Healthcare (Healthcare Workforce)

Promoting Access to Diabetic Shoes Act This bill allows a nurse practitioner or physician assistant to fulfill documentation requirements for coverage, under Medicare, of special shoes for diabetic individuals. Under current law, such requirements may be satisfied only by a physician.

This bill amends Medicare's residency slot redistribution rules when hospitals close. It changes the criteria hospitals must meet to qualify for redistributed residency positions, requiring them to demonstrate a likelihood of both starting to use the positions within 2 years and filling them within 5 years. The change applies only to hospitals closing on or after the bill's enactment date. It does not create new physician programs or funding, but modifies how existing Medicare residency slots are allocated to better target underserved areas.

The FAAN Act (HR 6607) creates a $1 billion grant program to support nursing schools in underserved areas. It provides funding to increase faculty and student enrollment, modernize facilities (like simulation labs), expand clinical partnerships, and prioritize recruitment of underrepresented students and faculty. The bill directly affects nursing schools located in medically underserved areas, health professional shortage areas, rural communities, or those serving historically underrepresented populations. Grants must focus on addressing nursing workforce shortages and improving readiness for public health emergencies, with schools required to report on outcomes like student diversity and infrastructure upgrades.

S 2225, the Prevent Interruptions in Physical Therapy Act of 2025, allows physical therapists to use temporary replacement therapists (locum tenens) under Medicare for outpatient physical therapy services. The bill amends Medicare rules to apply the same provisions currently used for physicians' services to physical therapy services, meaning therapists can now fill in gaps during staff shortages without disrupting patient care. This directly affects physical therapists providing Medicare-covered outpatient therapy and Medicare beneficiaries receiving those services. The change takes effect after the bill is enacted, ensuring continuity of care when therapists are unavailable.

HR 305, the One School, One Nurse Act of 2025, authorizes federal grants to help schools recruit, hire, and retain full-time registered nurses. It targets public elementary and secondary schools - especially those in high-need districts with current shortages - to ensure every school has at least one full-time nurse and maintains recommended nurse-to-student ratios. Grant funds can be used for recruitment, converting part-time to full-time roles, increasing salaries for retention, and meeting ratio standards. Schools receiving grants must report annually on nurse staffing, diversity, and progress in addressing student health needs.

The Conrad State 30 and Physician Access Reauthorization Act extends the Conrad State 30 program, which allows foreign physicians to work in U.S. areas with doctor shortages for up to three years in exchange for a waiver of the two-year foreign residency requirement. The bill creates clearer pathways for physicians to adjust their immigration status to permanent residency after completing service requirements in medically underserved areas, while adding protections like banning non-compete clauses in employment agreements. It also establishes annual reporting requirements to track how many physicians are placed in underserved communities. The bill primarily affects foreign physicians seeking to work in the U.S. and health facilities in medically underserved communities.

HR 6592 redefines Medicaid-covered "private duty nursing" as "continuous skilled nursing services" for complex-care patients requiring multiple hours of daily nursing care (as determined by states), mandating these services be provided by licensed nurses (RNs or LPNs). It requires the Secretary to develop national quality standards for these services through a stakeholder working group, to be published within one year. The bill also updates Medicaid waiver services and quality measures to include continuous skilled nursing services, with standards reviewed every eight years. This directly affects complex-care Medicaid beneficiaries and their nursing providers across all states.

Rebuild America’s Health Care Schools Act of 2025 This bill allows hospitals to receive reimbursement under Medicare for certain costs associated with training nursing and allied health students in settings other than the hospital itself.  Currently, hospitals may receive reimbursement under Medicare for the reasonable costs associated with training nursing and allied health students if certain conditions are met; the criteria vary depending on whether the students are enrolled in an educational program that is operated by the hospital or another entity. If the students are part of a program that is operated by another entity, the training must occur at the hospital itself or in areas immediately surrounding the hospital in order to qualify for reimbursement (among other requirements). The bill allows hospitals to receive reimbursement for these costs if the training is conducted at an entity that is related to the hospital (i.e., common ownership or control). The bill requires the Centers for Medicare & Medicaid Services (CMS) to update regulations to reflect these changes. Additionally, the CMS may not recoup or reduce payments to hospitals with respect to costs that are allowed under the bill and must refund any such recoupments or reductions that occurred during the six-year period prior to the bill's enactment.

The Title VIII Nursing Workforce Reauthorization Act of 2025 reauthorizes federal funding for nursing education programs through 2030, increasing annual appropriations to support nurse training and workforce development. It expands grant eligibility to include nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs, while requiring funds to cover clinical education costs like preceptor fees. The bill directs grants toward technology such as simulation labs, telehealth, and virtual training to modernize nursing education, and mandates partnerships with healthcare facilities to create clinical training opportunities. Additionally, it updates program requirements to include support for survivors of sexual assault and focuses on increasing nursing faculty and student enrollment to address nationwide nursing shortages.

This bill blocks the implementation of a new federal staffing rule for nursing homes, specifically halting the May 2024 rule requiring minimum staffing levels in long-term care facilities. It directly affects rural nursing facilities and their workforce by preventing a regulation that could increase operational demands. The bill creates a 17-member advisory panel with mandatory rural representation to study nursing home staffing shortages, analyze regulatory impacts, and recommend solutions to strengthen the workforce. The panel must submit annual reports to Congress and the public, focusing on barriers to care access in rural and underserved areas. This is a procedural measure stopping a specific rule while establishing a review mechanism, not a direct funding or service change.