 minutes to the gentlewoman from Washington (Mrs. McMorris Rodgers). Mr. Chairman, I yield such time as he…

Elijah E. Cummings
Rep. Elijah E. CummingsD-MD-7 · Feb 28, 2017

Mr. Chairman, I yield myself such time as I may consume. Mr. Chairman, I rise in strong opposition to this legislation. The SCRUB Act would establish a $30 million commission of unelected--and I…

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Mark DeSaulnier
Rep. Mark DeSaulnierD-CA-11 · Feb 28, 2017

Madam Chair, I have an amendment at the desk. Madam Chair, I rise today in support of this amendment to H.R. 998. As drafted, the SCRUB Act requires Federal agencies to repeal existing regulations to…

Jason Chaffetz
Rep. Jason ChaffetzR-UT-3 · Feb 28, 2017

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days within which to revise and extend their remarks and include extraneous materials on H.R. 998. Mr. Chairman, I yield…

John Conyers, Jr.
Rep. John Conyers, Jr.D-MI-13 · Jan 5, 2017

Mr. Chair, H.R. 26, the ``Regulations from the Executive in Need of Scrutiny Act of 2017,'' otherwise known as the REINS Act, would amend the Congressional Review Act to require that both Houses of…

Steve Cohen
Rep. Steve CohenD-TN-9 · Jan 5, 2017

Mr. Chairman, I don't know if I can live up to those words, but I certainly appreciate them. I was the ranking member on this committee, and I was chair at one point. We have had this bill over the…

Jerrold Nadler
Rep. Jerrold NadlerD-NY-10 · Jan 5, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, my amendment would exempt from the bill any regulations that pertain to nuclear reactor safety. In other words, my amendment would allow…

Steve King
Rep. Steve KingR-IA-4 · Jan 5, 2017

Mr. Chairman, I have an amendment at the desk made in order under the rule. Mr. Chairman, first, I want to say that I have been a long and strong supporter of the REINS Act. I want to compliment…

Kathy Castor
Rep. Kathy CastorD-FL-14 · Jan 5, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, my amendment makes an important exemption to the REINS Act to ensure that policies that protect children from cancer, premature death,…

Jerry McNerney
Rep. Jerry McNerneyD-CA-9 · Jan 5, 2017

Mr. Chairman, I rise to offer amendment No. 10 as the designee of the gentleman from New Jersey (Mr. Pallone). Mr. Chairman, recent pipeline incidents have raised serious concerns about the condition…

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Jerry McNerney
Rep. Jerry McNerneyD-CA-9 · Feb 28, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, my amendment is straightforward. It exempts from the bill any agency rule relating to the physical and cybersecurity of the bulk power…

Stacey E. Plaskett
Rep. Stacey E. PlaskettD-VI · Feb 28, 2017

Madam Chair, I have an amendment at the desk. Madam Chair, I yield myself such time as I may consume. My amendment is simple. It rescinds the authority to spend up to $30 million on a commission to…

Raúl M. Grijalva
Rep. Raúl M. GrijalvaD-AZ-3 · Jan 5, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, for years my Republican friends have been trying to convince everyone that Federal agencies are scary and unpopular. In reality, Americans…

Martha McSally
Rep. Martha McSallyR-AZ-2 · Feb 28, 2017

Madam Chair, I have an amendment at the desk. Madam Chair, I yield myself such time as I may consume. I rise today in support of the underlying legislation, H.R. 998, the SCRUB Act, and urge adoption…

David N. Cicilline
Rep. David N. CicillineD-RI-1 · Jan 5, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, my amendment to H.R. 26 would exempt rules concerning public health or safety from the burdensome requirements of this legislation. Simply…

Jason Smith
Rep. Jason SmithR-MO-8 · Feb 28, 2017

Mr. Chairman, on January 20, America witnessed the end of the most regulation-happy Presidency in American history. Under the Obama administration, the pages of the Code of Federal Regulations…

Robert C. "Bobby" Scott
Rep. Robert C. "Bobby" ScottD-VA-3 · Jan 5, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, my amendment would exempt from coverage under the REINS Act any rule which pertains to workplace health and safety made by the…

Thomas A. Garrett, Jr.
Rep. Thomas A. Garrett, Jr.R-VA-5 · Jan 5, 2017

Mr. Chairman, I rise today in support of the REINS Act, H.R. 26, for any number of reasons. I can't help but point out that I have heard my esteemed colleagues in opposition to this bill refer on…

Luke Messer
Rep. Luke MesserR-IN-6 · Jan 5, 2017

Mr. Chair, I have an amendment at the desk. Mr. Chair, I thank the gentleman from Virginia for his help on this amendment as well. It is an amendment designed to take an already very good bill and…

Blake Farenthold
Rep. Blake FarentholdR-TX-27 · Jan 5, 2017

Mr. Chairman, our Founding Fathers intended for us to have a limited government. If they saw what we have today, they would be appalled. Our government has gotten huge. It is out of control, and an…

David A. Trott
Rep. David A. TrottR-MI-11 · Jan 5, 2017

Mr. Chairman, I thank Chairman Goodlatte for yielding me the time. Mr. Chairman, I rise today in strong support of H.R. 26, the REINS Act. In a minute, I want to share an experience I had a few…

Bill Text

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Introduced in HouseIssued February 16, 2017

I

115th CONGRESS

1st Session

H. R. 1155

IN THE HOUSE OF REPRESENTATIVES

February 16, 2017

Ms. Jenkins of Kansas (for herself and Mr. Lewis of Georgia) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, 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 to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.

1.

Allowing physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs

(a)

Cardiac and intensive cardiac rehabilitation programs

Section 1861(eee) of the Social Security Act (42 U.S.C. 1395x(eee)) is amended—

(1)

in paragraph (1)—

(A)

by striking physician-supervised; and

(B)

by inserting under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)) before the period at the end;

(2)

in paragraph (2)—

(A)

in subparagraph (A)(iii), by striking the period at the end and inserting a semicolon; and

(B)

in subparagraph (B), by striking a physician and inserting a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)); and

(3)

in paragraph (4)(A), in the matter preceding clause (i)—

(A)

by striking physician-supervised; and

(B)

by inserting under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)) after paragraph (3).

(b)

Pulmonary rehabilitation programs

Section 1861(fff)(1) of the Social Security Act (42 U.S.C. 1395x(fff)(1)) is amended—

(1)

by striking physician-supervised; and

(2)

by inserting under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)) before the period at the end.

(c)

Effective date

The amendments made by this section shall apply to items and services furnished on or after the date that is one year after the date of the enactment of this Act.