I 

118TH CONGRESS 

1ST SESSION H. R. 2583 

To amend title XVIII of the Social Security Act to expand and expedite 

access to cardiac rehabilitation programs and pulmonary rehabilitation 

programs under the Medicare program, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 13, 2023 

Ms. BLUNT ROCHESTER (for herself and Mr. SMITH of Nebraska) 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 expand 

and expedite access to cardiac rehabilitation programs 

and pulmonary rehabilitation programs under the Medicare program, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Increasing Access to 

5 Quality Cardiac Rehabilitation Care Act of 2023’’. 


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•HR 2583 IH

1 SEC. 2. EXPANDING ACCESS TO CARDIAC REHABILITATION 

2 PROGRAMS AND PULMONARY REHABILITA3 TION PROGRAMS UNDER MEDICARE PRO4 GRAM. 

5 (a) CARDIAC REHABILITATION PROGRAMS.—Section 

6 1861(eee) of the Social Security Act (42 U.S.C. 

7 1395x(eee)) is amended— 

8 (1) in paragraph (2)— 

9 (A) in subparagraph (A)(i), by striking ‘‘a 

10 physician’s office’’ and inserting ‘‘the office set11 ting’’; and 

12 (B) in subparagraph (C), by inserting after 

13 ‘‘physician’’ the following: ‘‘(as defined in sub14 section (r)(1)) or a physician assistant, nurse 

15 practitioner, or clinical nurse specialist (as 

16 those terms are defined in subsection (aa)(5))’’; 

17 (2) in paragraph (3)(A), by striking ‘‘physician18 prescribed exercise’’ and inserting ‘‘exercise pre19 scribed by a physician (as defined in subsection 

20 (r)(1)) or a physician assistant, nurse practitioner, 

21 or clinical nurse specialist (as those terms are de22 fined in subsection (aa)(5))’’; and 

23 (3) in paragraph (5), by inserting after ‘‘physi24 cian’’ the following: ‘‘(as defined in subsection 

25 (r)(1)) or a physician assistant, nurse practitioner, 


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•HR 2583 IH

1 or clinical nurse specialist (as those terms are de2 fined in subsection (aa)(5))’’. 

3 (b) PULMONARY REHABILITATION PROGRAMS.—Sec4 tion 1861(fff) of the Social Security Act (42 U.S.C. 

5 1395x(fff)) is amended— 

6 (1) in paragraph (2)(A), by striking ‘‘physician7 prescribed exercise’’ and inserting ‘‘exercise pre8 scribed by a physician (as defined in subsection 

9 (r)(1)) or a physician assistant, nurse practitioner, 

10 or clinical nurse specialist (as those terms are de11 fined in subsection (aa)(5))’’; and 

12 (2) in paragraph (3), by inserting after ‘‘physi13 cian’’ the following: ‘‘(as defined in subsection 

14 (r)(1)) or a physician assistant, nurse practitioner, 

15 or clinical nurse specialist (as those terms are de16 fined in subsection (aa)(5))’’. 

17 (c) EFFECTIVE DATE.—The amendments made by 

18 this section shall apply with respect to items and services 

19 furnished on or after January 1, 2024. 

Æ 


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