1 | 1 | | I |
---|
2 | 2 | | 119THCONGRESS |
---|
3 | 3 | | 1 |
---|
4 | 4 | | STSESSION H. R. 1160 |
---|
5 | 5 | | To amend the Internal Revenue Code of 1986 to clarify the treatment of |
---|
6 | 6 | | locum tenens physicians and advanced care practitioners as independent |
---|
7 | 7 | | contractors to help alleviate physician shortages, including in underserved |
---|
8 | 8 | | areas. |
---|
9 | 9 | | IN THE HOUSE OF REPRESENTATIVES |
---|
10 | 10 | | FEBRUARY10, 2025 |
---|
11 | 11 | | Mr. C |
---|
12 | 12 | | ARTERof Georgia (for himself, Mr. DUNNof Florida, Ms. TENNEY, Mr. |
---|
13 | 13 | | C |
---|
14 | 14 | | RENSHAW, and Mr. WEBERof Texas) introduced the following bill; |
---|
15 | 15 | | which was referred to the Committee on Ways and Means |
---|
16 | 16 | | A BILL |
---|
17 | 17 | | To amend the Internal Revenue Code of 1986 to clarify |
---|
18 | 18 | | the treatment of locum tenens physicians and advanced |
---|
19 | 19 | | care practitioners as independent contractors to help al- |
---|
20 | 20 | | leviate physician shortages, including in underserved |
---|
21 | 21 | | areas. |
---|
22 | 22 | | Be it enacted by the Senate and House of Representa-1 |
---|
23 | 23 | | tives of the United States of America in Congress assembled, 2 |
---|
24 | 24 | | SECTION 1. SHORT TITLE. 3 |
---|
25 | 25 | | This Act may be cited as the ‘‘Health Care Provider 4 |
---|
26 | 26 | | Shortage Minimization Act of 2025’’. 5 |
---|
27 | 27 | | VerDate Sep 11 2014 22:40 Mar 07, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1160.IH H1160 |
---|
28 | 28 | | ssavage on LAPJG3WLY3PROD with BILLS 2 |
---|
29 | 29 | | •HR 1160 IH |
---|
30 | 30 | | SEC. 2. TREATMENT OF LOCUM TENENS PHYSICIANS AND 1 |
---|
31 | 31 | | ADVANCED CARE PRACTITIONERS. 2 |
---|
32 | 32 | | (a) I |
---|
33 | 33 | | NGENERAL.—Chapter 25 of the Internal Rev-3 |
---|
34 | 34 | | enue Code of 1986 is amended by adding at the end the 4 |
---|
35 | 35 | | following new section: 5 |
---|
36 | 36 | | ‘‘SEC. 3513. TREATMENT OF LOCUM TENENS PHYSICIANS 6 |
---|
37 | 37 | | AND ADVANCED CARE PRACTITIONERS. 7 |
---|
38 | 38 | | ‘‘(a) G |
---|
39 | 39 | | ENERALRULE.—For the purposes of the taxes 8 |
---|
40 | 40 | | and other obligations imposed by this title, in the case of 9 |
---|
41 | 41 | | services performed as a qualified locum tenens physician 10 |
---|
42 | 42 | | or advanced care practitioner— 11 |
---|
43 | 43 | | ‘‘(1) the individual performing such services 12 |
---|
44 | 44 | | shall not be treated as an employee, 13 |
---|
45 | 45 | | ‘‘(2) neither the persons for whom such services 14 |
---|
46 | 46 | | are performed, nor any agency that contracts with 15 |
---|
47 | 47 | | a qualified locum tenens physician or advanced care 16 |
---|
48 | 48 | | practitioner, shall be treated as an employer, 17 |
---|
49 | 49 | | ‘‘(3) any payor shall not be treated as an em-18 |
---|
50 | 50 | | ployer, and 19 |
---|
51 | 51 | | ‘‘(4) the remuneration paid or received for such 20 |
---|
52 | 52 | | service shall not be treated as paid or received with 21 |
---|
53 | 53 | | respect to employment. 22 |
---|
54 | 54 | | ‘‘(b) Q |
---|
55 | 55 | | UALIFIEDLOCUMTENENSPHYSICIAN ORAD-23 |
---|
56 | 56 | | VANCEDCAREPRACTITIONER.—For purposes of this sec-24 |
---|
57 | 57 | | tion— 25 |
---|
58 | 58 | | VerDate Sep 11 2014 22:40 Mar 07, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1160.IH H1160 |
---|
59 | 59 | | ssavage on LAPJG3WLY3PROD with BILLS 3 |
---|
60 | 60 | | •HR 1160 IH |
---|
61 | 61 | | ‘‘(1) IN GENERAL.—The term ‘qualified locum 1 |
---|
62 | 62 | | tenens physician or advanced care practitioner’ 2 |
---|
63 | 63 | | means an individual if— 3 |
---|
64 | 64 | | ‘‘(A) such individual provides temporary 4 |
---|
65 | 65 | | physician or advanced care practitioner services 5 |
---|
66 | 66 | | as a locum tenens physician or locum tenens 6 |
---|
67 | 67 | | advanced care practitioner for a period of not 7 |
---|
68 | 68 | | more than one continuous year at a site of serv-8 |
---|
69 | 69 | | ice, 9 |
---|
70 | 70 | | ‘‘(B) such individual is— 10 |
---|
71 | 71 | | ‘‘(i) a doctor of medicine, osteopathy, 11 |
---|
72 | 72 | | dental surgery, or dental medicine legally 12 |
---|
73 | 73 | | authorized to practice medicine, surgery or 13 |
---|
74 | 74 | | dentistry in the State, territory, or posses-14 |
---|
75 | 75 | | sion in which the individual performs such 15 |
---|
76 | 76 | | services, 16 |
---|
77 | 77 | | ‘‘(ii) a doctor of podiatric medicine or 17 |
---|
78 | 78 | | doctor of optometry legally authorized to 18 |
---|
79 | 79 | | perform podiatric or optometry functions 19 |
---|
80 | 80 | | in the State, territory, or possession in 20 |
---|
81 | 81 | | which the individual performs such serv-21 |
---|
82 | 82 | | ices, 22 |
---|
83 | 83 | | ‘‘(iii) a physician, as defined in section 23 |
---|
84 | 84 | | 1861(r) of the Social Security Act Section 24 |
---|
85 | 85 | | VerDate Sep 11 2014 22:40 Mar 07, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1160.IH H1160 |
---|
86 | 86 | | ssavage on LAPJG3WLY3PROD with BILLS 4 |
---|
87 | 87 | | •HR 1160 IH |
---|
88 | 88 | | (42 U.S.C. 1395x(r)) or section 8101(2) of 1 |
---|
89 | 89 | | title 5, United States Code, or 2 |
---|
90 | 90 | | ‘‘(iv) an advanced care practitioner, 3 |
---|
91 | 91 | | and 4 |
---|
92 | 92 | | ‘‘(C) the services described in subpara-5 |
---|
93 | 93 | | graph (A) performed by the individual are per-6 |
---|
94 | 94 | | formed pursuant to a written contract and such 7 |
---|
95 | 95 | | contract provides that the individual will not be 8 |
---|
96 | 96 | | treated as an employee with respect to such 9 |
---|
97 | 97 | | services for purposes of this subtitle. 10 |
---|
98 | 98 | | ‘‘(2) A |
---|
99 | 99 | | DVANCED CARE PRACTITIONER .—The 11 |
---|
100 | 100 | | term ‘advanced care practitioner’ means a nurse 12 |
---|
101 | 101 | | practitioner, physician’s assistant, or certified reg-13 |
---|
102 | 102 | | istered nurse anesthetist.’’. 14 |
---|
103 | 103 | | (b) C |
---|
104 | 104 | | LERICALAMENDMENT.—The table of sections 15 |
---|
105 | 105 | | of chapter 25 of such Code is amended by adding at the 16 |
---|
106 | 106 | | end the following new item: 17 |
---|
107 | 107 | | ‘‘Sec. 3513. Treatment of locum tenens physicians and advanced care practi- |
---|
108 | 108 | | tioners.’’. |
---|
109 | 109 | | (c) EFFECTIVEDATE.—The amendments made by 18 |
---|
110 | 110 | | this section shall apply to wages for services performed 19 |
---|
111 | 111 | | after the date of the enactment of this Act. 20 |
---|
112 | 112 | | Æ |
---|
113 | 113 | | VerDate Sep 11 2014 22:40 Mar 07, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H1160.IH H1160 |
---|
114 | 114 | | ssavage on LAPJG3WLY3PROD with BILLS |
---|