119th Congress · introduced in the House · Feb 13, 2025
I CAN Act
Official title from Congress.gov
Latest action (Feb 13, 2025): Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Feb 13, 2025)
Improving Care and Access to Nurses Act or the I CAN Act
This bill allows other health care providers besides physicians (e.g., nurses) to provide certain services under Medicare and Medicaid.
Among other changes, the bill (1) allows a nurse practitioner or physician assistant to fulfill documentation requirements for Medicare coverage of special shoes for diabetic individuals; (2) expedites the ability of physician assistants, nurse practitioners, and clinical nurse specialists to supervise Medicare cardiac, intensive cardiac, and pulmonary rehabilitation programs; and (3) allows nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Introduced in House
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LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
144 citations; showing the 25 most recently posted.
NATIONAL LEAGUE FOR NURSING · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
…ices proposed rule, Calendar Year 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies (CMS-1848-P) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2531/S. 1232, Workplace Violence Prevent…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…(CMS-2454-IFC) Centers for Medicare & Medicaid Services proposed rule, Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes (CMS-2452-P) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$240,000
Spent on own lobbying
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Access to Rural Anesthesiology Act (H.R. 9642) - Issues pertaining t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: PUBLIC STRATEGIES WASHINGTON, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
Improving Care and Access to Nurses Act (H.R. 1317/S. 575) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforc…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: PUBLIC STRATEGIES WASHINGTON, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Reimbursement CRNA Scope of Practice Rural Healthcare Provider Nondi…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · lobbying firm or registrant: AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$390,000
Spent on own lobbying
…onitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therap…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · lobbying firm or registrant: AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$390,000
Spent on own lobbying
…onitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therap…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$60,000
Paid to lobbying firm
Provider non-discrimination and related anesthesia access and payer reimbursement issues (H.R.1317/S.575) I CAN Act (S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R.6545) Anesthesia for All Act Anesthesia access in rural areas
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
(H.R.1317/S.575) I CAN Act Issues surrounding Medicare Conditions of Participation (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] Issues surrounding Medicare supe…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. · lobbying firm or registrant: NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$150,000
Spent on own lobbying
…uction Act of 2026 (S.3707/H.R.7279) Future Advancement of Academic Nursing (FAAN) Act (S.3435/H.R.6607) Improving Care and Access to Nurses (I CAN) Act (S.575/H.R.1317) Improving Access to Workers Compensation for Injured Federal Workers Act of 2025 (S.3296/H.R.3170) National Nursing Workforce Center Act of 2025 (S.1482/H.R.4…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…s to care Strengthening the nurse workforce and increasing the pipeline Nurse burnout and well-being Nurse overtime and patient safety Nurse faculty shortages (H.R.1317/S.575) I CAN Act Issues surrounding surgical smoke (S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 4407/S.1482) National Nurs…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
(H.R.1317/S.575) I CAN Act Issues surrounding Medicaid reforms Issues surrounding nurse payment policies (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R. 4206…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…Practitioners (S.1805/H.R. 1616) The Promoting Access to Diabetic Shoes Act Issues surrounding Medicaid reforms Extension of Medicare telehealth flexibilities (H.R.1317/S.575) ICAN Act (S.717/H.R.6894) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R.4773/S.3350) ACO Assignment Improvement Act Issues surroundi…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: AMERICAN NURSES ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$210,000
Spent on own lobbying
…to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Nurse overtime and patient safety Nurse faculty shortages (H.R. 1317/S. 575) I CAN Act Issues surrounding surgical smoke (H.R. 3593/S. 1874) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 4407/S. 1482) National N…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: AMERICAN NURSES ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$210,000
Spent on own lobbying
(H.R. 1317/S. 575) I CAN Act Issues surrounding Medicaid reforms Issues surrounding nurse payment policies (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R. 104…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES · lobbying firm or registrant: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$60,000
Paid to lobbying firm
…3350, H.R. 4773) - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717, H.R. 6894) - Improving Care and Access to Nurses Act (S. 575, H.R. 1317) - Regulatory restrictions on PA practice - Student loans - H.R. 6718, Professional Student Degree Act - Definition of professional degree - Sections 313 and 6…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$4,540,000
Spent on own lobbying
…liation pursuant to title II of H. Con. Res. 14 (PL 119-21), provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R.1317 - I CAN Act, all provisions H.R.1614 - To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under th…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES · lobbying firm or registrant: AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$160,000
Spent on own lobbying
…cess to Quality Cardiac Rehabilitation Care Act (HR 6894/S. 717), the ACO Assignment Act (HR4773/S. 3350), the Improving Care and Access to Nurses Act (S. 575, HR 1317), Professional Student Degree Act (HR 6718), Enhancing Skilled Nursing Facilities Act (HR 7106) Medical Nutrition Therapy Act (HR 6199/S. 3934), SHARE Act (HR…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS · lobbying firm or registrant: CAPITOL ASSOCIATES, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Medicare/Medicaid
$100,000
Paid to lobbying firm
…vents hospitals from pursuing a Critical Access Hospital (CAH) designation if it falls within 35-miles of another CAH. Improving Care and Access to Nurses Act (H.R.1317) Under Medicare and Medicaid, this act removes various barriers to practice for several RHC professionals, including NPs, certified nurse-midwives, and advance…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN SOCIETY OF ANESTHESIOLOGISTS · lobbying firm or registrant: AMERICAN SOCIETY OF ANESTHESIOLOGISTS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 13, 2026 · issue area: Medicare/Medicaid
$270,000
Spent on own lobbying
H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025: payment rates H.R. 1317 (2025-2026), I CAN Act: provision of service under Medicare Medicare sequester, PAYGO Medicare Advantage Upcoding Medicare for All/Public Option Historical Med…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. · lobbying firm or registrant: NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Aug 5, 2026 · issue area: Health Issues
$160,000
Spent on own lobbying
…ting Tomorrows (PRECEPT) Nurses Act (S.131/H.R.392) Nurse Corps Tax Parity Act of 2025 (S.1548/H.R.3145) Improving Care and Access to Nurses (I CAN) Act (S.575/H.R.1317) Improving Access to Workers Compensation for Injured Federal Workers Act of 2025 (S.3296/H.R.3170) National Nursing Workforce Center Act of 2025 (S.1482/H.R.4…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL LEAGUE FOR NURSING · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$29,067
Paid to lobbying firm
…ansformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2531/S. 1232, Workplace Violence Prevent…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…se practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: AMERICAN NURSES ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$270,000
Spent on own lobbying
…to care Strengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Nurse overtime and patient safety Nurse faculty shortages (H.R.1317/S.575) I CAN Act Dr. Lorna Breen Health Care Provider Protection Reauthorization Issues surrounding surgical smoke (S.1874/H.R. 3593) Title VIII Nursing Workfo…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: AMERICAN NURSES ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$270,000
Spent on own lobbying
(H.R.1317/S.575) I CAN Act Issues surrounding CMS Long Term Care staffing final rule Issues surrounding Medicaid reforms Issues surrounding nurse payment policies (H.R.…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing