The American Nurses Association (ANA) applauds the efforts of lawmakers to bring primary care services offered through registered nurses to Medicare beneficiaries in their homes by reintroducing the "Independence at Home Act of 2009" (H.R. 2560/S. 1131). ANA supports this legislation because it provides patients with care options that enhance individual independence and can lead to a better quality of life. This legislation also smartly recognizes the integral role nurses and nurse practitioners play in the delivery of primary care and helps bring the focus of our health care system back where it belongs- on the patient and the community.