{"id":21483,"date":"2025-02-14T13:35:56","date_gmt":"2025-02-14T18:35:56","guid":{"rendered":"https:\/\/www.merkley.senate.gov\/?p=21483"},"modified":"2025-02-14T13:35:59","modified_gmt":"2025-02-14T18:35:59","slug":"joyce-merkley-colleagues-reintroduce-bipartisan-bicameral-bill-to-increase-access-to-nurses","status":"publish","type":"post","link":"https:\/\/www.merkley.senate.gov\/es\/joyce-merkley-colleagues-reintroduce-bipartisan-bicameral-bill-to-increase-access-to-nurses\/","title":{"rendered":"Joyce,\u00a0Merkley, Colleagues\u00a0Reintroduce\u00a0Bipartisan, Bicameral Bill to Increase Access to Nurses"},"content":{"rendered":"<p><strong>WASHINGTON DC&nbsp;<\/strong>\u2013&nbsp;This week, Representatives Dave&nbsp;Joyce&nbsp;(OH-14),&nbsp;Suzanne Bonamici (OR-01), Jen Kiggans (VA-02), and Lauren Underwood (IL-14)&nbsp;and Senators Jeff Merkley (D-OR) and Cynthia Lummis (R-WY)&nbsp;reintroduced the Improving Care and Access to Nurses&nbsp;(I CAN) Act. This bipartisan legislation would increase healthcare access, improve quality of care, and lower costs by removing&nbsp;the&nbsp;remaining barriers&nbsp;imposed by the federal government in&nbsp;the Medicare and Medicaid programs that prevent Advanced Practice Registered Nurses (APRNs) from practicing the full scope of their education and clinical training&nbsp;to the level that is approved in the state where they practice.&nbsp;<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cAs our nation faces a nursing shortage, it is only further hurting America\u2019s healthcare system by prohibiting APRNs from providing patient care to the fullest extent of their education,\u201d&nbsp;<strong>said Congressman&nbsp;Joyce, Co-Chair of the Congressional Nursing Caucus.<\/strong>&nbsp;\u201cThe I&nbsp;CAN Act would eliminate unnecessary federal barriers to increase access to care and strengthen patient choice. In doing so, my colleagues and I will expand access to care, especially in rural communities, while lowering patient costs.\u201d&nbsp;<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cAs the husband of a nurse, I know just how critical the care provided by nurses is and the valuable impact nurses have on their patients,\u201d&nbsp;<strong>said Senator&nbsp;Merkley, Co-Chair of the Senate Nursing Caucus.<\/strong>&nbsp;\u201cOur bipartisan bill will remove barriers for advanced practice registered nurses and will increase staffing of highly-trained nurses, reduce costs, and improve patient care. I\u2019ll keep fighting to ensure nurses in Oregon and nationwide have the support they need to deliver the very best care.\u201d<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>\u201c<\/strong>Our healthcare system benefits from a wide range of services and care provided to patients by nurse practitioners and other advanced practice registered nurses (ARPNs). Unfortunately, outdated restrictions limit the care APRNs can provide for Medicare and Medicaid patients\u2014depriving millions of Americans from timely access to healthcare. I\u2019m pleased to introduce the bipartisan Improving Care and Access to Nursing Act (ICAN&nbsp;Act) with my Nursing Caucus colleagues Reps.&nbsp;Joyce, Underwood, and Kiggans, to update federal guidelines and allow ARPNs to fully serve their Medicare and Medicaid patients,\u201d&nbsp;<strong>said Congresswoman<\/strong><strong>Bonamici, Co-Chair of the Congressional Nursing Caucus.<\/strong>&nbsp;&nbsp;<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cAs a geriatric nurse practitioner, I know how critical it is to support our healthcare workforce and ensure all patients receive reliable, quality care,\u201d<strong>&nbsp;said Congresswoman&nbsp;<\/strong><strong>Kiggans, Vice Chair of the Congressional Nursing Caucus.&nbsp;<\/strong>\u201cUnfortunately, barriers in Medicare and Medicaid currently limit the care Advanced Practice Registered Nurses (APRNs) can provide, preventing them from practicing to the full extent of their abilities and training. Given the growing nursing shortage across our country, it\u2019s more important now than ever to lift up our nurses \u2013 not hinder them. I am proud to introduce the&nbsp;<em>ICAN Act<\/em>&nbsp;with my colleagues on both sides of the aisle to remove these federal barriers and allow APRNs to provide the high-quality care their patients deserve.\u201d<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cAs a registered nurse and Vice Chair&nbsp;of the Congressional Nursing Caucus, I\u2019m focused on ensuring Advanced Practice Registered Nurses (APRNs) can practice to the full extent of their education and training,\u201d<strong>\u202fsaid Congresswoman&nbsp;Underwood, Vice Chair of the Congressional Nursing Caucus<\/strong>.<strong>\u202f<\/strong>\u201cThe evidence is clear: lifting practice barriers for APRNs is safe and makes financial sense. I\u2019m pleased to join my colleagues in introducing the I CAN Act to remove outdated barriers to practice for APRNs and expand access to high-quality health care.\u201d<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cThe federal government should never stand between Wyoming residents and high-quality health care. Allowing advanced practice registered nurses to treat more patients will increase access to health care and lower medical costs for Wyoming&#8217;s rural communities. I am proud to co-lead this critical piece of legislation,\u201d&nbsp;<strong>dijo el Senador Lummis.<\/strong><\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cThe reintroduction of this bill is a critical step toward expanding health care access across the country. By removing outdated barriers, it empowers APRNs to provide the care they are trained for\u2014especially in rural and underserved communities where they are often the primary providers. Time and again, we\u2019ve seen that when restrictions are lifted, APRNs deliver essential, high-quality care. The&nbsp;ICAN&nbsp;Act builds on that progress, making these changes permanent so every patient can get the care they need from the provider they trust<strong>\u201d said ANA President Jennifer Mensik Kennedy, PhD, MBA, RN, NEA-BC, FAAN.&nbsp;<\/strong><\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cThe delivery of health care has changed significantly since the creation of Medicare and Medicaid, and the&nbsp;ICAN&nbsp;Act modernizes these programs to reflect our current health care workforce. Despite the fact that nurse practitioners (NPs) are the chosen clinicians for millions of Medicare and Medicaid patients, NPs and their patients still face barriers which impede the course of care. The&nbsp;ICAN&nbsp;Act would retire these outdated barriers to care, improve patient access, increase efficiency and empower Medicare and Medicaid patients. The American&nbsp;Association of Nurse Practitioners (AANP) thanks Senators Merkley and Lummis, and Representatives&nbsp;Joyce, Bonamici, Kiggans and Underwood for their bipartisan leadership on this essential legislation,\u201d&nbsp;<strong>said&nbsp;AANP President Stephen A. Ferrara, DNP.<\/strong>&nbsp;<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cThe&nbsp;ICAN&nbsp;Act is critical legislation that will help ensure that everyone who needs access to the high-quality care provided by advanced practice registered nurses, such as Certified Registered Nurse Anesthetists (CRNAs), can receive that care where and when they need it most. In the midst of shortages in anesthesia providers and healthcare workers broadly, patients can no longer afford these outdated barriers to care,\u201d&nbsp;<strong>said AANA President Janet Setnor,&nbsp;MSN, CRNA, Col. (Ret), USAFR, NC.&nbsp;<\/strong>\u201cOn behalf of CRNAs, I want to thank Representatives David&nbsp;Joyce&nbsp;(OH-14), Suzanne Bonamici (OR-01), Jen Kiggans (VA-02), and Lauren Underwood (IL-14) and Senators Jeff Merkley (OR) and Cynthia Lummis (WY) for truly understanding the role of APRNs across the country and championing this legislation in the 119<sup>el<\/sup>&nbsp;Congress.\u201d<\/p>\n<\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cEnsuring evidence-based midwifery and APRN care is accessible to everyone in all care settings is essential to improving health care in the United States,\u201d stated&nbsp;<strong>American&nbsp;College of Nurse-Midwives (ACNM) President Jessica Brumley, PhD, APRN, CNM<\/strong>. \u201cACNM applauds Representatives&nbsp;Joyce, Bonamici, Kiggans, and Underwood, and Senators Merkley and Lummis for introducing the&nbsp;<em>Improving Care and Access to Nurses Act,&nbsp;<\/em>as it recognizes the vital role that certified nurse-midwives play as clinical and didactic educators to our nation\u2019s obstetrics and gynecology residents and ensures that midwives and other APRNs are able to provide high-quality care that falls within their respective professional scope of practice.\u201d<\/p>\n<\/blockquote>\n\n\n\n<p><strong><u>BACKGROUND:<\/u><\/strong><\/p>\n\n\n\n<p>APRNs are nurses prepared at the master or doctoral level to provide primary, acute, chronic and specialty care to patients of all ages and backgrounds, and in all settings. Their qualifications enable them to treat and diagnose illnesses, advise the public on health issues, manage chronic disease, order and interpret diagnostic tests, prescribe medication, and direct non-pharmacologic treatments for their patients. Over 40 years of vigorous, peer reviewed research has verified the safety, quality, satisfaction and cost-effectiveness of APRN care. This has led the National Academy of Sciences to call for the removal of laws, regulations, and policies that prevent APRNs from providing the full scope of health care services they are educated and trained to provide.&nbsp;<\/p>\n\n\n\n<p>Currently, several federal statutes and&nbsp;regulations, as well as&nbsp;certain&nbsp;state practice acts and institutional rules, require physician oversight and limit APRN practice. These barriers reduce access to care, create disruptions in care, increase the cost of care, and undermine efforts to improve the quality of care. Specifically, the I CAN Act would remove remaining barriers in the Medicare and Medicaid programs that prevent APRNs from practicing to the full extent of their education and clinical training. Importantly, this bill does&nbsp;not expand scope of practice&nbsp;or impede upon state law.&nbsp;Rather, the bill simply ensures that the federal government honors state law, ensuring that Medicare and Medicaid patients living in states where nurses have already been granted full practice authority are permitted to choose to seek care from a nurse practitioner.<\/p>\n\n\n\n<p class=\"has-text-align-center\">###<\/p>","protected":false},"excerpt":{"rendered":"<p>WASHINGTON, DC&nbsp;\u2013&nbsp;This week, Representatives Dave&nbsp;Joyce&nbsp;(OH-14),&nbsp;Suzanne Bonamici (OR-01), Jen Kiggans (VA-02), and Lauren Underwood (IL-14)&nbsp;and Senators Jeff Merkley (D-OR) and Cynthia Lummis (R-WY)&nbsp;reintroduced the Improving Care and Access to Nurses&nbsp;(I CAN) Act. This bipartisan legislation would increase healthcare access, improve quality of care, and lower costs by removing&nbsp;the&nbsp;remaining barriers&nbsp;imposed by the federal government in&nbsp;the Medicare and [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":17053,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[24],"tags":[43,37,44],"class_list":["post-21483","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-releases","tag-bipartisan-actions","tag-health-care","tag-jobs-and-the-economy"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Joyce,\u00a0Merkley, Colleagues\u00a0Reintroduce\u00a0Bipartisan, Bicameral Bill to Increase Access to Nurses - Merkley<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.merkley.senate.gov\/es\/joyce-merkley-colleagues-reintroduce-bipartisan-bicameral-bill-to-increase-access-to-nurses\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Joyce,\u00a0Merkley, Colleagues\u00a0Reintroduce\u00a0Bipartisan, Bicameral Bill to Increase Access to Nurses - Merkley\" \/>\n<meta property=\"og:description\" content=\"WASHINGTON, DC&nbsp;\u2013&nbsp;This week, Representatives Dave&nbsp;Joyce&nbsp;(OH-14),&nbsp;Suzanne Bonamici (OR-01), Jen Kiggans (VA-02), and Lauren Underwood (IL-14)&nbsp;and Senators Jeff Merkley (D-OR) and Cynthia Lummis (R-WY)&nbsp;reintroduced the Improving Care and Access to Nurses&nbsp;(I CAN) Act. 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