A Republican bill with 26 Democratic cosponsors · See all 37 cosponsors
Last activity — Referred 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill, known as the "Improving Care and Access to Nurses Act" or the "I CAN Act," aims to amend the Social Security Act regarding Medicare and Medicaid. It seeks to increase access to services by removing barriers for various advanced practice registered nurses. Specifically, the bill targets practice restrictions for nurse practitioners, certified registered nurse anesthetists, and certified nurse-midwives. It includes provisions to expand service coverage, clarify reimbursement rules, and streamline care delivery in settings like nursing facilities and home health. The legislation also addresses local coverage determination processes for Medicare.
Yes· 3 of 8
- Scored +7
Does this make health care easier to get in general?
The bill significantly increases healthcare access by removing practice barriers for nurse practitioners, CRNAs, and midwives.
- Scored +6
Would people over 65 be better off under this?
The bill expands various healthcare services and access for Medicare beneficiaries.
- Scored +6
Would women be better off under this?
The bill improves access to maternity care and services provided by certified nurse-midwives.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Access to Rehabilitation: Expanding the ability of nurse practitioners, physician assistants, or clinical nurse specialists to prescribe exercise would increase access to cardiac and pulmonary rehabilitation programs under Medicare. (Section 101)
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Improved Diabetes Care Management: Allowing nurse practitioners or physician assistants to satisfy Medicare documentation requirements for certain shoes would benefit individuals with diabetes. (Section 102)
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Expanded Medical Nutrition Therapy: The bill expands the availability of medical nutrition therapy services under the Medicare program to include nurse practitioners, clinical nurse specialists, or physician assistants. (Section 104)
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Enhanced Hospice Care Access: By including nurse practitioners in the definition of hospice care and adjusting billing, the bill aims to increase access to these services. (Section 106)
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Streamlined Care in Nursing Facilities: The bill authorizes Medicare and Medicaid inpatient hospital patients to be under the care of a nurse practitioner, which can streamline care delivery in skilled nursing and nursing facilities. (Section 107)
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Improved Anesthesia Services: The bill clarifies that certified registered nurse anesthetists can be reimbursed by Medicare for evaluation and management services and removes certain costly supervision requirements. (Section 201, Section 204)
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Enhanced Maternity and Home Health Access: The bill seeks to improve access to training in maternity care and improves Medicare patient access to home health services provided by certified nurse-midwives. (Section 301, Section 302)
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Greater Medicaid Benefit Coverage: The bill adds certified registered nurse anesthetist services as a Medicaid-required benefit. (Section 205)
Potential Negative Impacts for People
- Note: The provided text does not explicitly list any negative consequences, burdens, or harms resulting from the provisions described.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would retired people be better off under this? — The bill expands healthcare access for those on Medicare. Would people over 65 be better off under this? — The bill expands various healthcare services and access for Medicare beneficiaries. Would women be better off under this? — The bill improves access to maternity care and services provided by certified nurse-midwives. Would households on low incomes be better off under this? — The bill expands Medicaid benefits and access to services.
- Healthcare
- Does this make health care easier to get in general? — The bill significantly increases healthcare access by removing practice barriers for nurse practitioners, CRNAs, and midwives. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill expands the range of covered services and required benefits under Medicaid. Does this put more money into Medicare, the health coverage for people over 65? — The bill expands the scope of services covered under Medicare by various practitioners.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill increases transparency in the Medicare local coverage determination process.
- 11/9/2026
- 1 Cosponsor added.
- 9/1/2026
- 1 Cosponsor added.
- 7/21/2026
- 1 Cosponsor added.
- 6/30/2026
- 1 Cosponsor added.
- 6/29/2026
- 1 Cosponsor added.
- 6/2/2026
- 1 Cosponsor added.
- 5/7/2026
- 1 Cosponsor added.
- 2/23/2026
- 1 Cosponsor added.
- 2/13/2026
- 1 Cosponsor added.
- 12/11/2025
- 1 Cosponsor added.
- 11/17/2025
- 1 Cosponsor added.
- 11/7/2025
- 1 Cosponsor added.
- 10/10/2025
- 1 Cosponsor added.
- 8/29/2025
- 1 Cosponsor added.
- 8/22/2025
- 3 Cosponsors added.
- 8/8/2025
- 1 Cosponsor added.
- 7/16/2025
- 3 Cosponsors added.
- 6/26/2025
- 1 Cosponsor added.
- 6/6/2025
- 1 Cosponsor added.
- 6/5/2025
- 1 Cosponsor added.
- 5/20/2025
- 1 Cosponsor added.
- 5/19/2025
- 1 Cosponsor added.
- 4/29/2025
- 2 Cosponsors added.
- 4/17/2025
- 1 Cosponsor added.
- 4/1/2025
- 1 Cosponsor added.
- 3/26/2025
- 1 Cosponsor added.
- 2/27/2025
- 1 Cosponsor added.
- 2/14/2025
- 1 Cosponsor added.
- 2/13/2025
- Referred 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.
- 4 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Suzanne BonamiciDemocrat · Oregon
Jack BergmanRepublican · Michigan
Becca BalintDemocrat · Vermont
Yvette ClarkeDemocrat · New York
Joe CourtneyDemocrat · Connecticut
Debbie DingellDemocrat · Michigan
Troy DowningRepublican · Montana
Bill FosterDemocrat · Illinois
Brad FinstadRepublican · Minnesota
Glenn GrothmanRepublican · Wisconsin
Josh GottheimerDemocrat · New Jersey
Maggie GoodlanderDemocrat · New Hampshire
Jahana HayesDemocrat · Connecticut
Ashley HinsonRepublican · Iowa
Val HoyleDemocrat · Oregon
Jennifer KiggansRepublican · Virginia
April McClain DelaneyDemocrat · Maryland
Sarah McBrideDemocrat · Delaware
Joe NeguseDemocrat · Colorado
Chellie PingreeDemocrat · Maine
Chris PappasDemocrat · New Hampshire
Mike RogersRepublican · Alabama
Emily RandallDemocrat · Washington
Adrian SmithRepublican · Nebraska
Bradley SchneiderDemocrat · Illinois
Melanie StansburyDemocrat · New Mexico
Eric SorensenDemocrat · Illinois
Derek SchmidtRepublican · Kansas
Bennie ThompsonDemocrat · Mississippi
Glenn ThompsonRepublican · Pennsylvania
Rashida TlaibDemocrat · Michigan
Jill TokudaDemocrat · Hawaii
Shri ThanedarDemocrat · Michigan
Lauren UnderwoodDemocrat · Illinois
Derrick Van OrdenRepublican · Wisconsin
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia