# 119-hr-1317: I CAN Act

119-hr-1317, I CAN Act, is a 119th Congress bill sponsored by Rep. Joyce, David P. [R-OH-14] (R-OH); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1317
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1317
- Congress: 119
- Title: I CAN Act
- Status: introduced
- Introduced: 2025-02-13
- Sponsor: Rep. Joyce, David P. [R-OH-14] (R-OH)
- Cosponsors: 36
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Expands APRN authority across Medicare and Medicaid.** It would let advanced practice registered nurses (NPs, clinical nurse specialists, physician assistants, certified nurse‑midwives, and certified registered nurse anesthetists) order, certify, prescribe, supervise, furnish, and be paid for many more services where State law allows, and it would add new transparency rules and penalties for Medicare local coverage decisions. - Families and patients would see broader access to care at home and in hospitals because APRNs could provide and supervise home health, hospice, cardiac and pulmonary rehab, diabetes‑related footwear coverage, medical nutrition therapy, durable medical equipment, and inpatient services where State law permits. - APRNs and other clinicians would gain clearer billing and payment rights, reduced supervision requirements in some facility settings, and expanded locum tenens coverage to support staffing flexibility. - Medicare administration would face new disclosure and appeal rules for local coverage determinations, including required disclosure of consulted experts and relied‑on communications, complaint rights, and civil penalties up to $10,000 per failure. The bill also sets short implementation deadlines such as 90 days for certain billing updates.

## Cosponsors (36)

- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-02-13T00:00:00.000Z
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA), 2025-02-13T00:00:00.000Z
- Rep. Underwood, Lauren [D-IL-14] (D-IL), 2025-02-13T00:00:00.000Z
- Rep. Rogers, Mike D. [R-AL-3] (R-AL), 2025-02-13T00:00:00.000Z
- Rep. Smith, Adrian [R-NE-3] (R-NE), 2025-02-14T00:00:00.000Z
- Rep. Grothman, Glenn [R-WI-6] (R-WI), 2025-02-27T00:00:00.000Z
- Rep. Finstad, Brad [R-MN-1] (R-MN), 2025-03-26T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-04-01T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-04-17T00:00:00.000Z
- Rep. Pappas, Chris [D-NH-1] (D-NH), 2025-04-29T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-04-29T00:00:00.000Z
- Rep. Hoyle, Val T. [D-OR-4] (D-OR), 2025-05-19T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-05-20T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-06-05T00:00:00.000Z
- Rep. Hinson, Ashley [R-IA-2] (R-IA), 2025-06-06T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-06-26T00:00:00.000Z
- Rep. Van Orden, Derrick [R-WI-3] (R-WI), 2025-07-16T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-07-16T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2025-07-16T00:00:00.000Z
- Rep. McClain Delaney, April [D-MD-6] (D-MD), 2025-08-08T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-08-22T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2025-08-22T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-08-22T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-08-29T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2025-10-10T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-07T00:00:00.000Z
- Rep. Courtney, Joe [D-CT-2] (D-CT), 2025-11-17T00:00:00.000Z
- Rep. Foster, Bill [D-IL-11] (D-IL), 2025-12-11T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2026-02-13T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2026-02-23T00:00:00.000Z
- Rep. Thompson, Glenn [R-PA-15] (R-PA), 2026-05-07T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-06-02T00:00:00.000Z
- Rep. Schmidt, Derek [R-KS-2] (R-KS), 2026-06-29T00:00:00.000Z
- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2026-06-30T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2026-07-21T00:00:00.000Z
- Rep. Downing, Troy [R-MT-2] (R-MT), 2026-09-01T00:00:00.000Z

## Provisions PRIA read

- More transparent Medicare coverage rules: benefit, high. If enacted, Medicare contractors would have to list the experts they used and link to the sources behind a local coverage rule. They would have to link any rules, guidelines, or protocols they relied on and could not limit coverage based on a provider’s qualifications. Contractors that do not compl…
- More Medicare and Medicaid care by nurses: benefit, medium. If enacted, Medicare and Medicaid would let more advanced nurses and physician assistants handle key tasks. Nurse practitioners, clinical nurse specialists, physician assistants, and nurse‑midwives could certify, prescribe, order, or supervise care, where State law allows. Examples include hospice…
- Nurse practitioners could bill Medicare hospice: benefit, low. If enacted, HHS would update rules within 90 days so nurse practitioners can bill Medicare for some hospice services like doctors. Those services would be paid at the percent of the physician fee schedule set by law. This could help hospice access where physicians are scarce.
- More primary care counts for Medicare groups: mixed, high. If enacted, starting with the 2026 performance year, more primary care visits by certain clinicians would count when assigning you to a Medicare care group. This could change which group is responsible for your care and quality measures. Networks and care coordination could shift.
- Most changes start 90 days after enactment: mixed, high. If enacted, most changes in this bill would apply to items and services furnished 90 days after enactment. Sections 103 and 401 would be excluded. HHS could use interim final rules or guidance to meet these deadlines.

## Related bills

- 119-hr-8800: National Defense Authorization Act for Fiscal Year 2027
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-2102: Major Richard Star Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-1317 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1317)

## Related
- [119-hr-8800: National Defense Authorization Act for Fiscal Year 2027](https://policyrisk.com/legislation/119-hr-8800)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1317 (as of 2026-09-21).