Bill > HR5199

This bill, called the "Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025," seeks to update the requirements for healthcare facilities that are not physician-directed clinics under Medicare (Title XVIII of the Social Security Act). Specifically, the bill modifies existing regulations to require that such facilities establish arrangements with physician assistants (PAs) or nurse practitioners (NPs) that are consistent with state and local laws governing healthcare service delivery. The new provisions mandate that these facilities must have formal arrangements with PAs or NPs, and that the delivery of health services must comply with state laws or regulatory mechanisms that govern the practice of PAs and NPs. This change aims to provide more flexibility and clarity in how rural and non-physician-directed healthcare facilities can utilize these important healthcare professionals. The bill will take effect on January 1, 2027, and will apply to healthcare services provided on or after that date, giving healthcare facilities time to adapt to the new requirements.

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https://www.congress.gov/bill/119th-congress/house-bill/5199/all-info