A bill to amend title XIX of the Social Security Act to provide for mandatory coverage of services furnished by nurse practitioners and clinical nurse specialists under State Medicaid plans

2 Pages·1997·0.09 MB·English

by  United States. Congress. House

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To amend titleXIX ofthe Social SecurityAct to provide for mandatoiy
coverageofservicesfurnishedbynursepractitionersandclinicalnurse
speciahstsunderStateMedicaidplans.
IN THE HOUSE OF REPRESENTATIVES
January7,1997
Mr.Richardsonintroducedthefollowingbill;whichwasreferredtothe
CommitteeonCommerce
A
BILL
To amend title XIX of the Social Security Act to provide
for mandatoiy coverage of services furnished by nurse
practitioners and clinical nurse speciahsts under State
Medicaidplans.
1 BeitenactedbytheSenateandHouseofRepresenta-
2 fivesoftheUnitedStatesofAmericainCongressassembled,
3 SECTION 1. MEDICAID COVERAGE OF SERVICES FUR-
4 NISHED BY CERTIFIED NURSE PRACTITION-
5 ERSANDCLINICALNURSESPECIALISTS.
6 (a)InGeneral.—Section 1905(a)(21)oftheSocial
7 SecurityAct(42U.S.C. 1396d(a)(21))isamendedtoread
8 asfoUows:
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2 3 ams 0DDLfl37T 4
1 "(21) services furnished by a certified nurse
2 practitioner (as definedbythe Secretarj^) ora clini-
3 cal nurse speciahst (as defined in subsection (t))
4 which the certified nurse practitioner or chnical
5 nurse speciahst is legally authorized to perform
6 under Statelaw (orthe Stateregulator}'-mechanism
7 providedby State law), whether ornot the certified
8 nurse practitioner or clinical nurse speciahst is
9 underthesupervisionof, orassociatedvdth, aphysi-
10 cianorotherhealthcareprovider;".
—
11 (b)DefinitionofClinicalNurse Specialist.
12 Section 1905 ofsuchAct (42 U.S.C. 1396d) is amended
13 byaddingattheendthefollovdngnewsubsection:
14 "(t) Theterm'chnicalnursespecialist' meansanin-
15 dividual who has earned a master's degree in a chnical
16 area of nursing from an accredited institution and who
17 is a registered nurse licensed to practice nursing in the
18 Stateinwhichtheindividualfurnishesservices.".
—
19 (c) Effective Date. The amendments made by
20 subsections (a) and (b) shall apply to calendar quarters
21 beginning on or after January 1, 1998, without regard
22 to whether or not final regulations to carry out such
23 amendmentshavebeenpromulgatedbysuchdate.
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•HR258