1. Allowing physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs (a) Cardiac and intensive cardiac rehabilitation programs Section 1861(eee) of the Social Security Act ( 42 U.S.C. 1395x(eee) ) is amended— (1) in paragraph (1)— (A) by striking physician-supervised ; and (B) by inserting under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)) before the period at the end; (2) in paragraph (2)— (A) in subparagraph (A)(iii), by striking the period at the end and inserting a semicolon; and (B) in subparagraph (B), by striking a physician and inserting a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)) ; and (3) in paragraph (4)(A), in the matter preceding clause (i)— (A) by striking physician-supervised ; and (B) by inserting under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)) after paragraph (3) . (b) Pulmonary rehabilitation programs Section 1861(fff)(1) of the Social Security Act ( 42 U.S.C. 1395x(fff)(1) ) is amended— (1) by striking physician-supervised ; and (2) by inserting under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5)) before the period at the end. (c) Effective date The amendments made by this section shall apply to items and services furnished on or after the date that is one year after the date of the enactment of this Act.