,,ii  #aaeth ,,congress  #ast ,session  
,s4 #aaji  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #aa1      
#bjag,mr4 ,merkley 7for himself1 ,mr4   
,burr1 ,ms4 ,baldwin1 and ,ms4 ,collins7
 introduced the following bill2 which   
was read twice and referred to the      
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
amend title ,,viii of the ,public       
,health ,service ,act to extend advanced
 education nursing grants to support    
clinical nurse specialist programs1 and 
for other purposes4  #a4 ,short title   
,this ,act may be cited as the ,title   
,,viii ,nursing ,workforce              
,reauthorization ,act of #bjag4  #b4    
,supporting clinical nurse specialists  
7a7 ,advanced education nursing grants  
,section #haa of the ,public ,health    
,service ,act 7#db ,u4,s4,c4 #bif;j7 is 
amended--  7#a7 in subsection 7b7-- 7,a7
 by striking ,r4,n4_/,master's and      
inserting ,r4,n4_/graduate2 and  7,b7 by
 inserting clinical nurse leaders1      

before or public health nurses2  7#b7 by
 redesignating subsections 7f7 and 7g7  
as subsections 7g7 and 7h71             
respectively2 and  7#c7 by inserting    
after subsection 7e7 the following new  
subsection3  7f7 ,authorized clinical   
nurse specialist programs ,clinical     
nurse specialist programs eligible for  
support under this section are education
 programs that--  7#a7 provide          
registered nurses with full-time        
clinical nurse specialist education2 and
  7#b7 have as their objective the      
education of clinical nurse specialists 
who will upon completion of such a      
program be qualified to effectively     
provide care through the wellness and   
illness continuum to inpatients and     
outpatients experiencing acute and      
chronic illness4  4  7b7 ,definition of 
nurse-,managed clinic ,section #hja of  
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bif7 is amended by adding at 
the end the following3  7#ah7           
,nurse-managed health clinic ,the term  

nurse-managed health clinic means a     
nurse-practice arrangement1 managed by  
advanced practice nurses1 that provides 
primary care or wellness services to    
underserved or vulnerable populations   
and that is associated with a school1   
college1 university1 or department of   
nursing1 federally qualified health     
center1 or independent nonprofit health 
or social services agency4  4  7c7      
,national ,advisory ,council on ,nurse  
,education and ,practice ,section       
#hea7;b77#a77;,a77iv7 of the ,public    
,health ,service ,act 7#db ,u4,s4,c4    
#bigt7b77#a77;,a77iv77 is amended by    
striking and nurse anesthetists and     
inserting nurse anesthetists1 and       
clinical nurse specialists4  #c4        
,reauthorization of funding for nursing 
programs  7a7 ,in general ,title ,,viii 
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bif et seq47 is         
amended-- 7#a7 in subsection 7i77#a7 of 
section #hdf 7#db ,u4,s4,c4 #bign2 loan 
repayment and scholarship programs71 by 

striking #bjjg and inserting #bjbb2     
7#b7 in subsection 7f7 of section       
#hdf;,a 7#db ,u4,s4,c4 #bign-#a2 nurse  
faculty loan program71 by striking #bjad
 and inserting #bjbb2  7#c7 in          
subsection 7e7 of section #hfe 7#db     
,u4,s4,c4 #bih2 comprehensive geriatric 
education71 by striking #bjad and       
inserting #bjbb2 and  7#d7 in section   
#hga 7#db ,u4,s4,c4 #bih;d2 funding for 
carrying out parts ,b1 ,c1 and section  
#hca7-- 7,a7 by striking #bjaf and      
inserting #bjbb2 and  7,b7 by striking  
,b1 ,c1 and ,d and inserting ,b and ,c  
and section #hca4  7b7 ,nurse education1
 practice1 quality1 and retention grants
 ,section #hca of the ,public ,health   
,service ,act 7#db ,u4,s4,c4 #bifp7 is  
amended--  7#a7 in the section heading1 
by striking and quality and inserting   
quality1 and retention2  7#b7 in        
subsection 7c77#a7--  7,a7 by amending  
subparagraph 7,a7 to read as follows3   
7,a7 to promote career advancement for--
  7i7 for nursing personnel in a variety

 of training settings1 cross training or
 specialty training among diverse       
population groups1 and the advancement  
of individuals including to become      
professional nurses1 advanced education 
nurses1 licensed practical nurses1      
certified nurse assistants1 and home    
health aides2 and  7ii7 individuals     
including licensed practical nurses1    
licensed vocational nurses1 certified   
nurse assistants1 home health aides1    
diploma degree or associate degree      
nurses1 to become baccalaureate prepared
 registered nurses or advanced education
 nurses in order to meet the needs of   
the registered nurse workforce2  2  7,b7
 in subparagraph 7,b71 by striking the  
period and inserting 2 and2 and  7,c7 by
 adding at the end the following3  7,c7 
developing and implementing internships 
and residency programs in collaboration 
with an accredited school of nursing1 as
 defined by section #hja7b71 to         
encourage mentoring and the development 
of specialties4  2  7#c7 in subsection  

7g7-- 7,a7 by striking 11 and inserting 
12  7,b7 by striking or2 and  7,c7 by   
inserting 1 or a nurse-managed health   
clinic before the period2 and  7#d7 by  
striking subsection 7h74