HR 7686 United States House · 119th Congress

Rural and Underserved Health Care Staffing Act

This bill clarifies that temporary medical staff (locum tenens physicians and advanced practitioners) working in rural or underserved areas are treated as independent contractors - not employees - by federal programs for key purposes. It specifically affects how these temporary workers are classified under the Fair Labor Standards Act, Civil Rights Act, Medicare, Medicaid, and other federal health programs, ensuring they aren’t deemed employees of the healthcare facility they temporarily serve. The bill requires a written agreement between the temporary staff and the facility, with an exception for cases where an explicit employer-employee contract is signed. It explicitly does not change tax treatment, state licensing rules, or eligibility for Medicare/Medicaid benefits.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
President
Introduced Feb 25, 2026 Last action Feb 25, 2026
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2
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Committee
1
Feb 25, 2026
Committee
Referred to the Committee on Education and Workforce, and in addition to the Committees on Energy and Commerce, Oversight and Government Reform, and House Administration, 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.
lower
Feb 25, 2026
Introduced
Introduced in House
lower
1 primary · 1 co-sponsor

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