I rise today to urge my colleagues to support the Home Health Care Planning Improvement Act, which I have introduced with my friend and colleague from Maryland, Senator Cardin. Our legislation aims to help ensure that our seniors and disabled citizens have timely access to home health services available under the Medicare program. Nurse practitioners, physician assistants, certified nurse midwives, and clinical nurse specialists are all playing increasingly important roles in the delivery of healthcare services, particularly in rural and medically underserved areas of our country where physicians may be in scarce supply. In recognition of their growing role, Congress, in 1997, authorized Medicare to begin paying for physician services provided by those health professionals as long as those services are within their scope of practice under State law. Despite their expanded role, these advanced practice registered nurses and physician assistants are currently unable to order home healthcare services for their Medicare patients. Under current law, only physicians are allowed to certify or initiate home healthcare for Medicare patients, even though they may not be as familiar with the patient's case as the nonphysician provider.…
Share
More from Susan Collins
I took particular issue with the provision that would allow political appointees to review grant proposals, noting that it would undermine the goal of awarding funds 'based on scientific merit and value, rather than political ideology.'
But to be fair to the Department of Homeland Security, they couldn’t enter into contracts when the government was shut down by the Democrats.
This overheated language, this completely inappropriate rhetoric against the Supreme Court, endangers the lives of the justices and erodes public trust in our system of government.
I find this deeply troubling. Reports that women and people of color are disproportionately fired or sidelined create the impression that their service is not valued.





