Over 235 healthcare organizations have declared their support for the Improved Care and Access to Nurses Act (ICAN Act, HR 2713). letter Sent to the U.S. House Ways and Means Committee and the Energy and Commerce Committee on June 6, 2023.
this bipartisan lawReintroduced into the House in April 2023, the program removes administrative and practice barriers under Medicare and Medicaid for Advanced Practice Registered Nurses (APRNs) and PAs (Table).
The Act amends Titles XVIII and XIX of the Social Security Act to allow patients managed by nursing practitioners (NPs) and clinical nursing professionals to be fully included in the Medicare Shared Savings Program beneficiary attribution process. It’s something to do. According to the American Association of Nurses (AANP), more than 40% of Medicare beneficiaries receive care from her NP, making NP the fastest growing group of Medicare providers.
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table. Proposed Removal of Barriers to APRN and PA in ICAN Law
| Invoice provisions | Clinician type |
| Sec 101: Expanding Access to Cardiac and Pulmonary Rehabilitation Programs Under the Medicare Program | CNS, NP, PA |
| Sec 102: Authorize Nurses to Meet Document Requirements for Certain Shoe Covers for Diabetics | NPs and PAs |
| Sec 103: Improving Beneficiary Allocation Under the Medicare Shared Savings Program (MSSP) | CNS, NP, PA |
| Sec 104: Expanding Availability of Medical Nutrition Services Under the Medicare Program | CNS, NP, PA |
| Second 105: Maintaining Access to Home Fluid Therapy | NPs and PAs |
| Sec 106: Increased access to hospice care services | NPs |
| Sec 107: Streamline Care Delivery in Skilled Nursing Facilities (SNFs) and Nursing Homes, Allowing Medicare and Medicaid Patients to Receive Nurse Care in Hospitals | NPs |
| Sec 108: Improving Access to Medicaid Clinic Services | NPs |
| Sec 201: Amendment to Section 1861 of the Social Security Act 202: Amendment to Terms of Payment Related to Services Ordered and Referred by Certified Nurse Anesthesiologists 203: Article 2 of the Special Payment Regulations for Anesthesiologist Education 204: Unnecessary and Costly 205: CRNA Services as Benefits Required for Medicaid | CRNA |
| Sec 301: Improving Access to Training in Obstetric Care 302: Improving Medicare Patient Access to Home Care Services Provided by CNMs 303. Improving Access to DMEPOS for Medicare Beneficiaries 304: Eligibility for CNM Services and Technical changes to conditions | CNM |
DNP’s AANP Chairman April Kap said, “This important law will remove outdated barriers to practices that delay patients’ access to healthcare.” “Health care policy must meet the needs of patients and include health care providers who provide care in the community. I guess.”
This legislation is particularly important for patients in rural and underserved communities who are more likely to receive care from APRN. In 2018, approximately 50% of clinicians who filed Medicare claims in rural areas were his APRN and PA, according to data from . medpack.
“The purpose of the ICAN Act is to increase access to Medicare and Medicaid programs, improve the quality of care, and reduce costs by removing federal barriers to APRN practice in accordance with state law,” the groups said. said in a letter.
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Over 235 organizations have shown support for improving care and access to nurses. news release. American Association of Nursing Practitioners. June 6, 2023. Accessed June 9, 2023. https://www.aanp.org/news-feed/more-than-235-organizations-show-their-support-for-the-ican-act
