H.R. 5199

119 HR 5199 IH: Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025
 U.S. House of Representatives
 2025-09-08
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 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.