Summary

Expands who may prescribe, recommend, or order services, appliances, and supplies under the referenced health-care statute to include nurse practitioners and physician assistants when they act within State law and follow Presidential regulations or instructions. It preserves the President’s authority to set rules and keeps the limitation that NPs and PAs operate only to the extent allowed by State scope-of-practice laws. The change broadens the pool of clinicians able to authorize covered care, which can increase access to services for covered beneficiaries and require agencies to update administrative procedures to reflect the expanded authorized providers. No new funding or effective date is specified in the text provided.

• Adds nurse practitioners and physician assistants to the list of clinicians who can prescribe, recommend, or order covered services, appliances, and supplies.
• NP/PA authority is limited to actions allowed by State scope-of-practice laws and by Presidential regulations or instructions.
• Preserves existing authorized order-issuers and the President’s regulatory authority over how orders are furnished.
• Does not create new funding or specify an effective date in the provided text.
• Requires administrative updates by agencies and health systems to accept and process NP/PA orders.
• May increase beneficiary access to care by expanding who can authorize covered services.
• State-by-state variability in NP/PA scope-of-practice will affect how broadly the change operates in practice.