ICAN act supported by more than 235 healthcare organizations

AHA opposes a new Senate tax reform bill.

More than 235 health care organizations have declared their support for The Improving Care and Access to Nurses Act (ICAN Act, HR 2713) in a letter sent June 6 to the US House of Representatives Committee on Ways and Means and the for energy and trade. , 2023.

This bipartisan legislation, which was reintroduced in April 2023 in the House of Representatives, would eliminate administrative and practice barriers under Medicare and Medicaid for advanced practice registered nurses (APRNs) and PAs (Table).

The act would amend Titles XVIII and XIX of the Social Security Act and allow patients managed by nurse practitioners (NPs) and clinical nurse specialists to be fully included in the beneficiary allocation process for the Medicare Shared Savings Program. More than 40 percent of Medicare beneficiaries receive care from NPs, and NPs are the fastest growing group of Medicare providers, according to the American Association of Nurse Practitioners (AANP).

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Table. Proposal to remove obstacles to APRNs and PAs in the ICAN Act

Invoice order Clinical type
Section 101: Expanding Access to Medicare Cardiac Rehabilitation Programs and Pulmonary Rehabilitation Programs CNS, NP and PA
Section 102: Enable nurses to meet documentation requirements for covering certain shoes for people with diabetes NP and PA
Section 103: Medicare Shared Savings Program (MSSP) Beneficiary Allocation Improvements CNS, NP and PA
Section 104: Expand the availability of medical nutrition therapy services under the Medicare program CNS, NP and PA
Section 105: Preserving access to home infusion therapy NP and PA
Section 106: Increasing access to hospice services NP
Section 107: Simplify the delivery of care in skilled nursing facilities (NFCs) and nursing facilities and authorize Medicare and Medicaid patients to be cared for by a nurse in a hospital NP
Section 108: Improving access to Medicaid clinic services NP
Section 201: Amendments to Section 1861 of the Social Security Act Sec. 202: Revision of payment terms relating to services ordered and referred by registered nurse anesthesiologists Sec. 203: Special payment rule for the teaching of anesthesiologists Sec. 204: Removal of unnecessary and costly medical supervision Sec. 205: CRNA Services as a Medicaid Required Benefit ACC
Section 301: Improving Access to Maternity Care Training Sec. 302: Improving Medicare Patient Access to Home Health Services Provided by CNM Section 303. Improving Access to DMEPOS for Medicare Beneficiaries Sec. 304: Technical modifications to the qualifications and conditions of the services of the CNMs CM extension
CM extensioncertified nurse-midwives; CNSclinical specialist nurses; ACCcertified registered nurse anesthetists; DMEPOSdurable medical equipment, prostheses, orthotics, and supplies; NPnurses

This critical legislation will remove outdated barriers to practice that delay access to health care for our patients, said AANP Chair April Kapu, DNP. Health policies should respond to the needs of patients and include the health workers who provide care in our communities. The ICAN Act will advance the delivery of healthcare to patients, providers and our nation.

This legislation is especially important for patients in rural and underserved communities who are more likely to receive care from APRN. In 2018, APRN and PA accounted for about 50 percent of Medicare-billing physicians in rural areas, according to MedPac data.

The purpose of the ICAN Act is to increase access, improve quality of care and reduce costs in Medicare and Medicaid programs by removing federal barriers to practice for APRNs, in accordance with state law, the organizations say in the letter.


More than 235 organizations show their support for the Improved Care and Access to Nurses Act. Press release. American Association of Nurses; June 6, 2023. Accessed June 9, 2023. https://www.aanp.org/news-feed/more-than-235-organizations-show-their-support-for-the-ican-act

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