HR 5199 — Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025
Congress 119
Latest action: — 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.
Sponsors
- Valadao, David G. (R, CA-22) — cosponsor
- Moylan, James C. (R, GU-0) — cosponsor
Lobbied by (2)
LDA filings that named this bill in their activity descriptions. The lobbying firm (registrant) is paid by the client to lobby on this and related issues.
| Filing | Period | Registrant (lobbying firm) | Client | Income | Matched |
|---|---|---|---|---|---|
| 1st Quarter - Amendment | 2026 first_quarter | CAPITOL ASSOCIATES, INC. | NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | $100,000 | H.R.5199 |
| 1st Quarter - Report | 2026 first_quarter | CAPITOL ASSOCIATES, INC. | NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | $100,000 | H.R.5199 |
Action timeline
- · H11100 — 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.
- · H11100 — 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.
- · Intro-H — Introduced in House
- · 1000 — Introduced in House
Text versions
- Introduced in House · 2025-09-08 — open
Connected on the graph
Inbound (3)
| date | from | type | amount | role | source |
|---|---|---|---|---|---|
| — | Moylan, James C. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Valadao, David G. | cosponsor_of_bill | — | cosponsor | sponsorship |
| 2026-01-01 | NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | lobbies_on_bill | — | H.R.5199 | lobbying_bill_mention |
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Moylan, James C. (R, house GU) | cosponsor | 1 | — | 2 |
| 2 | Valadao, David G. (R, house CA-22) | cosponsor | 1 | — | 2 |
Who's influencing them
Orgs ranked by combined money flow on this bill: LDA filings citing the bill + individual contributions in cycle 2026from donors whose employer matches the org name (Schedule A) to any principal committee in the "who matters" list above.
| # | Org | LDA filings | LDA spend | Donor employees | Employee donations | Total |
|---|---|---|---|---|---|---|
| 1 | NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | 2 | $200,000 | 0 | $0 | $200,000 |
| 2 | third point llc | 0 | $0 | 1 | $3,500 | $3,500 |
| 3 | rancho teresita dairy | 0 | $0 | 1 | $2,000 | $2,000 |
| 4 | cal trans | 0 | $0 | 1 | $1,000 | $1,000 |
| 5 | john farms | 0 | $0 | 1 | $1,000 | $1,000 |
| 6 | retired | 0 | $0 | 6 | $522 | $522 |
| 7 | philip j. martin real estate, llc | 0 | $0 | 1 | $500 | $500 |
| 8 | gold star cattle co, llc | 0 | $0 | 1 | $500 | $500 |
| 9 | haverly systems | 0 | $0 | 1 | $500 | $500 |
| 10 | kenneth khachigian | 0 | $0 | 1 | $250 | $250 |
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
2 predicted yes (0%) · 266 predicted no (49%) · 275 unknown (51%)
By party: · R: 2 yes / 0 no / 275 unknown · D: 0 yes / 263 no · I: 0 yes / 3 no
2 high-confidence positions (voted + sponsor + cosponsor)
- Moylan, James C. (R · house · GU) · cosponsor
- Valadao, David G. (R · house · CA-22) · cosponsor
Activity
Every typed-graph event involving this entity, newest first. Each row is one edge in the influence graph; click the date to jump to its provenance.
- 2026-05-17 · cosponsored by Valadao, David G. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Moylan, James C. (cosponsor) · sponsorship
- 2026-01-01 · lobbied on by NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS (h.r.5199) · lobbying_bill_mention