Summary — H.R. 1317
Bill number: H.R. 1317
Introduced: February 13, 2025
Classification: Resolution (congratulatory) — but version content included with the bill text contains an unrelated substantive Act (see note below)
Status: Reported enrolled; placed on Congratulatory & Memorial Resolutions Calendar; Adopted (June 1, 2025)
Committees: Referred to Committee on Energy and Commerce and Committee on Ways and Means
Sponsors / Cosponsors: David P. Joyce (primary) and 28 cosponsors including Jahana Hayes, Chris Pappas, Adrian Smith, Lauren Underwood, Rashida Tlaib, et al.
Related bill: S. 575 (companion)
Purpose (official resolution)
As reported in the legislative actions and title, H.R. 1317 is a non-binding congressional resolution congratulating the boys’ basketball team of Rapoport Academy Public School (Waco, TX) on winning the 2025 UIL 2A Division I state championship. Such resolutions are ceremonial: they honor achievements, do not create or change legal rights, and do not appropriate funds.
Note on version content inconsistency
The bill text provided with this record includes an entirely different, substantive bill titled the "Improving Care and Access to Nurses Act" (the “I CAN Act”), which would make numerous changes to federal health program policies affecting advanced practice registered nurses (APRNs). The official bill metadata (title, subject, and calendar actions) indicate a congratulatory resolution that was adopted June 1, 2025. The presence of the substantive I CAN Act text appears to be a clerical or document-merging discrepancy in the materials provided. Below is a concise summary of the I CAN Act text included in the file, with that caveat.
Summary of the included “I CAN Act” (version content)
The I CAN Act is a multi-title package intended to remove barriers to practice for advanced practice nurses and to expand access to services under Medicare and Medicaid. Major provisions (organized by title/section headings provided):
Title I — Nurse Practitioners (NPs) and related access:
- Expand Medicare coverage for cardiac and pulmonary rehabilitation.
- Permit NPs and physician assistants to satisfy Medicare documentation requirements for therapeutic shoes for diabetics.
- Improve assignment of beneficiaries under the Medicare Shared Savings Program (MSSP).
- Expand availability of Medicare-covered medical nutrition therapy.
- Preserve access to home infusion therapy.
- Increase access to hospice services.
- Authorize Medicare and Medicaid inpatient hospital patients to be under the care of an NP; streamline care delivery in skilled nursing/nursing facilities.
- Improve access to Medicaid clinic services.
Title II — Certified Registered Nurse Anesthetists (CRNAs):
- Clarify CRNA reimbursement by Medicare for evaluation & management (E/M) services.
- Revise payment conditions for CRNA-ordered/referred services.
- Provide special payment rules for teaching student registered nurse anesthetists.
- Remove or reduce supervisory requirements for CRNAs.
- Designate CRNA services as a Medicaid-required benefit.
Title III — Certified Nurse-Midwives (CNMs):
- Improve access to maternity care training.
- Improve Medicare patient access to home health services provided by CNMs.
- Improve access to DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) for Medicare beneficiaries.
- Technical changes to CNM qualifications and conditions.
Title IV — All Advanced Practice Registered Nurses (APRNs):
- Revise the Medicare local coverage determination (LCD) process.
- Address locum tenens arrangements for APRNs.
Title V — Effective date provisions.
Who would be affected
- Primary: Advanced practice registered nurses (NPs, CRNAs, CNMs) and physician assistants in some provisions.
- Secondary: Medicare and Medicaid beneficiaries (expanded access to services), hospitals, skilled nursing facilities, clinics, home health and hospice providers, Medicare Administrative Contractors, and state Medicaid programs.
- Fiscal/administrative: Could affect Medicare/Medicaid payment processes, program integrity procedures, and provider supervision rules.
Potential impact
- If implemented, the I CAN Act provisions would likely increase access to care by allowing APRNs broader authority to deliver and bill for services under Medicare and Medicaid, reduce supervisory/scope barriers, and expand coverage for certain therapies and DMEPOS.
- There would be programmatic effects on reimbursement rules, beneficiary assignment, and administrative processes (e.g., LCDs). Fiscal impact would depend on how expanded access and payment changes alter utilization and program spending; no dollar figures are provided in the text excerpt.
Procedural / Timeline notes
- Official actions indicate the resolution form of H.R. 1317 was placed on the Congratulatory & Memorial Resolutions Calendar, laid before the House, and adopted on June 1, 2025.
- The I CAN Act text shows referral to Energy & Commerce and Ways & Means (Feb 13, 2025) for provisions within their jurisdiction; no committee reports or detailed markup history are provided in the excerpt.
- Companion legislation: S. 575 (Senate).
If you want, I can:
- Verify the official text on Congress.gov or the Congressional Record to resolve the discrepancy between the resolution title and the I CAN Act text.
- Prepare a focused analysis of the I CAN Act’s likely budgetary effects or stakeholder impacts (providers, states, Medicare Advantage plans).
