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HR 5199
Introduced Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.

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.

Introduced Sep 8, 2025

Latest action (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.

Referred to
Ways and Means Committee Energy and Commerce Committee
Policy area
Health
Issues
Healthcare

Summary
  • Modifies Medicare requirements for non-physician-directed clinics regarding employment of physician assistants and nurse practitioners
  • Replaces a specific arrangement requirement with a standard requiring facilities to comply with state law governing PA and NP practice
  • Allows clinics to arrange with PAs or NPs under state regulatory frameworks rather than a uniform federal requirement
  • Takes effect on January 1, 2027 for Medicare-covered items and services

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)
24 cosponsors

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)
  1. 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
  2. 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.

  • HR 1153 — Rural Physician Workforce Production Act of 2025 · Introduced Feb 10, 2025 · Cong. 119 82%
  • HR 5198 — Rural Health Clinic Location Modernization Act of 2025 · Introduced Sep 8, 2025 · Cong. 119 82%
  • HR 3890 — Resident Physician Shortage Reduction Act of 2025 · Introduced Jun 10, 2025 · Cong. 119 78%
  • HR 4407 — National Nursing Workforce Center Act of 2025 · Introduced Jul 15, 2025 · Cong. 119 77%
  • HR 4731 — Resident Physician Shortage Reduction Act of 2025 · Introduced Jul 23, 2025 · Cong. 119 77%
  • HR 771 — Rural Health Care Access Act of 2025 · Introduced Jan 28, 2025 · Cong. 119 76%

Text versions (1)
  • Introduced in House · Sep 8, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

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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