HR4122-119

In Committee

Health Care for Energy Workers Act of 2025

119th Congress Introduced Jun 25, 2025

Summary

What This Bill Does

The Health Care for Energy Workers Act amends the Energy Employees Occupational Illness Compensation Program Act medical-benefits authority. It lets nurse practitioners and physician assistants, acting within state scope-of-practice rules and any presidential regulations or instructions, prescribe, recommend, or order services, appliances, and supplies for an individual receiving medical benefits for an illness under the program. The bill expands who can authorize covered medical supports for sick energy workers without changing the underlying eligibility for compensation.

Who Benefits and How

Energy employees with covered illnesses benefit because nurse practitioners and physician assistants can order needed services, appliances, and supplies. Rural energy worker patients benefit if non-physician clinicians are more available than physicians in their area. Nurse practitioners benefit because their program role expands when state law permits the practice. Physician assistants benefit from authority to support EEOICPA medical-benefit recipients within scope-of-practice rules.

Who Bears the Burden and How

Energy Employees Occupational Illness Compensation Program administrators must recognize orders from nurse practitioners and physician assistants. Program medical reviewers must apply state scope-of-practice rules and federal instructions to non-physician clinician orders. Federal benefit payers may face higher utilization if more clinicians can order services, appliances, and supplies. Physicians may lose exclusive gatekeeping authority for covered medical-benefit orders under the program.

Key Provisions

  • Amends EEOICPA section 3629 medical-benefits authority.
  • Provides nurse practitioners authority to prescribe, recommend, or order covered services, appliances, and supplies.
  • Provides physician assistants authority to prescribe, recommend, or order covered services, appliances, and supplies.
  • Limits the authority to state scope-of-practice rules and federal regulations or instructions.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Allows nurse practitioners and physician assistants to prescribe, recommend, or order services, appliances, and supplies for Energy Employees Occupational Illness Compensation Program medical-benefit recipients when acting within state scope-of-practice rules.

Key Policy Areas

Energy Workers, Workers Compensation, Health Care

Primary Purpose

Allows nurse practitioners and physician assistants to prescribe, recommend, or order services, appliances, and supplies for Energy Employees Occupational Illness Compensation Program medical-benefit recipients when acting within state scope-of-practice rules.

Policy Domains

Energy Workers Workers Compensation Health Care

Resolution provisions

Identified Gains
Contextual inference, no direct clause citation
  • Energy employees with covered illnesses
  • Rural energy worker patients
  • Nurse practitioners
  • Physician assistants
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • EEOICPA administrators
  • Program medical reviewers
  • Federal benefit payers
  • Physicians
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Legislative Progress

In Committee
Introduced Committee Passed
Jun 25, 2025

Mr. Allen (for himself and Mrs. McBath) introduced the following …

Jun 25, 2025

Referred to the Committee on the Judiciary, and in addition …

Jun 25, 2025

Introduced in House

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Energy Workers Workers Compensation Health Care

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology