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Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025
To amend title XVIII of the Social Security Act to modernize physician, physician assistant, and nurse practitioner utilization requirements.
Summary
This bill amends Medicare regulations to modernize the requirements for physician assistants (PAs) and nurse practitioners (NPs) working in certain rural health facilities. Currently, Medicare requires specific arrangements between these facilities and physicians; this bill instead allows facilities to comply with state law and state regulatory mechanisms governing PA and NP practice. The change allows PAs and NPs greater autonomy to practice according to their state's licensing and regulatory requirements rather than adhering to federally-mandated physician oversight arrangements. The bill takes effect on January 1, 2027, and applies to Medicare-covered services provided on or after that date.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Mann, Tracey [R-KS-1] (R-KS)
24 cosponsors
- Del. Moylan, James C. [R-GU-At Large] (R-GU)
- Rep. Bacon, Don [R-NE-2] (R-NE)
- Rep. Baird, James R. [R-IN-4] (R-IN)
- Rep. Boebert, Lauren [R-CO-4] (R-CO)
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ)
- Rep. Costa, Jim [D-CA-21] (D-CA)
- Rep. Fields, Cleo [D-LA-6] (D-LA)
- Rep. Figures, Shomari [D-AL-2] (D-AL)
- Rep. Higgins, Clay [R-LA-3] (R-LA)
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA)
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA)
- Rep. Lofgren, Zoe [D-CA-18] (D-CA)
- Rep. Mannion, John W. [D-NY-22] (D-NY)
- Rep. Nunn, Zachary [R-IA-3] (R-IA)
- Rep. Pappas, Chris [D-NH-1] (D-NH)
- Rep. Schmidt, Derek [R-KS-2] (R-KS)
- Rep. Smith, Adrian [R-NE-3] (R-NE)
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM)
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS)
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI)
- Rep. Valadao, David G. [R-CA-22] (R-CA)
- Rep. Vasquez, Gabe [D-NM-2] (D-NM)
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA)
- Rep. Zinke, Ryan K. [R-MT-1] (R-MT)
Money behind the sponsor
Top reported contributors to Tracey Mann’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- WINTER LIVESTOCK $13,200
- ICM INC. $8,300
- SILVER COMPANIES $7,220
- EQUITY BANK $6,850
- CROSSLAND CONSTRUCTION COMPANY $6,600
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Tracey Mann → · Outside spending →
Actions (2)
- Sep 8, 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. · house
- Sep 8, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
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. <all>
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