US SB575

Expands Medicare and Medicaid authority for nurse practitioners to prescribe cardiac and pulmonary rehabilitation, certify diabetic shoes, establish home infusion therapy plans, certify hospice eligibility, and supervise care in skilled nursing facilities without requiring physician oversight

Authorizes certified registered nurse anesthetists (CRNAs) to receive Medicare reimbursement for evaluation and management services, order and refer services independently, and removes mandatory physician supervision requirements; makes CRNA services a required Medicaid benefit

Allows certified nurse-midwives to supervise intern and resident training for Medicare payment purposes, order home health services and durable medical equipment, and updates certification requirements to require American Midwifery Certification Board credentials

Prohibits Medicare administrative contractors from imposing practitioner qualification limitations in local coverage determinations, with civil penalties up to $10,000 per violation for non-compliance

Applies locum tenens billing provisions to advanced practice registered nurses, allowing temporary substitute practitioners to bill under the same rules as physicians; most provisions take effect 90 days after enactment