Bill · H.R. 5199· House(119-HR-5199)
Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025
- Introduced
- 9/8/2025
- Last activity
- 9/8/2025 — 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.
- Sponsored by
- Tracey Mann
- Cosponsors
- - 12 - 13
- Introduced
- In Committee
What this bill would do
This bill, known as the "Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025," aims to amend title XVIII of the Social Security Act. The purpose is to modernize the utilization requirements for physicians, physician assistants, and nurse practitioners. It changes how certain facilities must meet requirements regarding health service arrangements. Specifically, it addresses facilities that are not physician-directed clinics. The changes are set to take effect on January 1, 2027.
Yes· 3 of 18
Would people in rural areas be better off under this?+8
The bill is explicitly designed to modernize and improve rural healthcare utilization for nurse practitioners and physician assistants.
Does this make health care easier to get in general?+6
By modernizing requirements for utilizing physician assistants and nurse practitioners in rural and non-physician-directed clinics, the bill enhances healthcare delivery and access.
Would people over 65 be better off under this?+5
Seniors relying on Medicare in rural areas benefit significantly from improved facility staffing and local healthcare access.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Modernized Utilization Requirements: The bill seeks to modernize how physician assistants and nurse practitioners are utilized within the Social Security Act (Section 2). This change could allow for more flexible health service delivery.
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Clearer Guidelines for Non-Physician-Directed Clinics: For facilities that are not physician-directed clinics, the bill establishes specific arrangements with physician assistants or nurse practitioners (Section 2, Paragraph 8, Part A). This creates a defined framework for how these professionals can provide health services.
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Compliance with State Regulations: The bill ensures that the delivery of health services follows State law or the specific regulatory mechanisms governing physician assistants or nurse practitioners (Section 2, Paragraph 8, Part B). This aligns healthcare delivery with existing State-level oversight.
Potential Negative Impacts for People
- Implementation Delay: The changes described in this bill do not take effect until January 1, 2027 (Section 3). This means any intended benefits from the modernization of these requirements will not apply to items and services furnished before that date.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Rural Residents+8Good For Retirees+5Good For Seniors+5Good For Farmers+4Good For Low Income Households+4Good For Middle Aged+3Good For Middle Class Households+3Good For Native Americans+3Good For People With Disabilities+3Good For Veterans+3Good For Women+3Good For Children+2Good For Men+2Good For Young Adults+2
- Healthcare
- Improves Healthcare Access+6Increases Medicare Funding+3
- Environment Energy And Infrastructure
- Improves Rural Development+5
- Governance And Ideology
- Increase States Rights+4
- 9/14/2026
- 1 Cosponsor added.
- 7/9/2026
- 1 Cosponsor added.
- 5/11/2026
- 1 Cosponsor added.
- 4/29/2026
- 1 Cosponsor added.
- 3/16/2026
- 1 Cosponsor added.
- 12/18/2025
- 1 Cosponsor added.
- 10/17/2025
- 2 Cosponsors added.
- 10/6/2025
- 1 Cosponsor added.
- 9/15/2025
- 1 Cosponsor added.
- 9/10/2025
- 1 Cosponsor added.
- 9/9/2025
- 1 Cosponsor added.
- 9/8/2025
- 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.
- 13 Cosponsors added.
- Introduced in House
Lauren BoebertRepublican · Colorado
Don BaconRepublican · Nebraska
James BairdRepublican · Indiana
Janelle BynumDemocrat · Oregon
Jim CostaDemocrat · California
Juan CiscomaniRepublican · Arizona
Cleo FieldsDemocrat · Louisiana
Shomari FiguresDemocrat · Alabama
Clay HigginsRepublican · Louisiana
Henry JohnsonDemocrat · Georgia
Jennifer KiggansRepublican · Virginia
Zoe LofgrenDemocrat · California
James MoylanRepublican · Guam
John MannionDemocrat · New York
Zachary NunnRepublican · Iowa
Chris PappasDemocrat · New Hampshire
Adrian SmithRepublican · Nebraska
Melanie StansburyDemocrat · New Mexico
Derek SchmidtRepublican · Kansas
Bennie ThompsonDemocrat · Mississippi
Jill TokudaDemocrat · Hawaii
David ValadaoRepublican · California
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia
Ryan ZinkeRepublican · Montana