; and (2) in subsection (e)(1)(A), by striking a physician a nurse practitioner or clinical nurse specialist, and inserting a physician, a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, . 303. Improving access to DMEPOS for Medicare beneficiaries Section 1834(a) of the Social Security Act ( 42 U.S.C. 1395m(a) ) is amended— (1) in paragraph (1)(E)(ii) by striking or a clinical nurse specialist (as those terms are defined in section 1861(aa)(5)) and inserting , a clinical nurse specialist (as those terms are defined in section 1861(aa)(5)), or a certified nurse-midwife (as defined in section 1861(gg)) ; and (2) in paragraph (11)(B)(ii)— (A) by striking or a clinical nurse specialist (as those terms are defined in section 1861(aa)(5)) and inserting a clinical nurse specialist (as those terms are defined in section 1861 (aa)(5)), or a certified nurse-midwife (as defined in 1861(gg))