Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5199 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 5199

To amend title XVIII of the Social Security Act to modernize physician, 
 physician assistant, and nurse practitioner utilization requirements.


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                    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.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Modernizing Rural Physician 
Assistant and Nurse Practitioner Utilization Act of 2025''.

SEC. 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.''.

SEC. 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.
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