A bill to amend the Social Security Act to improve the delivery of health care services by expanding the role of nurse practitioners and clinical nurse specialists in providing health care, and for other purposes.

Summary

Amends title XVIII (Medicare) of the Social Security Act to authorize a nurse practitioner or clinical nurse specialist who is not an employee of the facility but is working in collaboration with a physician to certify and recertify an individual's need for skilled nursing facility services. Permits skilled nursing facilities to have a nurse practitioner or clinical nurse specialist working in collaboration with a physician, rather than a physician, available to supervise care and furnish emergency care. Covers the reasonable charge (set at 75 percent of the prevailing charge in the locality) for skilled nursing facility services provided by a nurse practitioner or clinical nurse specialist. Amends title XIX (Medicaid) of the Social Security Act to provide Medicaid coverage of intermediate care and skilled nursing facility services furnished by a nurse practitioner or clinical nurse specialist working in collaboration with a physician. Permits Medicaid nursing facilities to have a nurse practitioner or clinical nurse specialist working in collaboration with a physician, rather than a physician, available to supervise care and furnish emergency care. Requires that this Act be implemented in a budget neutral manner.

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Timeline

1. 3 August 1989

   Introduced

   Read twice and referred to the Committee on Finance.

   Source: IntroReferral

2. 3 August 1989

   Introduced

   Introduced in Senate

   Source: IntroReferral

Votes

No vote records are attached yet.

Versions

• Introduced in Senate · undated · Official file

Documents

2 official files

• Introduced in Senate (text)

  Introduced in Senate · EN

  ViewDownloadOpen at official source

• Introduced in Senate

  summary · EN · 3 August 1989

  Open at official source

Sponsors

• Sen. Inouye, Daniel K. [D-HI] · D · Sponsor
• · ssfi00 · Standing

Related records

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