US HB7106

Allows nurse practitioners, physician assistants, and clinical nurse specialists to certify and recertify the need for post-hospital extended care services under Medicare, a function previously limited to physicians

Expands supervision authority in skilled nursing facilities to include nurse practitioners and physician assistants working in accordance with state law, not just physicians

Permits nurse practitioners, physician assistants, and clinical nurse specialists to provide medical direction for resident care plans and be designated as attending practitioners in skilled nursing facilities

Amends Medicaid requirements to allow nurse practitioners, physician assistants, and clinical nurse specialists to certify the need for skilled nursing facility services, while maintaining physician-only certification for intermediate care facility services

Gives states the option to allow clinical nurse specialists to supervise health care of nursing facility residents under Medicaid