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H.R. 5621
U.S. House•In House Committee
Summary
H.R. 5621, the Physical Therapist Workforce and Patient Access Act of 2025, was introduced in the House on Sep 30, 2025 by Rep. Diana DeGette (D) with 31 co-sponsors. It was referred to Energy And Commerce, and last saw action on Sep 30, 2025: 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.
Record
Text
H.R. 5621 has 31 co-sponsors.
hb5621/introduced-in-house.txt119 HR 5621 IH: Physical Therapist Workforce and Patient Access Act of 2025U.S. House of Representatives2025-09-30text/xmlENPursuant 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. 5621 IN THE HOUSE OF REPRESENTATIVES September 30, 2025 Ms. DeGette (for herself and Mr. Griffith ) 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 BILLTo amend the Public Health Service Act to provide for the participation of physical therapists in the National Health Service Corps Loan Repayment program, to amend title XVIII of the Social Security Act to expand Medicare Rural Health Clinic Services and Federally Qualified Health Center Services to include physical therapy services, and for other purposes.1.Short title; findings(a)Short titleThis Act may be cited as the Physical Therapist Workforce and Patient Access Act of 2025 .(b)FindingsCongress finds as follows:(1)Physical therapists play an important role in the prevention, treatment, or management of pain for individuals, including those with substance use disorders, or at risk of developing a substance use disorder.(2)Physical therapists are also playing an important role in the physical rehabilitation needs of individuals who have developed chronic health conditions as a result of COVID–19.(3)Physical therapist services are an essential component of the multidisciplinary undertaking that will be required to improve patient access and outcomes in medically underserved areas.2.National Health Service Corps; participation of physical therapists in loan repayment program(a)Mission of corps; definition of primary health servicesSection 331(a)(3)(D) of the Public Health Service Act ( 42 U.S.C. 254d(a)(3)(D) ) is amended by striking or mental health, and inserting mental health, or physical therapy, .(b)Physical therapy health professional target areasSection 332 of the Public Health Service Act ( 42 U.S.C. 254e ) is amended by adding at the end the following:(l)Physical therapy health professional target areas(1)In generalThe Secretary shall carry out a program of—(A)identifying physical therapy health professional target areas; and(B)assigning members of the Corps who are physical therapists to such areas.(2)Applicable provisionsThe provisions of paragraphs (1), (2), (3), (4), and (6) of subsection (k) shall apply to the identification of physical therapy health professional target areas and the assignment of physical therapists under this subsection except that—(A)references to maternity care health professional target areas shall be treated as references to physical therapy health professional target areas; and(B)references to maternity care health professionals and maternity care shall be treated as references to physical therapists and physical therapy, respectively..(c)Loan repayment programSection 338B of the Public Health Service Act ( 42 U.S.C. 254l–1 ) is amended—(1)in subsection (a)(1), by inserting physical therapists, after dentists, ;(2)in subsection (b)—(A)by striking (1)(A) have a degree in and all that follows through the end of subparagraph (A) of paragraph (1) and inserting the following:(1)(A)(i)have a degree in medicine, osteopathic medicine, dentistry, or another health profession, or an appropriate degree from a graduate program of behavioral and mental health;(ii)be certified as a nurse midwife, nurse practitioner, or physician assistant; or(iii)have a doctoral or master’s degree in physical therapy;;(B)in paragraph (1)(B), by inserting physical therapy, after mental health, ; and(C)in paragraph (1)(C)(ii), by inserting physical therapy, after dentistry, ; and(3)by adding at the end the following:(i)Eligibility to participate in other programsNothing in this section shall be construed to prohibit any health care professional who is eligible to participate in the program under this section from participating in any other loan repayment program established by the Secretary for which such professional is eligible..3.Additional funding for participation of physical therapists in the National Health Service Corps Loan Repayment ProgramSection 10503(b)(2)(K) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(K) ) is amended—(1)by striking $172,972,603 and inserting $187,972,603 ; and(2)by inserting before the period at the end the following: , provided that of such amount the Secretary shall use not less than $15,000,000 for making loan repayments for physical therapists participating in the National Health Service Corps Loan Repayment Program under section 338B of the Public Health Service Act .4.Expanding Medicare Rural Health Clinic Services and Federally Qualified Health Center Services to include physical therapy services(a)In generalSection 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ) is amended—(1)in paragraph (1)—(A)in subparagraph (C), by striking at the end and ;(B)in subparagraph (D), by adding and at the end; and(C)by inserting after subparagraph (D) the following new subparagraph:(E)such physical therapy services (as defined in subsection (p)) furnished by a physical therapist,; and(2)in paragraph (3)(A), by striking subparagraphs (A) through (D) and inserting subparagraphs (A) through (E) .(b)Effective dateThe amendments made by subsection (a) shall apply with respect to services furnished on or after January 1, 2027.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-09-30
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Sep 30, 2025
hb5621/introduced-in-house.mdShown Here:
Introduced in House (09/30/2025)
Physical Therapist Workforce and Patient Access Act of 2025
This bill expands certain health professional programs and Medicare covered services to include physical therapists.
Specifically, the bill expands the National Health Service Corps to include physical therapists and provides for the designation of specific health professional target areas for physical therapists under the program. The bill also expands covered services of rural health clinics and federally qualified health centers under Medicare to include physical therapy services.
The bill increases funds for FY2025 for the corps and requires a certain amount of funds to be used for student loan repayments for participating physical therapists in the National Health Service Corps Loan Repayment Program.
Sponsors
Rep. Diana DeGette (D) sponsors H.R. 5621, and 31 members have co-sponsored it, 1 of them from the day it was introduced.

Rep. · D–CO-1 · Sponsor
Introduced Sep 30, 2025

Rep. · R–VA-9 · Co-sponsor
Joined Sep 30, 2025 · Original

Rep. · D–NC-2 · Co-sponsor
Joined Feb 10, 2026

Rep. · D–DC-0 · Co-sponsor
Joined Feb 11, 2026

Rep. · D–TX-37 · Co-sponsor
Joined Feb 11, 2026

Rep. · D–PA-6 · Co-sponsor
Joined Feb 11, 2026

Rep. · R–NE-2 · Co-sponsor
Joined Feb 20, 2026

Rep. · D–CA-9 · Co-sponsor
Joined Feb 20, 2026

Rep. · D–MN-2 · Co-sponsor
Joined Feb 24, 2026

Rep. · D–TN-9 · Co-sponsor
Joined Mar 4, 2026
Committees
H.R. 5621 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 5621 has taken 2 actions since Sep 30, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Sep 30, 2025 | House | Introduced in House | ||
Sep 30, 2025 | House | 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.Energy and Commerce Committee |
Votes
H.R. 5621 has not gone to a roll call.
Titles
H.R. 5621 goes by 3 titles, 1 of them short titles.
- Physical Therapist Workforce and Patient Access Act of 2025 — Display Title
- Physical Therapist Workforce and Patient Access Act of 2025 — Short Title(s) as Introduced
- To amend the Public Health Service Act to provide for the participation of physical therapists in the National Health Service Corps Loan Repayment program, to amend title XVIII of the Social Security Act to expand Medicare Rural Health Clinic Services and Federally Qualified Health Center Services to include physical therapy services, and for other purposes. — Official Title as Introduced
Lobbying
3 clients hired 4 firms and 22 registered lobbyists who named H.R. 5621 in 14 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Medicare/Medicaid, Budget/Appropriations, Veterans, Defense, Education, Law Enforcement/Crime/Criminal Justice, Medical/Disease Research/Clinical Labs.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN PHYSICAL THERAPY ASSOCIATION | National membership organizaton that represents the profession of physical therapy | Virginia | 2 | 7 | $60K |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | — | Michigan | 1 | 5 | $500K |
| AMERICAN HEALTH CARE ASSOCIATION | — | District of Columbia | 1 | 2 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICAN PHYSICAL THERAPY ASSOCIATION | 1 | 5 | — |
| CAPITOL ASSOCIATES, INC. | 1 | 5 | $500K |
| AMERICAN HEALTH CARE ASSOCIATION | 1 | 2 | — |
| CAPITOL COUNSEL LLC | 1 | 2 | $60K |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 22.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| AARON BISHOP | 1 | 1 | 5 |
| ANDREW AMARI | 1 | 1 | 5 |
| BRIAN ALLEN | 1 | 1 | 5 |
| JUSTIN ELLIOTT | 1 | 1 | 5 |
| JUSTIN MOORE | 1 | 1 | 5 |
| MAUREEN SULLIVAN | 1 | 1 | 5 |
| MICHAEL MATLACK | 1 | 1 | 5 |
| NATHANIEL BAUGH | 1 | 1 | 5 |
| RACHEL MILLER | 1 | 1 | 5 |
| SARAH HOHMAN | 1 | 1 | 5 |
| STEVE KLINE | 1 | 1 | 5 |
| CHARLES MICHAELS | 1 | 1 | 2 |
| CHRISTOPHER DONNELLAN | 1 | 1 | 2 |
| CLIFTON PORTER | 1 | 1 | 2 |
| DANA HALVORSON RITCHIE | 1 | 1 | 2 |
| ERICA MILLER | 1 | 1 | 2 |
| JEFFREY CARROLL | 1 | 1 | 2 |
| JENNIFER HAHS | 1 | 1 | 2 |
| JOHN MARTIN | 1 | 1 | 2 |
| LUKE HATZIS | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN HEALTH CARE ASSOCIATION | AMERICAN HEALTH CARE ASSOCIATION | 2026 second_quarter | $840K | 2nd Quarter - Report |
| AMERICAN HEALTH CARE ASSOCIATION | AMERICAN HEALTH CARE ASSOCIATION | 2026 first_quarter | $790K | 1st Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2025 third_quarter | $318.9K | 3rd Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2026 second_quarter | $312.7K | 2nd Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2026 first_quarter | $312.7K | 1st Quarter - Amendme… |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2026 first_quarter | $301.4K | 1st Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | AMERICAN PHYSICAL THERAPY ASSOCIATION | 2025 fourth_quarter | $301.4K | 4th Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 second_quarter | $100K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 first_quarter | $100K | 1st Quarter - Amendme… |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 first_quarter | $100K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2025 fourth_quarter | $100K | 4th Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2025 third_quarter | $100K | 3rd Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | CAPITOL COUNSEL LLC | 2026 second_quarter | $30K | 2nd Quarter - Report |
| AMERICAN PHYSICAL THERAPY ASSOCIATION | CAPITOL COUNSEL LLC | 2026 first_quarter | $30K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 5621 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 5621’s is Health.
hr5621/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 5621, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 160 (Tuesday, September 30, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. DeGETTE:H.R. 5621.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8 of the United States Constitution[Page H4509]
Source: congress.gov · legiscan.com