S. 4420

119 S4420 IS: Physical Therapist Workforce and Patient Access Act of 2026
 U.S. Senate
 2026-04-28
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 II  119th CONGRESS  2d Session  S. 4420  IN THE SENATE OF THE UNITED STATES   April 28, 2026   Mr. Heinrich  (for himself and  Mr. Rounds ) introduced the following bill; which was read twice and referred to the  Committee on Health, Education, Labor, and Pensions    A BILL
To amend the Public Health Service Act to provide for the participation of physical therapists in the National Health Service Corps Loan Repayment program, to amend title XVIII of the Social Security Act to expand Medicare Rural Health Clinic Services and Federally Qualified Health Center Services to include physical therapy services, and for other purposes.
1.
Short title
This Act may be cited as the   Physical Therapist Workforce and Patient Access Act of 2026  .
2.
National Health Service Corps; participation of physical therapists in loan repayment program
(a)
Mission of corps; definition of primary health services
Section 331(a)(3)(D) of the Public Health Service Act ( 42 U.S.C. 254d(a)(3)(D) ) is amended by striking  or mental health,  and inserting  mental health, or physical therapy, .
(b)
Physical therapy health professional target areas
Section 332 of the Public Health Service Act ( 42 U.S.C. 254e ) is amended by adding at the end the following:
(l)
(1)
The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall identify, based on the data collected under paragraph (3), physical therapy health professional target areas that satisfy the criteria described in paragraph (2) for purposes of, in connection with receipt of assistance under this title, assigning to such identified areas physical therapy health professionals who, without application of this subsection, would otherwise be eligible for such assistance. The Secretary shall distribute physical therapy health professionals within health professional shortage areas using the physical therapy health professional target areas so identified.
(2)
For purposes of paragraph (1), the Secretary shall establish criteria for physical therapy health professional target areas that identify geographic areas within health professional shortage areas that have a shortage of physical therapy health professionals.
(3)
For purposes of this subsection, the Secretary shall collect and publish in the Federal Register data comparing the availability and need of physical therapy health services in health professional shortage areas and in areas within such health professional shortage areas.
(4)
In carrying out paragraph (1), the Secretary shall seek input from relevant provider organizations, including medical societies, organizations representing medical facilities, and other organizations with expertise in physical therapy health services.
(5)
Nothing in this subsection shall be construed as—
(A)
requiring the identification of a physical therapy health professional target area in an area not otherwise already designated as a health professional shortage area; or
(B)
affecting the types of health professionals, without application of this subsection, otherwise eligible for assistance, including a loan repayment or scholarship, pursuant to the application of this section.
 .
(c)
Loan repayment program
Section 338B of the Public Health Service Act ( 42 U.S.C. 254l–1 ) is amended—
(1)
in subsection (a)(1), by inserting  physical therapists,  after  dentists, ; and
(2)
in subsection (b)—
(A)
in paragraph (1), by striking  , or be certified as a nurse midwife, nurse practitioner, or physician assistant  and inserting  ; be certified as a nurse midwife, nurse practitioner, or physician assistant; or have a doctoral or master's degree in physical therapy ;
(B)
in paragraph (1)(B), by inserting  physical therapy,  after  mental health, ; and
(C)
in paragraph (1)(C)(ii), by inserting  physical therapy,  after  dentistry, .
3.
Additional funding for participation of physical therapists in the National Health Service Corps Loan Repayment Program
Section 10503(b)(2)(L) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2)(L) ) is amended by inserting before the period at the end the following:  , and an additional $15,000,000 for such period for loan repayments for physical therapists participating in the National Health Service Corps Loan Repayment Program under section 338B of the Public Health Service Act .
4.
Expanding Medicare Rural Health Clinic Services and Federally Qualified Health Center Services to include physical therapy services
(a)
In general
Section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ) is amended—
(1)
in paragraph (1)—
(A)
in subparagraph (C), by striking at the end  and ;
(B)
in subparagraph (D), by adding  and  at the end; and
(C)
by inserting after subparagraph (D) the following new subparagraph:
(E)
such physical therapy services (as defined in subsection (p)) furnished by a physical therapist,
 ; and
(2)
in paragraph (3)(A), by striking  subparagraphs (A) through (D)  and inserting  subparagraphs (A) through (E) .
(b)
Effective date
The amendments made by subsection (a) shall apply with respect to services furnished on or after January 1, 2027.