Summary

Creates a federal rule that certain temporary clinicians who provide short-term physician or advanced-practice services under a written contract are not "employees" for two federal labor laws. To qualify, the clinician must be a physician (as defined in federal law) or an advanced care practitioner (nurse practitioner, physician assistant, or certified registered nurse anesthetist), work no more than one continuous year at a single site, and have a written contract stating they will not be treated as an employee. The rule removes employee protections under the Fair Labor Standards Act (wage and overtime rules) and the National Labor Relations Act (collective action and bargaining rights) for these workers when the conditions are met. The change is narrow in scope (applies only to temporary locum tenens and specified advanced practitioners meeting the time and contract tests) but could shift staffing practices, affect pay and bargaining rights for affected clinicians, and prompt legal and regulatory disputes over worker classification and enforcement.

• Designates certain temporary locum tenens physicians and specified advanced practice clinicians as nonemployees for FLSA and NLRA purposes.
• Requires both a written contract stating nonemployee status and a time limit of no more than one continuous year at a single site.
• Applies only to physicians (as defined in federal law), nurse practitioners, physician assistants, and certified registered nurse anesthetists.
• Removes FLSA protections (e.g., overtime pay) and NLRA protections (e.g., collective bargaining rights) for qualifying clinicians under those statutes.
• No funding, implementation timeline, or additional administrative provisions are included.
• Could encourage greater short-term staffing use by facilities seeking to avoid employee obligations.
• Is likely to prompt legal and administrative disputes over worker classification and the scope of federal labor protections.