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HR 3590 EAS/PP
tion with the physician in accordance with State law, or
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a certified nurse-midwife (as defined in section 1861(gg))
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as authorized by State law, or a physician assistant (as
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defined in section 1861(aa)(5)) under the supervision of the
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physician,'' after ``himself or herself''.
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(b) P
ART
B.--Section 1835(a)(2)(A)(iv) of the Social
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Security Act, as added by section 6407(a)(2), is amended
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by inserting ``, or a nurse practitioner or clinical nurse spe-
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cialist (as those terms are defined in section 1861(aa)(5))
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who is working in collaboration with the physician in ac-
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cordance with State law, or a certified nurse-midwife (as
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defined in section 1861(gg)) as authorized by State law, or
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a physician assistant (as defined in section 1861(aa)(5))
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under the supervision of the physician,'' after ``must docu-
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ment that the physician''.
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SEC. 10606. HEALTH CARE FRAUD ENFORCEMENT.
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(a) F
RAUD
S
ENTENCING
G
UIDELINES
.--
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(1) D
EFINITION
.--In this subsection, the term
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``Federal health care offense'' has the meaning given
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that term in section 24 of title 18, United States
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Code, as amended by this Act.
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(2) R
EVIEW
AND
AMENDMENTS
.--Pursuant to
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the authority under section 994 of title 28, United
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States Code, and in accordance with this subsection,
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the United States Sentencing Commission shall--
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