H.R. 1160 (119th)Bill Overview

Health Care Provider Shortage Minimization Act of 2025

Taxation|Taxation
Cosponsors
Support
Republican
Introduced
Feb 10, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Ways and Means.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill adds a new section (sec. 3513) to the Internal Revenue Code treating qualified locum tenens physicians and specified advanced care practitioners as independent contractors for federal tax purposes. It defines qualified individuals (licensed clinicians providing temporary services for no more than one continuous year at a site) and requires a written contract stating non-employee status.

Why people may split

Progressives emphasize worker protections and misclassification risks

Watch point

Relatively technical, benefits healthcare staffing and employers; appeals to pro-business legislators but faces labor and revenue objections.

This bill adds a new section (sec. 3513) to the Internal Revenue Code treating qualified locum tenens physicians and specified advanced care practitioners as independent contractors for federal tax purposes.

It defines qualified individuals (licensed clinicians providing temporary services for no more than one continuous year at a site) and requires a written contract stating non-employee status.

The bill specifies that the individual, contracting agency, payor, and hiring entity are not treated as employees or employers and that remuneration is not treated as wages.

Passage35/100

Narrow, administratively clear change with identifiable supporters, but probable revenue loss and labor opposition reduce chances without offsets or compromise.

CredibilityPartial

How solid the drafting looks.

Contention70/100

Progressives emphasize worker protections and misclassification risks

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Employers · Federal agenciesEmployers · Workers

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • EmployersReduces employer payroll tax and withholding obligations when hiring qualifying locum clinicians.
  • Potential benefitMay increase temporary clinician availability in underserved or shortage areas by easing hiring barriers.
  • Federal agenciesLowers administrative and compliance costs for facilities and staffing agencies regarding federal employment taxes.
Likely burdened
  • EmployersReduces employee protections, workplace benefits, and employer-provided insurance for affected clinicians.
  • WorkersMay incentivize misclassification of long-term or integrated workers as contractors.
  • Federal agenciesLikely reduces federal payroll tax revenue funding Social Security and Medicare programs.
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize worker protections and misclassification risks
Progressive25%

Overall skeptical.

Supports addressing provider shortages but worries this tax-only reclassification will erode worker protections and benefits.

Concerned it may enable widespread misclassification and shift costs to clinicians.

Likely resistant
Centrist60%

Cautious support with reservations.

Sees practical benefit for short-term staffing shortages but wants clear guardrails, reporting, and a sunset or review to prevent abuse.

Would weigh fiscal and labor impacts.

Split reaction
Conservative85%

Generally favorable.

Views the bill as a deregulatory fix that reduces employer tax burdens and increases workforce flexibility to alleviate shortages.

Prefers market-driven staffing solutions over expanded regulation.

Leans supportive
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood35/100

Narrow, administratively clear change with identifiable supporters, but probable revenue loss and labor opposition reduce chances without offsets or compromise.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No CBO or official revenue estimate included
  • Interaction with state labor classification law unclear
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressives emphasize worker protections and misclassification risks

Narrow, administratively clear change with identifiable supporters, but probable revenue loss and labor opposition reduce chances without o…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for Health Care Provider Shortage Minimization Act of 2025.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis