# 119-s-575: I CAN Act

119-s-575, I CAN Act, is a 119th Congress bill sponsored by Sen. Merkley, Jeff [D-OR] (D-OR); status introduced; PRIA reads it as touching household money (as of 2026-10-18).

- Canonical: https://policyrisk.com/legislation/119-s-575
- As of: 2026-10-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-575
- Congress: 119
- Title: I CAN Act
- Status: introduced
- Introduced: 2025-02-13
- Sponsor: Sen. Merkley, Jeff [D-OR] (D-OR)
- Cosponsors: 6
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-18

## Summary

**This bill would expand the role of nurse practitioners and other non-physician clinicians in Medicare and Medicaid.** It would let advanced practice clinicians do more of the ordering, certifying, documenting, and billing work now often limited to physicians, and boost transparency for coverage rules.

## Cosponsors (6)

- Sen. Lummis, Cynthia M. [R-WY] (R-WY), 2025-02-13T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2025-03-05T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-03-31T00:00:00.000Z
- Sen. Fetterman, John [D-PA] (D-PA), 2025-07-30T00:00:00.000Z
- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2026-06-24T00:00:00.000Z
- Sen. Shaheen, Jeanne [D-NH] (D-NH), 2026-07-22T00:00:00.000Z

## Provisions PRIA read

- More ACO assignments for nurse care: benefit, medium. If enacted, this bill would add certain non‑physician primary care services to how Medicare assigns patients to Accountable Care Organizations (ACOs). The change would apply for performance years beginning on or after January 1, 2026. This could change which ACO is responsible for your Medicare car…
- More Medicare and Medicaid care from nurses: benefit, medium. If enacted, this bill would let nurse practitioners, physician assistants, clinical nurse specialists, certified nurse‑midwives, and certified registered nurse anesthetists provide, document, order, certify, and bill for more Medicare and Medicaid services. It would add these clinicians to cardiac…
- More transparency for Medicare coverage rules: benefit, low. If enacted, Medicare contractors would have to list the medical or scientific experts who advised local coverage decisions and link the written materials they relied on. You could file a formal complaint as soon as a decision is posted online. Contractors that fail to disclose or that limit coverag…
- HHS may speed program start: mixed, low. This bill would make most provisions take effect 90 days after enactment. It would allow the HHS Secretary to use interim final rules or guidance to meet that deadline. Sections 103 and 401 would not be covered by the 90‑day rule.

## Related bills

- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-1241: Sanctioning Russia Act of 2025
- 119-s-2823: FAMILY Act
- 119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025
- 119-s-1261: CONNECT for Health Act of 2025
- 119-s-51: Washington, D.C. Admission Act

## Sources
- [119-s-575 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/575)

## Related
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-1241: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-s-1241)
- [119-s-2823: FAMILY Act](https://policyrisk.com/legislation/119-s-2823)
- [119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-s-1816)
- [119-s-1261: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-s-1261)
- [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-575 (as of 2026-10-18).