Sec. 12. Recognition of attending physician assistants as attending physicians to serve hospice patients
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Section 1861(dd)(3)(B) of the Social Security Act (42 U.S.C. 1395x(dd)(3)(B)) is amended— by striking or nurse practitioner and inserting , the nurse practitioner ; and by inserting , or the physician assistant (as defined in such subsection) after subsection (aa)(5)) . Section 1814(a)(7)(A) of such Act (42 U.S.C. 1395f(a)(7)(A)) is amended— in clause (i)(I), by striking does not include a nurse practitioner and inserting only includes a physician assistant if a physician has delegated the authority to make the certification required under this paragraph to such physician assistant ; and by amending clause
(ii)to read as follows: in a subsequent 90- or 60-day period— the medical director or physician described in clause (i)(II); a physician employed by the hospice program providing (or arranging for) the care or providing care to the individual under arrangement with such hospice program; a nurse practitioner employed by such hospice program or providing care to the individual under arrangement with such hospice program; or a physician assistant employed by such hospice program or providing care to the individual under arrangement with such hospice program, provided that an individual described in subclause
(I)or
(II)has delegated the authority to make the recertification required under this clause to such physician assistant, recertifies at the beginning of the period that the individual is terminally ill based on such clinical judgment; . The amendments made by this section shall apply to items and services furnished on or after January 1, 2015.
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Sec. 12
Recognition of attending physician assistants as attending physicians to serve hospice patients
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