```

[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 382 Introduced in Senate (IS)]

113th CONGRESS
  1st Session
                                 S. 382

  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.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                           February 26, 2013

Mr. Schumer (for himself and Mr. Crapo) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 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.

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

SECTION 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.
                                 <all>
```