Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025
Sponsored By: Representative Sewell
Introduced
Summary
Expand who can prescribe and order Medicare cardiac and pulmonary rehabilitation by explicitly including physician assistants, nurse practitioners, and clinical nurse specialists. This bill would revise Medicare language so non-physician clinicians can prescribe exercise and order cardiac and pulmonary rehab and would change "physician's office" to an "office setting."
Show full summary
- Medicare patients and families: More beneficiaries could get cardiac and pulmonary rehab without waiting for a physician visit, which may speed access to care.
- Non-physician clinicians: Physician assistants, nurse practitioners, and clinical nurse specialists would be explicitly authorized to prescribe exercise and order rehabilitation under Medicare.
- Rehab programs and providers: Programs could accept orders from a wider set of clinicians and from any "office setting." The changes would apply to services furnished on or after 6 months after enactment.
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
More cardiac rehab prescribers
If enacted, Medicare patients would be able to get cardiac rehab exercise orders from physician assistants, nurse practitioners, or clinical nurse specialists. The bill would replace the phrase "physician-prescribed exercise." Programs could use "the office setting" instead of "a physician's office." These changes would apply to services furnished six months after enactment.
More pulmonary rehab prescribers
If enacted, Medicare patients would be able to get pulmonary rehab exercise orders from physician assistants, nurse practitioners, or clinical nurse specialists. The bill would replace the requirement for "physician-prescribed exercise" with orders from those clinicians. These changes would apply to services furnished six months after enactment.
Rehab changes start date
If enacted, the clinician and site changes for cardiac and pulmonary rehab would start six months after the date of enactment. Services furnished before that date would not be covered by these changes.
Sponsors & CoSponsors
Sponsor
Sewell
AL • D
Cosponsors
Rep. Smith, Adrian [R-NE-3]
NE • R
Sponsored 12/18/2025
Roll Call Votes
No roll call votes available for this bill.
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