# 119-hr-5199: Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025

119-hr-5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, is a 119th Congress bill sponsored by Rep. Mann, Tracey [R-KS-1] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/legislation/119-hr-5199
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5199
- Congress: 119
- Title: Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025
- Status: introduced
- Introduced: 2025-09-08
- Sponsor: Rep. Mann, Tracey [R-KS-1] (R-KS)
- Cosponsors: 26
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-17

## 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. - 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.

## Cosponsors (26)

- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-09-08T00:00:00.000Z
- Rep. Zinke, Ryan K. [R-MT-1] (R-MT), 2025-09-08T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2025-09-08T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-09-08T00:00:00.000Z
- Rep. Fields, Cleo [D-LA-6] (D-LA), 2025-09-08T00:00:00.000Z
- Rep. Mannion, John W. [D-NY-22] (D-NY), 2025-09-08T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-09-08T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-09-08T00:00:00.000Z
- Rep. Baird, James R. [R-IN-4] (R-IN), 2025-09-08T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2025-09-08T00:00:00.000Z
- Rep. Pappas, Chris [D-NH-1] (D-NH), 2025-09-08T00:00:00.000Z
- Rep. Boebert, Lauren [R-CO-4] (R-CO), 2025-09-08T00:00:00.000Z
- Rep. Smith, Adrian [R-NE-3] (R-NE), 2025-09-08T00:00:00.000Z
- Rep. Figures, Shomari [D-AL-2] (D-AL), 2025-09-09T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-09-10T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-09-15T00:00:00.000Z
- Rep. Schmidt, Derek [R-KS-2] (R-KS), 2025-10-06T00:00:00.000Z
- Del. Moylan, James C. [R-GU-At Large] (R-GU), 2025-10-17T00:00:00.000Z
- Rep. Higgins, Clay [R-LA-3] (R-LA), 2025-10-17T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2026-10-15T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-12-18T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2026-03-16T00:00:00.000Z
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA), 2026-04-29T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2026-05-11T00:00:00.000Z
- Rep. Nunn, Zachary [R-IA-3] (R-IA), 2026-07-09T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2026-09-14T00:00:00.000Z

## Provisions PRIA read

- Medicare rules for clinics using physician assistants or nurse practitioners: benefit, low. 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…

## Related bills

- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-2102: Major Richard Star Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act

## Sources
- [119-hr-5199 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5199)

## Related
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-4382: America’s Olympic and Paralympic Games Commemorative Coins Act](https://policyrisk.com/legislation/119-hr-4382)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5199 (as of 2026-10-17).