Plain Language Summary
# I CAN Act (S 575) Summary **What It Does** The Improving Care and Access to Nurses (I CAN) Act would expand the role of nurses and other non-physician healthcare providers under Medicare and Medicaid. Specifically, it would allow nurse practitioners, physician assistants, and clinical nurse specialists to perform tasks currently requiring a doctor's signature or approval—such as approving special diabetic shoes for Medicare patients, supervising cardiac and pulmonary rehabilitation programs, and certifying whether patients need hospital admission. **Who It Affects** This bill primarily impacts Medicare and Medicaid patients, as well as non-physician healthcare providers like nurses and physician assistants seeking expanded responsibilities. Patients could potentially benefit through faster access to certain services and care coordination.
The bill could also help address healthcare provider shortages by allowing experienced nurses to take on additional duties. **Current Status** The bill is currently in committee and has not yet been voted on by the full Senate. It was introduced by Senator Jeff Merkley (D-Oregon) in the 119th Congress.
CRS Official Summary
Improving Care and Access to Nurses Act or the I CAN Act This bill allows other health care providers besides physicians (e.g., nurses) to provide certain services under Medicare and Medicaid. Among other changes, the bill (1) allows a nurse practitioner or physician assistant to fulfill documentation requirements for Medicare coverage of special shoes for diabetic individuals; (2) expedites the ability of physician assistants, nurse practitioners, and clinical nurse specialists to supervise Medicare cardiac, intensive cardiac, and pulmonary rehabilitation programs; and (3) allows nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid.
Latest Action
Read twice and referred to the Committee on Finance.