PolicyBrief
S. 717
119th CongressFeb 25th 2025
Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025
IN COMMITTEE

The "Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025" expands Medicare access to cardiac and pulmonary rehabilitation programs by allowing them in physician's offices and expanding the types of medical professionals who can oversee these programs.

Shelley Capito
R

Shelley Capito

Senator

WV

LEGISLATION

Medicare Rehab Access Expands: PAs and NPs Can Now Prescribe, Supervise Cardiac and Pulmonary Programs

The "Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025" really does what it says on the tin: it makes it easier for folks on Medicare to get the rehab they need after heart or lung issues. Starting six months after this bill becomes law, things are going to change in a couple of big ways.

Rehab Where You Need It

Right now, cardiac rehab programs (think supervised exercise and education after a heart attack or surgery) aren't always easy to get to. This bill changes that by letting these programs happen right in your doctor's office (SEC. 2). That's a game-changer, especially if you live far from a hospital or specialized center. Imagine finishing your workday and heading to your regular doctor's office for your rehab session – way more convenient than trekking across town.

More Pros on Deck

It's not just where you can get rehab that's changing; it's also who can provide it. The bill says that physician assistants (PAs), nurse practitioners (NPs), and clinical nurse specialists can now prescribe and supervise both cardiac and pulmonary rehab exercise programs (SEC. 2). Before, only physicians could do this. This means more qualified healthcare professionals will be available to help people recover, which is a good thing. Think of it like this: your local clinic might have a great PA who knows your history and can now manage your rehab directly, instead of needing to bring in a specialist from elsewhere.

Real-World Impact

Let's say you're a 68-year-old retired teacher in a rural area, and you've just had a heart procedure. Under current rules, you might have to drive an hour each way, multiple times a week, for supervised rehab. That's tough on anyone, let alone someone recovering from a major health event. With this bill, your local doctor's office – the one you already go to for checkups – could offer the same program, overseen by a PA you already trust. It saves you time, gas money, and a whole lot of hassle.

Or imagine you're a 55 year old construction worker with a lung condition. Previously, you might have had to coordinate your rehab appointments around a physician's packed schedule. This change means you can get going with your recovery plan faster, supervised by a nurse practitioner, and get back to work and life, that much sooner.

The Bottom Line

This bill is about making healthcare work better for people's real lives. By expanding where rehab can happen and who can provide it, the "Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025" aims to make it easier for Medicare patients to get the care they need, when and where they need it. It's a practical step towards a more accessible and efficient healthcare system.