HR5199119th CongressWALLET

Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025

Sponsored By: Representative Mann

Introduced

Summary

Shifts Medicare facility rules to let physician assistants and nurse practitioners practice under state law. The bill would change Medicare law so that facilities that are not physician-directed clinics must meet specific arrangement and practice requirements tied to state and local law.

Show full summary
  • Medicare patients: People in affected facilities would be able to receive services from one or more physician assistants or nurse practitioners under arrangements that follow state law.
  • Physician assistants and nurse practitioners: They would be able to deliver services in non-physician-directed facilities so long as their practice and oversight follow state regulatory rules.
  • Non-physician-directed facilities: These sites would need an arrangement consistent with state and local law and must ensure service delivery follows the State's practice and oversight mechanisms.

The bill would take effect January 1, 2027 and apply to items and services furnished on or after that date.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Medicare rules for clinics using physician assistants or nurse practitioners

If enacted, this bill would change Medicare rules for some clinics. Starting January 1, 2027, clinics that are not physician-directed would need an arrangement, consistent with state and local law, with one or more physician assistants or nurse practitioners. Care under that arrangement would have to follow state rules for PA or NP practice. If you have Medicare and use these clinics, you could keep or gain access to care. This mainly sets requirements for clinics, not direct payments to patients.

Sponsors & CoSponsors

Sponsor

Mann

KS • R

Cosponsors

  • Tokuda

    HI • D

    Sponsored 9/8/2025

  • Zinke

    MT • R

    Sponsored 9/8/2025

  • Ciscomani

    AZ • R

    Sponsored 9/8/2025

  • Johnson (GA)

    GA • D

    Sponsored 9/8/2025

  • Fields

    LA • D

    Sponsored 9/8/2025

  • Mannion

    NY • D

    Sponsored 9/8/2025

  • Thompson (MS)

    MS • D

    Sponsored 9/8/2025

  • Costa

    CA • D

    Sponsored 9/8/2025

  • Baird

    IN • R

    Sponsored 9/8/2025

  • Valadao

    CA • R

    Sponsored 9/8/2025

  • Pappas

    NH • D

    Sponsored 9/8/2025

  • Boebert

    CO • R

    Sponsored 9/8/2025

  • Smith (NE)

    NE • R

    Sponsored 9/8/2025

  • Figures

    AL • D

    Sponsored 9/9/2025

  • Vasquez

    NM • D

    Sponsored 9/10/2025

  • Vindman

    VA • D

    Sponsored 9/15/2025

  • Schmidt

    KS • R

    Sponsored 10/6/2025

  • Del. Moylan, James C. [R-GU-At Large]

    GU • R

    Sponsored 10/17/2025

  • Higgins (LA)

    LA • R

    Sponsored 10/17/2025

  • Stansbury

    NM • D

    Sponsored 12/18/2025

  • Bacon

    NE • R

    Sponsored 3/16/2026

Roll Call Votes

No roll call votes available for this bill.

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