Bills of Congress by U.S. Congress

Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025

Summary

The Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 aims to update the Social Security Act to modernize the utilization requirements for physicians, physician assistants (PAs), and nurse practitioners (NPs), particularly in rural healthcare facilities. The bill seeks to allow PAs and NPs to practice to the full extent of their training and licensure, especially in facilities that are not physician-directed clinics. This is achieved by amending Section 1861(aa) of the Social Security Act to provide specific requirements for facilities utilizing PAs and NPs.

Expected Effects

The primary effect of this bill would be to increase access to healthcare services in rural areas by allowing PAs and NPs to provide care with greater autonomy. This could lead to more efficient healthcare delivery and potentially lower costs. The bill also clarifies the legal framework under which PAs and NPs can operate, aligning federal requirements with state laws regarding their scope of practice.

Potential Benefits

  • Increased access to healthcare in rural areas.
  • Greater autonomy for PAs and NPs, allowing them to practice to the full extent of their training.
  • Potential for more efficient healthcare delivery.
  • Alignment of federal requirements with state laws.
  • Possible reduction in healthcare costs.

Potential Disadvantages

  • Potential concerns about the quality of care if oversight is insufficient.
  • Possible resistance from physicians who may see this as a challenge to their authority.
  • The need for careful monitoring to ensure patient safety.
  • Potential for increased healthcare costs if not managed effectively.
  • Possible legal challenges regarding scope of practice.

Constitutional Alignment

The bill appears to align with the Constitution, particularly the provisions related to the general welfare clause, as it aims to improve healthcare access for citizens, especially in underserved rural areas. The Tenth Amendment reserves powers not delegated to the federal government to the states, and this bill respects state laws regarding the practice of PAs and NPs. Article I, Section 8, Clause 1 grants Congress the power to lay and collect taxes, duties, imposts and excises, to pay the debts and provide for the common defense and general welfare of the United States.

Impact Assessment: Things You Care About

This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).