; Authorizing Medicare and Medicaid inpatient hospital patients to be under the care of a nurse practitioner (a) Medicare (1) Certification of post-hospital extended care services Section 1814(a)(2) of the Social Security Act ( 42 U.S.C. 1395f(a)(2) ) is amended by striking , or a nurse practitioner, and inserting or a nurse practitioner (in accordance with State law), or . (2) Certification authority for nurse practitioners Section 1814(a)(3) of the Social Security Act ( 42 U.S.C. 1395f(a)(3) ) is amended by inserting or nurse practitioner after physician the first place that it appears. (3) Supervision requirement in skilled nursing facility services Section 1819(b)(6)(A) of the Social Security Act ( 42 U.S.C. 1395i–3(b)(6)(A) ) is amended— (A) in the header, by striking Physician supervision and inserting Supervision ; and (B) by inserting or a nurse practitioner, in accordance with State law after physician . (4) Administration of part B Section 1842(b)(2)(C) of the Social Security Act ( 42 U.S.C. 1395u(b)(2)(C) ) is amended— (A) by inserting or a nurse practitioner after a physician ; and (B) by striking or a nurse practitioner working in collaboration with that physician, or both . (5) Provision of medical and other health services Section 1861(s)(2)(K)(ii) of the Social Security Act ( 42 U.S.C. 1395x(s)(2)(K)(ii) ) is amended by striking or clinical nurse specialist (as defined in subsection (aa)(5)) working in collaboration (as defined in subsection (aa)(6)) with a physician (as defined in subsection (r)(1)) and inserting (as defined in subsection (aa)(5)(A)), or by a clinical nurse specialist (as defined in subsection (aa)(5)(B)) working in collaboration with a physician (as defined in subsection (r)(1)), . (6) Privileges for nurse practitioners Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended— (A) in subsection (e)(4), by inserting (or nurse practitioner, in accordance with State law) after physician ; (B) in subsection (f)(1), by inserting or nurse practitioner, after physician