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 com-
mittee 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 Medi-
care program, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Increasing Access to 
Quality Cardiac Rehabilitation Care Act of 2023’’. 
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SEC. 2. EXPANDING ACCESS TO CARDIAC REHABILITATION 
PROGRAMS AND PULMONARY REHABILITA-
TION PROGRAMS UNDER MEDICARE PRO-
GRAM. 
(a) CARDIAC REHABILITATION PROGRAMS.—Section 
1861(eee) of the Social Security Act (42 U.S.C. 
1395x(eee)) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (A)(i), by striking ‘‘a 
physician’s office’’ and inserting ‘‘the office set-
ting’’; and 
(B) in subparagraph (C), by inserting after 
‘‘physician’’ the following: ‘‘(as defined in sub-
section (r)(1)) or a physician assistant, nurse 
practitioner, or clinical nurse specialist (as 
those terms are defined in subsection (aa)(5))’’; 
(2) in paragraph (3)(A), by striking ‘‘physician- 
prescribed exercise’’ and inserting ‘‘exercise pre-
scribed by a physician (as defined in subsection 
(r)(1)) or a physician assistant, nurse practitioner, 
or clinical nurse specialist (as those terms are de-
fined in subsection (aa)(5))’’; and 
(3) in paragraph (5), by inserting after ‘‘physi-
cian’’ the following: ‘‘(as defined in subsection 
(r)(1)) or a physician assistant, nurse practitioner, 
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or clinical nurse specialist (as those terms are de-
fined in subsection (aa)(5))’’. 
(b) PULMONARY REHABILITATION PROGRAMS.—Sec-
tion 1861(fff) of the Social Security Act (42 U.S.C. 
1395x(fff)) is amended— 
(1) in paragraph (2)(A), by striking ‘‘physician- 
prescribed exercise’’ and inserting ‘‘exercise pre-
scribed by a physician (as defined in subsection 
(r)(1)) or a physician assistant, nurse practitioner, 
or clinical nurse specialist (as those terms are de-
fined in subsection (aa)(5))’’; and 
(2) in paragraph (3), by inserting after ‘‘physi-
cian’’ the following: ‘‘(as defined in subsection 
(r)(1)) or a physician assistant, nurse practitioner, 
or clinical nurse specialist (as those terms are de-
fined in subsection (aa)(5))’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to items and services 
furnished on or after January 1, 2024. 
Æ 
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