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Expanding Healthcare Access: Advanced Practice Nurses in Medicare and Medicaid.

This law removes bureaucratic hurdles, allowing Advanced Practice Registered Nurses (NPs, CRNAs, CNMs) to provide a wider range of services under Medicare and Medicaid programs. This means citizens will gain easier access to rehabilitation, hospice care, and anesthesia services, as they will no longer need to rely solely on a physician for certain certifications or orders. The changes aim to improve overall access to care, especially in areas with limited physician availability.
Key points
Advanced Practice Nurses (NPs) can now certify and supervise cardiac and pulmonary rehabilitation programs and hospice care.
The requirement for physician supervision of Certified Registered Nurse Anesthetists (CRNAs) is eliminated, increasing their autonomy and service availability.
Certified Nurse-Midwives (CNMs) are authorized to order home health services and medical equipment (DMEPOS) for Medicare beneficiaries.
The law mandates greater transparency in the Medicare Local Coverage Determination (LCD) process and prohibits limiting provider qualifications.
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Additional Information
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Print number: S 2418
Sponsor: Sen. Merkley, Jeff [D-OR]
Process start date: 2023-07-20