REQUIRED COVERAGE OF NURSE PRACTITIONER SERVICES.

SEC. 6405. REQUIRED COVERAGE OF NURSE PRACTITIONER SERVICES. (a) In General.—Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended— (1) in paragraph (20), by striking “and”; (2) by redesignating paragraph (21) as paragraph (22); and (3) by inserting after paragraph (20) the following new paragraph: “(21) services furnished by a certified pediatric nurse practitioner or certified family nurse practitioner (as defined by the Secretary) which the certified pediatric nurse practitioner or certified family nurse practitioner is legally authorized to perform under State law (or the State regulatory mechanism provided by State law), whether or not the certified pediatric nurse practitioner or certified family nurse practitioner is under the supervision of, or associated with, a physician or other health care provider, and”. (b) Conforming Amendment.—Section 1902(a)(10)(A) of such Act (42 U.S.C. 1396a(a)(10)(A)) is amended by striking “(1) through (5) and (17)” and by inserting “(1) through (5), (17) and (21)”. (c) Effective Date.—The amendments made by this section shall become effective with respect to services furnished by a certified pediatric nurse practitioner or certified family nurse practitioner on or after July 1, 1990.