Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025

119 HR 5199 IH: Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 U.S. House of Representatives 2025-09-08 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 5199 IN THE HOUSE OF REPRESENTATIVES September 8, 2025 Mr. Mann (for himself, Ms. Tokuda , Mr. Zinke , Mr. Ciscomani , Mr. Johnson of Georgia , Mr. Fields , Mr. Mannion , Mr. Thompson of Mississippi , Mr. Costa , Mr. Baird , Mr. Valadao , Mr. Pappas , Ms. Boebert , and Mr. Smith of Nebraska ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to modernize physician, physician assistant, and nurse practitioner utilization requirements. 1. Short title This Act may be cited as the Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 . 2. Modernizing physician, physician assistant, and nurse practitioner utilization requirements Section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ) is amended— (1) in paragraph (2)(B), by striking has an arrangement and all that follows through the first semicolon and inserting meets the requirements described in paragraph (8); ; and (2) by adding at the end the following new paragraph: (8) Requirements for certain facilities described For purposes of paragraph (2)(B), with respect to a facility which is not a physician-directed clinic, the following requirements are described in this paragraph: (A) Arrangement The facility has an arrangement consistent with the provisions of State and local law relative to the practice, performance, and delivery of health services, with one or more physician assistants (as defined in paragraph (5)(A)) or one or more nurse practitioners (as defined in such paragraph). (B) Practice and oversight requirements The delivery of health services under such arrangement shall be in accordance with State law or the State regulatory mechanism governing the practice of physician assistants or nurse practitioners. . 3. Effective date This Act and the amendments made by this Act shall take effect on January 1, 2027, and shall apply to items and services furnished on or after such date.