I CAN Act

Expands who may order, certify, bill for, and furnish many Medicare and Medicaid services by broadening the roles of nurse practitioners, certified registered nurse anesthetists (CRNAs), and certified nurse‑midwives (CNMs). It also requires faster regulatory action by HHS on selected payment rules, instructs Medicaid to cover CRNA services under a specific payment method, and tightens transparency and limits on how Medicare contractors set local coverage rules.

Requires most changes to take effect for items and services furnished on or after 90 days after enactment, and directs HHS to use interim final rules or subregulatory guidance if necessary to meet those effective dates.