119-hr5199

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5199 Introduced in House

    (IH) ]

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119th CONGRESS
 1st Session
 H. R. 5199

To amend title XVIII of the Social Security Act to modernize physician, 
 physician assistant, and nurse practitioner utilization requirements.

_______________________________________________________________________

 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.
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