I CAN Act
Latest action · Dec 17, 2024 Referred to the Subcommittee on Health.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedApr 19, 2023
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
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.
Cosponsors 35
Members who signed on, in the order they did. Signatures ran from Apr 19, 2023 to Dec 11, 2024; 10 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| R-NE | Adrian Smith | Original | Apr 19, 2023 |
| D-NH | Ann M. Kuster | Original | Apr 19, 2023 |
| D-NH | Chris Pappas | Original | Apr 19, 2023 |
| D-OR | Earl Blumenauer | Original | Apr 19, 2023 |
| R-WI | Glenn Grothman | Original | Apr 19, 2023 |
| D-IL | Janice D. Schakowsky | Original | Apr 19, 2023 |
| R-VA | Jennifer A. Kiggans | Original | Apr 19, 2023 |
| R-ND | Kelly Armstrong | Original | Apr 19, 2023 |
| D-IL | Lauren Underwood | Original | Apr 19, 2023 |
| D-OR | Suzanne Bonamici | Original | Apr 19, 2023 |
| D-CT | James A. Himes | Apr 24, 2023 | |
| D-RI | David N. Cicilline | May 30, 2023 | |
| D-MI | Elissa Slotkin | Jun 1, 2023 | |
| D-ME | Chellie Pingree | Aug 15, 2023 | |
| D-HI | Jill N. Tokuda | Oct 19, 2023 | |
| D-IL | Mike Quigley | Nov 28, 2023 | |
| D-CA | Zoe Lofgren | Jan 30, 2024 | |
| R-AL | Mike Rogers | Jan 31, 2024 | |
| D-TN | Steve Cohen | Jan 31, 2024 | |
| D-DC | Eleanor Holmes Norton | Feb 5, 2024 | |
| D-MI | Rashida Tlaib | Mar 5, 2024 | |
| D-TX | Sheila Jackson Lee | Mar 11, 2024 | |
| D-IL | Bill Foster | Apr 9, 2024 | |
| D-MD | David J. Trone | Apr 9, 2024 | |
| D-MI | Shri Thanedar | Apr 26, 2024 | |
| D-MN | Dean Phillips | May 6, 2024 | |
| D-OR | Val T. Hoyle | May 8, 2024 | |
| R-WI | Derrick Van Orden | May 23, 2024 | |
| D-MI | Debbie Dingell | Jun 25, 2024 | |
| D-IL | Jonathan L. Jackson | Jul 8, 2024 | |
| D-NY | Thomas R. Suozzi | Jul 8, 2024 | |
| R-OR | Lori Chavez-DeRemer | Jul 11, 2024 | |
| D-NC | Wiley Nickel | Jul 18, 2024 | |
| D-NM | Melanie A. Stansbury | Aug 2, 2024 | |
| D-GA | Sanford D. Bishop, Jr. | Dec 11, 2024 |
Committees 2
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Energy and Commerce Committee | Referred Apr 19, 2023 |
| House | Ways and Means Committee | Referred Apr 19, 2023 |
| Health Subcommittee | Referred Dec 17, 2024 |
Actions 3
Everything that happened, newest first.
- Dec 17, 2024Referred to the Subcommittee on Health.
- Apr 19, 2023Introduced in House
- Apr 19, 2023Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Constitutional authority
The sponsor’s statement, as printed in the Congressional Record, vol. 169, no. 65, April 19, 2023, page H1887.
Printed hearings 3
Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.
| Number | Hearing | Committee | Held |
|---|---|---|---|
| S. Hrg. 118-804 | RURAL HEALTH CARE: SUPPORTING LIVES AND IMPROVING COMMUNITIES240 pages | Finance Committee | May 16, 2024 |
| S. Hrg. 118-781 | BOLSTERING CHRONIC CARE THROUGH MEDICARE PHYSICIAN PAYMENT290 pages | Finance Committee | Apr 11, 2024 |
| S. Hrg. 118-628 | IMPROVING HEALTH CARE ACCESS IN RURAL COMMUNITIES: OBSTACLES AND OPPORTUNITIES133 pages | Finance Committee | May 17, 2023 |
Related bills 5
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| S 260 | Promoting Access to Diabetic Shoes Act | Related bill | Feb 2, 2023 |
| HR 704 | Promoting Access to Diabetic Shoes Act | Related bill | Dec 17, 2024 |
| HR 2583 | Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 | Related bill | Dec 17, 2024 |
| S 3939 | ACO Assignment Improvement Act of 2024 | Related bill | Mar 14, 2024 |
| HR 7665 | ACO Assignment Improvement Act of 2024 | Related bill | Dec 17, 2024 |
Titles 3
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- To amend titles XVIII and XIX of the Social Security Act to increase access to services provided by advanced practice registered nurses under the Medicare and Medicaid programs, and for other purposes.
- Short Title(s) as Introduced
- I CAN Act
- Improving Care and Access to Nurses Act
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Administrative law and regulatory procedures
- Blood and blood diseases
- Cardiovascular and respiratory health
- Civil actions and liability
- Department of Health and Human Services
- Drug therapy
- Health
- Health care costs and insurance
- Health care coverage and access
- Health personnel
- Health technology, devices, supplies
- Home and outpatient care
- Hospital care
- Long-term, rehabilitative, and terminal care
- Medicaid
- Medicare
- Nutrition and diet
- Sex and reproductive health
- Surgery and anesthesia
- Women's health
Text 1
Each version as it was printed, newest first.
- Apr 19, 2023Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.
