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S 717119th CongressIn Committee

Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025

Introduced: Feb 25, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 would amend Medicare rules to broaden and speed access to cardiac rehabilitation (CR) and pulmonary rehabilitation (PR) programs. The bill expands who can supervise and prescribe rehab services, and it relaxes the setting limitation by referring to “the office setting” rather than a physician’s office. Specifically, it allows physician assistants, nurse practitioners, and clinical nurse specialists (as defined in the bill) to participate in and order prescribed exercise as part of CR and PR. The changes apply to items and services furnished on or after six months after enactment. The intent is to make it easier for more patients, sooner, to receive recommended rehab services under Medicare.

Key Points

  • 1Expands provider eligibility for CR/PR: physician assistants, nurse practitioners, and clinical nurse specialists can be involved in CR/PR under Medicare, with definitions provided in the bill.
  • 2Broadens acceptable settings: “physician’s office” is replaced with “the office setting,” allowing rehab services to be delivered outside traditional physician offices.
  • 3Broadens who can prescribe exercise: exercise prescriptions for CR/PR can come from a physician (as defined in the bill) or the expanded set of non-physician providers (PA, NP, CNS).
  • 4Applies to both CR and PR: the changes cover cardiac rehabilitation programs (CR) and pulmonary rehabilitation programs (PR) under Medicare.
  • 5Effective date: the amendments take effect for items and services furnished on or after six months after enactment of the bill.

Impact Areas

Primary group/area affected- Medicare beneficiaries who are eligible for cardiac rehabilitation or pulmonary rehabilitation, potentially increasing access and shortening wait times for these services.Secondary group/area affected- Non-physician clinicians (physician assistants, nurse practitioners, and clinical nurse specialists) who can participate in CR/PR delivery and exercise prescription.- Healthcare providers and institutions (hospitals, clinics, and outpatient programs) that operate CR/PR services, which may be able to offer services in more settings and with a broader team.Additional impacts- Potential improvements in timeliness and utilization of rehabilitation services, which can affect patient outcomes after cardiac events or in chronic pulmonary disease.- Possible changes in staffing models and workflows within CR/PR programs to incorporate expanded provider roles.- Regulatory and administrative considerations for CMS, including provider credentialing, supervision requirements, and training to implement the broader provider framework.- Unknown impact on costs to Medicare and beneficiaries, depending on utilization and any required program adjustments.
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