Detailed Instructions: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Problem:SECTION 1. SHORT TITLE.

This Act may be cited as the ''Primary Care Health Practitioner
Incentive Act of 1995''.

SEC. 2. INCREASED MEDICARE REIMBURSEMENT FOR NURSE PRACTITIONERS AND
CLINICAL NURSE SPECIALISTS.

(a) Removal of Restrictions on Settings.--
(1) In general.--Section 1861(s)(2)(K)(ii) of the Social
Security Act (42 U.S.C. 1395x(s)(2)(K)(ii)) is amended to read
as follows:
''(ii) services which would be physicians' services if
furnished by a physician (as defined in subsection (r)(1)) and
which are performed by a nurse practitioner or clinical nurse
specialist (as defined in subsection (aa)(5)) working in
collaboration (as defined in subsection (aa)(6)) with a
physician (as so defined) which the nurse practitioner or
clinical nurse specialist is legally authorized to perform by
the State in which the services are performed, and such
services and supplies furnished as an incident to such services
as would be covered under subparagraph (A) if furnished
incident to a physician's professional service;''.
(2) Conforming amendments.--
(A) Section 1861(s)(2)(K) of such Act (42 U.S.C.
1395x(s)(2)(K)), as amended by paragraph (1), is
amended--
(i) in clause (i), by inserting ''and such
services and supplies furnished as incident to
such services as would be covered under
subparagraph (A) if furnished as an incident to
a physician's professional service.'' after
''are performed, and''; and
(ii) by striking clauses (iii) and (iv).
(B) Section 1861(b)(4) of such Act (42 U.S.C.
1395x(b)(4)) is amended by striking ''clauses (i) or
(iii) of subsection (s)(2)(K)'' and inserting
''subsection (s)(2)(K)''.
(C) Section 1862(a)(14) of such Act (42
U.S.C. 1395y(a)(14)) is amended by striking
''section 1861(s)(2)(K)(i) or
1861(s)(2)(K)(iii)'' and inserting ''section
1861(s)(2)(K)''.
(D) Section 1866(a)(1)(H) of such Act (42
U.S.C. 1395cc(a)(1)(H)) is amended by striking
''section 1861(s)(2)(K)(i) or
1861(s)(2)(K)(iii)'' and inserting ''section
1861(s)(2)(K)''.
(b) Increased Payment.--
(1) Fee schedule amount.--Section 1833(a)(1)(O) of the
Social Security Act (42 U.S.C. 1395l(a)(1)(O)) is amended to
read as follows: ''(O) with respect to services described in
section 1861(s)(2)(K)(ii) (relating to nurse practitioner or
clinical nurse specialist services), the amounts paid shall be
equal to 80 percent of (i) the lesser of the actual charge or
85 percent of the fee schedule amount provided under section
1848 for the same service provided by a physician who is not a
specialist; or (ii) in the case of services as an assistant at
surgery, the lesser of the actual charge or 85 percent of the
amount that would otherwise be recognized if performed by a
physician who is serving as an assistant at surgery, and''.
(2) Conforming amendments.--
(A) Section 1833(r) of such Act (42 U.S.C.
1395l(r)) is amended--
(i) in paragraph (1), by striking ''section
1861(s)(2)(K)(iii) (relating to nurse
practitioner or clinical nurse specialist
services provided in a rural area),'' and
inserting ''section 1861(s)(2)(K)(ii) (relating
to nurse practitioner or clinical nurse
specialist services),'';
(ii) by striking paragraph (2);
(iii) in paragraph (3), by striking
''section 1861(s)(2)(K)(iii)'' and inserting
''section 1861(s)(2)(K)(ii)''; and
(iv) by redesignating paragraph (3) as
paragraph (2).
(B) Section 1842(b)(12)(A) of such Act (42 U.S.C.
1395u(b)(12)(A)) is amended in the matter preceding
clause (i), by striking ''clauses (i), (ii), or (iv) of
section 1861(s)(2)(K) (relating to a physician
assistants and nurse practitioners)'' and inserting
''section 1861(s)(2)(K)(i) (relating to physician
assistants)''.
(c) Direct Payment for Nurse Practitioners and Clinical Nurse
Specialists.--
(1) In general.--Section 1832(a)(2)(B)(iv) of the Social
Security Act (42 U.S.C. 1395k(a)(2)(B)(iv)) is amended by
striking ''provided in a rural area (as defined in section
1886(d)(2)(D))''.
(2) Conforming amendment.--Section 1842(b)(6)(C) of such
Act (42 U.S.C. 1395u(b)(6)(C)) is amended--
(A) by striking ''clauses (i), (ii), or (iv)'' and
inserting ''clause (i)''; and
(B) by striking ''or nurse practitioner''.
(d) Bonus Payment for Services Provided in Health Professional
Shortage Areas.--Section 1833(m) of such Act (42 U.S.C. 1395l(m)) is
amended--
(1) by inserting ''(1)'' after ''(m)''; and
(2) by adding at the end the following new paragraph:
''(2) In the case of services of a nurse practitioner or clinical
nurse specialist furnished to an individual, described in paragraph
(1), in an area that is a health professional shortage area as
described in such paragraph, in addition to the amount otherwise paid
under this part, there shall also be paid to such service provider (on
a monthly or quarterly basis) from the Federal Supplementary Medical
Insurance Trust Fund an amount equal to 10 percent of the payment
amount for the service under this part.''.
(e) Definition of Clinical Nurse Specialist Clarified.--Section
1861(aa)(5) of such Act (42 U.S.C. 1395x(aa)(5)) is amended--
(1) by inserting ''(A)'' after ''(5)'';
(2) by striking ''The term '''physician assistant''' and
all that follows through ''who performs'' and inserting ''The
term 'physician assistant' and the term 'nurse practitioner'
mean, for purposes of this title, a physician assistant or
nurse practitioner who performs''; and
(3) by adding at the end the following new subparagraph:
''(B) The term 'clinical nurse specialist' means, for
purposes of this title, an individual who--
''(i) is a registered nurse and is licensed to
practice nursing in the State in which the clinical
nurse specialist services are performed; and
''(ii) holds a master's degree in a defined
clinical area of nursing from an accredited educational
institution.''.
(f) Effective Date.--The amendments made by this section shall
apply with respect to services furnished and supplies provided on and
after July 1, 1995.
Solution:
Primary Care Health Practitioner Incentive Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act, with respect to payments for medical and other health services, to cover services which would be physicians' services if furnished by a physician but: (1) which are performed by a clinical nurse specialist working in collaboration with a physician; and (2) which the clinical nurse specialist is legally authorized to perform by the State. Eliminates the requirement, with respect to such services performed by a nurse practitioner, that they be performed in a skilled nursing facility or other specified nursing facility. Covers, in addition, other services and supplies incidental to such services.
Revises the formula for payment from the Federal Supplementary Medical Insurance Trust Fund for such services (thereby increasing such payment).
Repeals the rural area restriction on services performed by nurse practitioners or clinical nurse specialists for which direct payment may be made.
Requires a ten percent bonus payment from the Fund for services of a nurse practitioner or clinical nurse specialist furnished in a health professional shortage area.