Rural Health Clinic Burden Reduction Act

Bill: 118-hr-3730
Sponsor: full_name: Rep. Smith, Adrian [R-NE-3]
Introduced: 2023-05-25
Policy area: Health
Subjects: Drug safety, medical device, and laboratory regulation

Health care coverage and access

Health personnel

Medicare

Mental health

Rural conditions and development
Latest action: action_date: 2024-12-17
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2023-05-25
action_desc: Introduced in House
text: <p><b>Rural Health Clinic Burden Reduction Act</b></p> <p>This bill makes a series of changes to requirements that apply to rural health clinics under Medicare. </p> <p>For example, the bill allows rural health clinics that are not directed by physicians to enter into arrangements with physician assistants or nurse practitioners that generally comply with state laws (regarding scope of practice), rather than other specific requirements.</p> <p> It also specifies that rural health clinics (1) need only have prompt access to clinical laboratory services (as opposed to having to directly provide these services); (2) must be located in a non-urban area with a population that is less than 50,000; (3) may contract with (as opposed to employ) physician assistants or nurse practitioners; and (4) may primarily provide mental health services if located in a designated mental health professional shortage area.</p>

tv_txt: I 118th CONGRESS 1st Session H. R. 3730 IN THE HOUSE OF REPRESENTATIVES May 25, 2023 Mr. Smith of Nebraska (for himself, Mr. Blumenauer , Mr. Armstrong , and Ms. Tokuda ) 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 provisions relating to rural health clinics under Medicare.

1. Short title This Act may be cited as the Rural Health Clinic Burden Reduction Act . 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. . 3. Removing outdated laboratory requirements Section 1861(aa)(2)(G) of the Social Security Act ( 42 U.S.C. 1395x(aa)(2)(G) ) is amended by striking , including clinical laboratory services and all that follows through additional diagnostic services and inserting the following: and has prompt access to clinical laboratory services and additional diagnostic services . 4. Allowing rural health clinics the flexibility to contract with physician assistants and nurse practitioners Section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ), in the first sentence of the flush matter following paragraph (2), is amended by inserting or contracts with after (iii) employs . 5. Urbanized area fix Section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ), in the first sentence of the flush matter following paragraph (2), is amended by striking (i) is located in an area that is not an urbanized area and inserting (i) is located in an area that is not in an urban area of 50,000 or more . 6. Exception to behavioral health limitation Section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ), in the first sentence of the flush matter following paragraph (2), is amended by inserting the following before the period: , except in the case where the facility is located in an area that is designated (under section 332(a)(1)(A) of the Public Health Service Act) as a mental health professional shortage area . 7. Effective date This Act and the amendments made by this Act shall take effect on January 1, 2024, and shall apply to items and services furnished on or after such date.