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H.R. 5199: Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025

This bill, titled the Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, aims to update the regulations governing the use of physician assistants (PAs) and nurse practitioners (NPs) in rural healthcare settings. The proposed changes focus on amending the Social Security Act, specifically regarding the requirements for facilities that employ PAs and NPs.

Key Provisions

The bill ensures the following changes:

  1. Updating Utilization Requirements: The bill proposes to enhance the criteria under which PAs and NPs can practice in facilities that are not physician-directed clinics. Previously, specific conditions were required, but the bill seeks to modify these by requiring that the facilities have clear arrangements with PAs or NPs that comply with state and local laws.
  2. Defining Facility Arrangements: The new language clarifies that healthcare facilities must have an arrangement with one or more PAs or NPs that aligns with local regulations concerning health services delivery.
  3. Service Delivery Compliance: The healthcare services provided under these arrangements must adhere to relevant state laws or regulations that govern how PAs and NPs operate within their professional scope.

Implementation Timeline

The changes outlined in the bill are set to take effect on January 1, 2027. This means that any items or services provided in line with the new regulations would need to comply with these updated requirements from that date onward.

Impact on Healthcare Services

By modernizing the requirements for PAs and NPs, the bill is intended to improve access to healthcare in rural areas, where there may be a shortage of physicians. By allowing more flexible arrangements and recognizing the capabilities of PAs and NPs, it aims to enhance service delivery in a manner that aligns with local healthcare needs.

Relevant Companies

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Sponsors

21 bill sponsors

Actions

2 actions

Date Action
Sep. 08, 2025 Introduced in House
Sep. 08, 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.

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