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Code · BILL · 113th Congress · S. 2359 (Introduced in Senate) — To amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural are... · Sec. 13

Sec. 13. Improving care planning for Medicare home health services

968 words·~4 min read·/bill/113/s/2359/is/section-13

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Section 1814(a) of the Social Security Act ( 42 U.S.C. 1395f(a) ) is amended— in paragraph (2)— in the matter preceding subparagraph (A), by inserting , a nurse practitioner or clinical nurse specialist who is working in collaboration with a physician in accordance with State law, a certified nurse-midwife (as defined in section 1861(gg)) as authorized by State law, or a physician assistant (as defined in section 1861(aa)(5)) under the supervision of a physician after 1866(j) ; and in subparagraph (C)— by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant (as the case may be) after physician the first 2 times it appears; and by striking , and, in the case of a certification made by a physician and all that follows through face-to-face encounter and inserting , and, in the case of a certification made by a physician after January 1, 2010, or by a nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant (as the case may be) after January 1, 2015, prior to making such certification the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant must document that the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant has had a face-to-face encounter ; and in the flush matter following paragraph (8)— in the first sentence, by inserting certified nurse-midwife, after clinical nurse specialist, ; in the second sentence— by striking physician certification and inserting certification ; by inserting (or on January 1, 2015, in the case of regulations to implement the amendments made by section 13 of the after Craig Thomas Rural Hospital and Provider Equity Act of 2014 ) 1981 ; and by striking a physician who and inserting a physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant who ; and in the third sentence, by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant after physician .
Section 1835(a) of the Social Security Act (42 U.S.C. 1395n(a)) is amended— in paragraph (2)— in the matter preceding subparagraph (A), by inserting , a nurse practitioner or clinical nurse specialist (as those terms are defined in section 1861(aa)(5)) who is working in collaboration with a physician in accordance with State law, a certified nurse-midwife (as defined in section 1861(gg)) as authorized by State law, or a physician assistant (as defined in section 1861(aa)(5)) under the supervision of a physician after 1866(j) ; and in subparagraph (A)— in each of clauses
(ii)and
(iii)of subparagraph
(A)by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant (as the case may be) after physician ; and in clause (iv), by striking after January 1, 2010 and all that follows through face-to-face encounter and inserting made by a physician after January 1, 2010, or by a nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant (as the case may be) after January 1, 2015, prior to making such certification the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant must document that the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant has had a face-to-face encounter ; in the third sentence, by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant (as the case may be) after physician ; in the fourth sentence— by striking physician certification and inserting certification ; by inserting (or on January 1, 2015, in the case of regulations to implement the amendments made by section 13 of the after Craig Thomas Rural Hospital and Provider Equity Act of 2014 ) 1981 ; and by striking a physician who and inserting a physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant who ; and in the fifth sentence, by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant after physician . Section 1861(m) of the Social Security Act ( 42 U.S.C. 1395x(m) ) is amended— in the matter preceding paragraph (1)— by inserting , a nurse practitioner or a clinical nurse specialist (as those terms are defined in subsection (aa)(5)), a certified nurse-midwife (as defined in section 1861(gg)), or a physician assistant (as defined in subsection (aa)(5)) after physician the first place it appears; and by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant after physician the second place it appears; and in paragraph (3), by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant after physician . Section 1861(o)(2) of the Social Security Act ( 42 U.S.C. 1395x(o)(2) ) is amended— by inserting , nurse practitioners or clinical nurse specialists (as those terms are defined in subsection (aa)(5)), certified nurse-midwives (as defined in section 1861(gg)), or physician assistants (as defined in subsection (aa)(5)) after physicians ; and by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, physician assistant, after physician . Section 1895 of the Social Security Act (42 U.S.C. 1395fff) is amended— in subsection (c)(1), by inserting , the nurse practitioner or clinical nurse specialist (as those terms are defined in section 1861(aa)(5)), the certified nurse-midwife (as defined in section 1861(gg)), or the physician assistant (as defined in section 1861(aa)(5)), after physician ; and in subsection (e)— in paragraph (1)(A), by inserting , a nurse practitioner or clinical nurse specialist (as those terms are defined in section 1861(aa)(5)), a certified nurse-midwife (as defined in section 1861(gg)), or a physician assistant (as defined in section 1861(aa)(5)) after physician ; and in paragraph (2)— in the heading, by striking and inserting Physician certification ; and Rule of construction regarding requirement for certification by striking physician . The amendments made by this section shall apply to items and services furnished on or after January 1, 2015.
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