S3296-119

Reported

Improving Access to Workers’ Compensation for Injured Federal Workers Act of 2025

119th Congress Introduced Dec 2, 2025

Summary

What This Bill Does

The bill expands the Federal Employees' Compensation Act by defining an 'other eligible provider' as a nurse practitioner or physician assistant acting within the scope of practice allowed by state law. It inserts those providers alongside physicians throughout provisions governing medical services, selection of a provider, medical examinations, and disputes over medical evidence. This allows injured federal employees to use qualified nurse practitioners and physician assistants for functions that federal workers' compensation law currently assigns to physicians. The Secretary of Labor must finalize implementing rules within six months. State scope-of-practice law remains the boundary on what each provider may do.

Who Benefits and How

Injured federal employees benefit from a larger pool of clinicians who may furnish treatment and participate in the medical-evidence process for a Federal Employees' Compensation Act claim, potentially reducing travel and appointment delays. Nurse practitioners and physician assistants benefit from new eligibility to provide reimbursable FECA services and medical opinions within their state-law scope of practice.

Who Bears the Burden and How

Department of Labor workers' compensation administrators must finalize regulations within six months and update claim, provider, examination, and medical-dispute procedures to recognize the two provider categories. Physician practices may face some redirected FECA appointments or medical-review work, while all participating clinicians must remain within state scope-of-practice limits and satisfy existing program requirements.

Key Provisions

  • Adds nurse practitioners and physician assistants to FECA's definition of eligible medical providers when acting within state-authorized scope of practice.
  • Expands statutory references to physicians so eligible providers may furnish treatment and participate in medical examinations and evidence disputes.
  • Requires the Labor Secretary to finalize implementing rules within six months after enactment.

Evidence Chain:

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

At a Glance

What This Bill Does

Authorize nurse practitioners and physician assistants to provide covered care and medical evidence under the Federal Employees' Compensation Act.

Key Policy Areas

Labor, Health Care

Primary Purpose

Authorize nurse practitioners and physician assistants to provide covered care and medical evidence under the Federal Employees' Compensation Act.

Policy Domains

Labor Health Care

Improving Access to Workers’ Compensation for Injured Federal Workers Act of 2025

Identified Gains
  • Injured federal employees receiving workers' compensation
  • Nurse practitioners and physician assistants
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is
Nurse practitioners and physician assistants:
Injured federal employees receiving workers' compensation:
Identified Costs
  • Department of Labor workers' compensation administrators
  • Physician practices participating in FECA
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is
Physician practices participating in FECA:
Department of Labor workers' compensation administrators:

Legislative Progress

Reported
Introduced Committee Passed
Aug 6, 2026

Committee on Homeland Security and Governmental Affairs. Ordered to be …

Dec 2, 2025

Ms. Collins (for herself and Mr. Blumenthal) introduced the following …

Dec 2, 2025

Read twice and referred to the Committee on Homeland Security …

Dec 2, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Offices Of Other Health Practitioners
2 mentions across 1 clause
+2 positive

Nurse practitioners, Physician assistants

General Public
1 mention across 1 clause
+1 positive

Injured federal employees

Physicians
1 mention across 1 clause
+1 positive

Physician practices serving FECA claimants

Government
1 mention across 1 clause
+1 positive

Department of Labor workers' compensation administrators

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Labor Health Care
Actor Mappings
"the_secretary"
→ Secretary of Labor
"covered_employee"
→ Federal employee covered by FECA
"other_eligible_provider"
→ State-authorized nurse practitioner or physician assistant

Key Definitions

Terms defined in this bill

1 term
"other eligible provider" §5_USC_8101_21

A nurse practitioner or physician assistant acting within the scope of practice defined by state law.

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