I CAN Act

The I CAN Act aims to expand healthcare access by removing barriers for nurse practitioners, certified registered nurse anesthetists, and certified nurse-midwives in Medicare and Medicaid programs. Key provisions include allowing nurse practitioners to certify patients for cardiac and pulmonary rehabilitation programs without physician supervision, expanding coverage for services provided by certified nurse-midwives in home health care, and removing unnecessary supervision requirements for nurse anesthetists. The bill changes Medicare rules to permit these advanced practice nurses to provide more services directly to patients in settings like hospitals, skilled nursing facilities, and home health care. This would directly affect millions of Medicare and Medicaid beneficiaries who receive care from these healthcare providers. The changes would take effect 90 days after enactment, with some provisions applying to services furnished on or after that date.